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Pilot Refusal Complaint Form

Fields marked with an asterisk ( * ) are mandatory.
*Your Full Name
*Home Address
Home Phone
*Local
*Railroad
*Date of pilot request Month
Day    
Year   
*Location
*Your Email Address
 
STEP #1
Did you notify the crew caller and indicate that you do not feel qualified over that particular territory and request a pilot? Yes No
If denied, did you ask the caller to record your request? Yes No
Did you make note of the caller's name? Yes No
Caller's name
Time of request
STEP #2
Did you contact a supervisor and indicate that you do not feel qualified over the particular territory and request a pilot? Yes No
If denied, did you ask the supervisor to record your pilot request? Yes No
Did you make note of the supervisor's name? Yes No
Supervisor's name:
Time of request:
STEP #3
Upon reporting for duty, did you contact the dispatcher and advise them that you do not feel qualified over the territory, that you have requested and been refused a pilot? Yes No
Did you ask the dispatcher to record this fact? Yes No
Did you make a note of the dispatcher's name? Yes No
Dispatcher's name:
Time of request:
STEP #4
Indicate Indicate how many qualifying trips you have made over this territory:
Date of trips:
How long has it been since you last worked on this territory:
Other Comments:



 
   

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