TWU FSI Reporting Form

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    Please select the appropriate issue from the dropdown list. Required fields are marked "required," but provide as much detail and supporting documentation as you can so we can adequately research your issue. If we need additional information, we will contact you as soon as possible.

    Please only report one issue per submission.


    Date of start of affected duty period:

    Date of end of affected duty period:

    Were any of your pairing's original trips added or removed?

    Did you exceed a 20-hour duty period?

    Screenshot of original trip (1.5mb limit):

    Screenshot of final trip (1.5mb limit):

    Date issue occurred:

    Is this a Company Policy Violation?

    Date issue occurred:

    Screenshot of trip (1.5mb limit):

    Date issue occurred:

    Screenshot of trip (1.5mb limit):

    Date issue occurred:

    Screenshot of trip (1.5mb limit):

    Date issue occurred:

    Screenshot of trip (1.5mb limit):

    What does this issue concern?

    Paycheck Date:

    Date issue occurred:

    What language did you use?

    Did you use this language on or off the aircraft?

    Did you report this issue to Management?

    To whom did you report the issue?

    Supporting image (1.5mb limit):

    Additional supporting image (1.5mb limit):

    If you would like to submit any additional screenshots or photos related to this issue, please email them to 5y@twu.org.


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