Rail Workers Hazardous Materials Training
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Hazmat Registration

When you have completed the information below, click the Submit button at the bottom of the screen.

Identification

Name:

Date of Birth:

 

(As it appears on your government issued identification)

(airline TSA requirement)

Personal Contact Information

Street:

City:

State:

Zip:

Phone:

Cell Phone:

(required)

E-mail Address:

 

 

Work Information

Social Security # :

(optional)

Job Title:

 Union, Local/Lodge:

Railroad:

 

 

Hazmat Awareness Training - Class Preference

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DOT Instructor Training - Class Preference

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Radiological Training - Class Preference

Rank the class dates in the order of your preference.

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