Burlington System Division
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    Upcoming Events
    Lodge 1903 Meeting
    Jan 21, 2021
    Knuckleheads Bar & Grill 204 W Barker Avenue Michigan City, IN
    Lodge 99 Officer Election Meeting
    Jan 22, 2021
    Teamsters Hall 10020 W Greenfield Avenue Milwaukee, WI
    Lodge 2643 Officer Election Meeting
    Jan 23, 2021
    BNB Hitching Post 2503 W Wisconsin Rd. Portage, WI
    Lodge 1832 Officer Election Meeting
    Jan 23, 2021
    Café by Country Kitchen, 1107 N Quincy Ave, Ottumwa, IA
    Lodge 14 Officer election meeting
    Jan 29, 2021
    810 Fremont Avenue Cheyenne, WY 82001
  • 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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