UPRR Form 52032
Personal Injury Form Guide
Notify Your Local Union Officers Immediately!
Only fill out sections that apply to your injury.
Example shown is an injury sustained while lining a switch.
SECTION I - IDENTIFICATION INFORMATION
Fill out appropriately if you know the information, otherwise state you do not know.
SECTION II - DETAILS OF ACCIDENT/INJURY
Fill out appropriately if you know the information, otherwise state you do not know.