UPRR Form 52032 Rev. 01/04

Personal Injury Form Guide

Notify Your Local Union Officers Immediately

Only fill out sections that apply to your injury

Example is a injury while lining a switch

Section I - Fill out appropriately if you know the information, otherwise state you do not know.

Section II - Fill out appropriately if you know the information, otherwise state you do not know.

Section III > Read Details

Section IV > Read Details

Section V > Read Details

Section VI > Read Details