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Get Fra Form 618078
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How to fill out the Fra Form 618078 online
Filling out the Fra Form 618078 online is a crucial step for railroad employees involved in an accident attributed to human factors. This guide provides clear instructions to help you complete the form accurately and efficiently.
Follow the steps to fill out the Fra Form 618078 online successfully.
- Click 'Get Form' button to obtain the form and open it in the provided editor.
- In Part I of the form, enter the name of the reporting railroad along with the date of the accident or incident, using the format mm/dd/yyyy. Specify the accident or incident number and indicate if the event is applicable to you by selecting 'Yes' or 'No'.
- Provide the location of the accident or incident by listing the state and the nearest city or town.
- Fill in your name (first, middle, and last) along with your job title and the name of your employing railroad.
- Complete your home address details accurately. Review the purpose of the form and acknowledge your understanding of your rights and obligations.
- Sign the form as the railroad representative in the designated area, and include the date signed along with the date the form was mailed or hand-delivered.
- In Part II of the form, you will write your supplemental statement regarding the accident. Make sure to print or type your statement clearly.
- If necessary, attach any relevant supporting documents, diagrams, photographs, or other evidence to your statement.
- Sign and date your statement before you prepare to send it. Send your original statement to the Federal Railroad Administration at the specified address.
- Make copies of your statement for your records, and send a copy to your railroad as well.
- After completing all necessary steps, review your form one final time to ensure all fields are filled correctly. Then you can save any changes you’ve made, download, print, or share the form as needed.
Complete your documents online to ensure compliance and timely submission.
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