Attendance Questionaire – Brotherhood of Locomotive Engineers and Trainmen Division 104

Name*

First Last

Years of Service?*

Please enter a number from 0 to 99.

Home Terminal*

Division Number*

Do you believe that the Attendance Policy allows for reasonable layoffs?*

Have your experiences with the Attendance Policy caused you to rethink your long-term employment with the carrier*

Can you explain your long-term employment with the carrier?*

Have you in the last 2 years been disciplined for attendance?*

Type of Discipline*

Were you working a job with assigned rest days?*

Do you have the option of earned rest?*

e.g. 4 and 3

Are you using the Earned Rest?*

Was the attendance violation caused by:*

Do you feel management offered compassion for your circumstances*

Optional – Reason for Violation

Not a required field, but this information will be able to help us!

Can you express how the policy affected your choice to remain with the carrier?

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IP Address

Logged In User Name