REQUEST TO SHUNT FORM
LVR F 109 - Version 1.0 - Review Date: 02/07/23
This Request for a Shunting Movement will be forwarded onto the Operations Manager for Approval. After the Operations Manager does all of the necessary checks, an email will be sent to the person requesting the shunting movement with approval or not.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Movement
*
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Day
-
Month
Year
Date
Location of Movement
*
Eveleigh
Cowra
Orange East Fork
Other Location
Location of shunting to be performed at
If Other Location
Please type Location if 'Other'
Request Start Time
*
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:
Hour
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Minutes
Request End Time
*
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Hour
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Minutes
Approx. Kms
Approximate total Kilometres of shunting movements
Requested Drivers Name
*
Please type the Drivers Name you request
Requested Second Person/Shunters Name
*
Please type the Second Person/Shunters name you request
Brief description of shunt
*
Include Purpose of Shunt, Rollingstock to be used, etc
Submit
Print Form
Should be Empty: