Burlington System Division
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    UPDATED SEPTEMBER 13, 2022!

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    Important Links
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    Upcoming Events
    Lodge 800 Meeting
    Oct 19, 2022
    Paul and Jack's Tavern 1808 Clay St. North Kansas City, MO 64116
    Lodge 1533 Meeting
    Oct 20, 2022
    Machinist's Hall IAMAW Local 1010 16452 US-34 BUS West Burlington, IA (Middletown)
    Lodge 1142 Meeting
    Nov 05, 2022
    First State Bank, Guernsey, WY
    Lodge 1108 Meeting
    Nov 10, 2022
    Broken Bow, NE (location TBD)
    Lodge 509 Meeting
    Nov 12, 2022
    American Legion Post 284 419 1st Ave W, Holmen, WI 54636
  • Witness Statement Online
    Sample form below. You can edit this form and edit this text. The text will show up at the top of the form page, just as you see it now. You can edit the form using the buttons above.
     
    First name:
    Last Name:
    Email Address:
    Employee Number:
    Position at Time of Statement:
    Is this regarding a Claim? YES                NO
    If YES, what Claim?

    Location of Witnessed or Discovered 

    Work or Violation

    Detailed Description of what you Witnessed

    What was done?

    Who was there?

    When did it happen, and for how long?


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