Get Application For "held Out Of Service" - Brcf - Brcf

The Application for "Held Out of Service" benefits is a crucial document for individuals seeking assistance after an incident that removes them from service. This guide provides an easy-to-follow approach to filling out the application online, ensuring you can provide all necessary information accurately.

Follow the steps to complete your application correctly.

1. Click the ‘Get Form’ button to obtain the form and open it in a digital editor.
2. Begin by entering your personal information, including your full name, member ID, street address, phone number, cell number, city, state or province, zip code, and email address. Ensure all information is accurate to prevent processing delays.
3. Confirm your contact with the BRCF regarding the status of your membership and the documents required for your application by selecting 'Yes' or 'No'.
4. Indicate your craft or position at the time of the incident by circling the appropriate option (Conductor, Engineer, Dispatcher, Other).
5. Select the type of service you were performing at the incident time by circling the appropriate option (Yard/ Local, Thru-Freight, Passenger, Office, Maintenance of Way, N/A).
6. Fill out the date and time when the incident occurred and your on-duty date and time for that day.
7. Specify whether you were on railroad property and on duty at the time of the occurrence by circling 'Yes' or 'No'.
8. If an investigation was held, provide the date(s) of the investigation.
9. Input the first day you were withheld from service and any suspension details if given.
10. Detail the total days you were held out of service as defined in Article XXXIII Sec. 1a.
11. Indicate whether your FRA certification was revoked and if it is expected to be reduced, explaining the number of days in each case.
12. Agree to notify the BRCF immediately if your discipline or FRA revocation is modified by circling 'Yes' or 'No'.
13. If you worked any part of the day(s) you were suspended, provide the date and time.
14. Explain whether you will be permitted to work during your disciplinary period and provide additional explanations if necessary.
15. Ensure that all required documents are included with your application, such as the Official Notice of Investigation, Notice of Discipline, FRA documents, and a voided check.
16. Finally, review your application for accuracy and completeness. Once satisfied, save changes, download a copy, or print the form for your records before submission.

Ensure you have completed all steps and submit your Application for "Held Out Of Service" benefits online for timely processing.