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Important COVID19 Update: We know this is a stressful time for many, so we want to reassure you HMN is taking every measure to ensure the welfare of our staff and the continuity of our service to our clients. HMN continues to work to ensure that our valued staff, clients and families are following all recommendations provided by our local, state and national leadership. We are actively communicating with the courts to reschedule any proceedings and will continue to inform our clients of those developments. HMN remains available at any time via phone calls, emails and video chat. We are here for you no matter what unexpected life changes occur and that remains true today.

We also wish to express our utmost gratitude to the healthcare professionals working tirelessly to care for our community. Our thoughts are with all those impacted by the Coronavirus.

Image from an actual HMN case, reproduced with permission

Home » Resources » Accident Report Forms for Employees

Accident Report Forms for Employees

Your accident report can be the most important document in connection with your FELA claim. It is CRUCIAL to note the negligent acts of the railroad when filling out your accident report. That means noting all causes of the accident, including defective equipment, poorly maintained equipment, dangerous practices, negligent co-workers and unsafe instructions from management. You must think hard and clearly before filling out your accident report. If you are in shock, in pain or under the influence of medication, you should NOT fill out the report until you are in a clear state of mind. Do NOT let managers and claims agents pressure you into filling out an accident report. You can fill out the report when you are reasonably able to do so, fully and accurately. If the claims agent or manager refuses to let you go and insists an accident report be filled out, print on the face of the form, “FILLED OUT UNDER DURESS.”

Please see the following railroad-related forms compliments of Hildebrand McLeod & Nelson, LLP

BNSF Forms:
Accident Form/Accident Reporting on the BNSF

BNSF Handout PDF

UPRR Forms:
Accident Form/Accident Reporting on the UPRR
Medical Progress Form

Request for Leave Form
UPRR Handout PDF

AMTK Forms:
AMTK Handout PDF

PHL Forms:
PHL Handout PDF