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 DIRECTOR: Louis Charles Hoffman Alloin

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WASHINGTON STATE RAIL LINE COMMUNITY
PRIVATE COACH & TOUR TRAIN MOVEMENT TARIFF

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Passenger Record &Movement Request
shall be submitted to:

NRPC System Operations
15 South Poplar Street
Wilmington, DE 19801
PH: 302-683-2155
PH: 302-683-2051
FAX: 302-683-2121
CNOC PH: 302-683-2297

Certificates of Insurance
shall be submitted to:

NRPC Manager Risk Management
60 Massachusetts Avenue, N.E.
Washington, DC 20002

NRPC Charter Services
30th & Market Streets
Phillladelphia, PA-919104
C/O: Bill Ladd, Director
PH: 215-349-2978

System Operations Contacts:

Billing, Becky Johnson PH: 312-880-5273
Team Member, Holy Adiman PH: 302-683-2064
Team Member, Don Cushine PH: 302-683-2297
Team Member, Ernest B. Email: ernestb@amtrak.com
Team Member, Donova T. Email: donovat@amtrak.com

NRPC Police Hotline, PH: 800-331-008

    Private Car Movement Request

 

Date

/ /

Name of Owner/Operator

Telephone Number

- -

Cell Phone Number

- -

Street Address

Car Cell Phone Number

- -

Person in Charge Cell Phone Number

- -

City

State

Zip Code

E-Mail

Amtrak

Car No.

Car Name

Person in Charge of Car

UMLER No.

Brake System

Car A

Car B

Car C

Car D

Itinerary

Car(s)

Position

Train

Date

Origin

Code

Dest.

Code

Location

Board/Detrain

Parking/Layover

Dead

Pwr

Occ

Other Services

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

Other Information

Car(s) Current Location/Final Disposition

My signature below indicates that I wish to move my privately owned railcar on the Amtrak train(s) shown above. I understand that this movement request, if accepted, will be governed by the applicable provisions of the "Conditions for Movement of Privately-Owned Railroad Cars on Amtrak" effective October 1, 2000, including all amendments.

Printed Name

Signature

Date: / /

Submit Completed Form to:
Amtrak System Operations
15 South Poplar Street
Wilmington, DE 19801
PH: 302-683-2155
PH: 302-683-2051
FAX: 302-683-2121
CNOC TEL: 302-683-2297

NRPC 2208 (04/03) word template
Amtrak is a registered service mark of the National Railroad Passenger Corporation


    Private Car Passenger Record

 

Conductor must place this completed form in the train pouch for each private car that is listed on the manifest.
Complete as many forms as necessary to list all passengers.

Date:

/ /

Train No.

Traveling From:

Traveling To:

Page of

Private Car Name:

PNR No.:

Person in Charge of Private Car:

Telephone Number (cell phone if available): - -

Passenger List

Passenger Name

Orig.

Dest.

Special Needs

Emergency Contact Information

(Optional)

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

Adult

Child

Infant

Mobility Impaired

Vision Impaired

Hearing Impaired

 

Signature of Conductor Receiving

and Reviewing this Passenger List:

Date:

/ /

NRPC 3160 (05/03) word template
Amtrak is a registered service mark of the National Railroad Passenger Corporation


RAILWAY ITINERARY PLANNING SERVICES

All requests submitted via email to ATD LINES:
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