New FIP Card Application

* - Mandatory Field

Employee Details

Title*

First Name*

Last Name*

NI Number*

Date of Birth*

Address 1*

Address 2

Town*

County

Postcode*

Home Phone

Mobile No

Email*

For any International Reduced Rate Card (FIP Card) issued to you (and any eligible family member), the First Name and Last Names on the International Travel Document MUST match the Names on your Passport.
If the FIP Card is not issued in the Passport Name of the holder, then you will be refused discounted travel when abroad.
If:

the names on your Staff Travel Card or TOC Privilege Card are different to your passport names, or

RST have not previously issued International Travel Documents in the correct passport name

then you MUST NOT submit this form online.
Instead, please complete the form, attach it to an email and send it to RST at rst@raildeliverygroup.com confirming the Passport Names to be used for all family members.

FIP*

I wish to be issued with an International Reduced Rate Card (FIP Card) for myself and all eligible family members.

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I apply for International Reduced Rate Card (FIP Card) for myself and all of my eligible dependants.
I understand that I am responsible for the correct use of my (and any dependant's) rail staff travel facilities and understand that such use is subject to the Conditions of Issue and Use which can be found at www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I further understand that Rail Staff Travel’s privacy information is available online at www.raildeliverygroup.com/rst/rst-privacy and that I have read it and have made my dependant(s) aware of it.
If I am in any doubt about eligibility, I understand that I MUST check and that any attempt to obtain or use rail staff travel facilities fraudulently may result in disciplinary action and/or legal proceedings and/or permanent withdrawal of all rail staff travel facilities for myself and all of my dependants.

Signed by Employee:

Date:

Form - FIP Card Request - XX09a - This form is not valid for use after 31/03/2021

Once completed save the form with a filename of “YourLastname_YourFirstname_XX09a_ddmmyyyy” – where ddmmyyyy is the date that you send the form to RST). Then submit via email to rst@raildeliverygroup.com or your normal rail staff travel facilities contact point