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Fare Collection Form
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1.
Which rail line were you riding?
(Required.)
Union Pacific North (UP-N)
Milwaukee District North (MD-N)
North Central Service (NCS)
Union Pacific Northwest (UP-NW)
Milwaukee District West (MD-W)
Union Pacific West (UP-W)
BNSF Railway (BNSF)
Heritage Corridor (HC)
SouthWest Service (SWS)
Rock Island District (RI)
Metra Electric District (ME)
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2.
Date
(Required.)
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3.
Train # (From Printed Schedule)
(Required.)
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4.
What is your boarding station?
(Required.)
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5.
What is your arrival station?
(Required.)
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6.
What is your boarding time?
(Required.)
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7.
What is your arrival time?
(Required.)
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8.
Which train car were you in?
(Required.)
Front (Car 1 - 4)
Middle (Car 5 - 8)
Back (Car 9 - 11)
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9.
How full was your train car?
(Required.)
Empty
Empty - Average
Average
Average - Full
Very Full
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10.
Was your ticket collected?
(Required.)
No
Yes
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11.
Were other passengers tickets collected?
(Required.)
No
Yes
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12.
What type of ticket were you carrying or attempting to purchase?
(Required.)
One Way
Ten Ride
Monthly
Cash Fare
Weekend
Special Event
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13.
Reason for the missed collection?
(Required.)
Fare Evasion
Failure to Collect
Crowded Train
Fare Dispute
Service Disruption
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14.
What was the approximate number of passengers boarding at your station?
(Required.)
15.
If you have any other additional comments, please enter them here:
