REQUEST FOR RELIEF DAY WORK ASSIGNMENT
 
MTA METRO-NORTH RAILROAD
CREW MANAGEMENT CENTER
HALL C      2ND FLOOR
GRAND CENTRAL TERMINAL
NEW YORK, NY 10017
FAX 1-212-340-2099
____________________________________________________________________________________
HUDSON LINE          HARLEM LINE          NEW HAVEN LINE          G.C.T. YARD
____________________________________________________________________________________

 
DATE:   _____/_____/_____                   SENIORITY DATE________________________

 
CLASS OF SERVICE:   _________________________________________________________________
                                        Conductor/Trainman                             Combo                            Engineer

 
CREW BASE:              _________________________________________________________________

 
                                                EFFECTIVE: October 5, 2008
 
C.A. DONALDSON
SUPERINTENDENT-CMC
CREW MANAGEMENT CENTER
_____________________________________________________________________________________

 
As provided in ACRE Conductors and Assistant Conductors Division, Rule 12, and the ACRE Engineers
Division, Rule 10, I the undersigned, desire to work on the relief days of my assignment.  A copy of this
request will be submitted to the Local Chairman having jurisdiction at this location.  I understand that if
my Run or Relief Days change, my name will be removed from the list and I must re-apply for future
relief day work.

 
Run Number:_________

 
Relief Days:______________ and ______________

 
______________________________________                             ____________________________
Please Print Name                                                                    Employee Number
 
                                                                                                ____________________________
                                                                                                Signature
 
 
______________________                                                          ___________________________
Crew Dispatcher                                                                         Date

cc: Local Chairman