Safety: Lodging Concern

Your Name(Required)

First Last

Your Phone(Required)

Your Email(Required)

Crew's Railroad(Required)

Crew's Home Terminal(Required)

Crew's Away-From-Home Terminal(Required)

Lodging Facility Name(Required)

Room Number(Required)

Lodging Facility Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Check In Date(Required)

Check In Time(Required)

Describe issues with the room:(Required)

Did you report the concern to the front desk?(Required)

Yes

Did you report the concern to the railroad?(Required)

Yes

Names of person(s) the concern was reported to:

Specify the solution offered by the hotel and/or railroad:(Required)

Upload Supporting Documentation

Photos, etc.

Drop files here or

Max. file size: 10 MB.

Would you like this report to remain anonymous?(Required)

Yes