Burlington System Division
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    UPDATED AUGUST 12, 2022!

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  • Statement on Skills and Assignment History (NO LOG-IN REQUIRED)
    • Work experience and skills can be both those you learned on the railroad, or in other careers (independent work, other companies, military experience, etc.).
    • Provide as many details (date, time, location, nature of work) as you can, and explain as though you are talking to someone with no railroad experience.
    • If you have experience on other machines, assignments, or special training, please include each unique instance as a separate form.
    First name:
    Last Name:
    Email Address:
    Employee Number:
    Railroad:
    Type of Statement:

    Is this Statement about operating a piece of equipment or machinery?:

    If so, what sort of machinery or equipment?:
    (Bulldozer, crane, surveyor's tools, etc.)

    Type of Skill or Work Experience:

    (Please provide a brief description here, to allow us to categorize your statement.)

    Time Period for Statement:

    (What date or range of dates would this statement apply to?)

    Statement of Experience or Skill:

    (Be detailed! Fully describe the work assignment, special skill, or nature of the project so that a non-railroad person can understand what you're describing and why it is important!)

    Other Facts or Information:

    (Please provide other details you feel are important to share as it describes your skills, training, or experience with the work described.)

    Is this Statement related to a claim or grievance you are currently listed on?


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