Dependant Travel No Longer Required

This form should be used to notify RST where travel is no longer required for a dependant

* - 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*

Dependant Details

Title

First Name*

Last Name*

Dependant Type

Date of Birth*

Card No*

Reason

Notes*

Declaration*

By checking this box:By submitting this form:

I confirm that all details provided are correct.
I request that no further Rail Staff Travel facilities will be issued for this dependant
I will return all cards and passes for this dependant to RST (by “signed for” delivery) to Rail Staff Travel, PO Box 72071, LONDON EC1P 1JD.

Signed by Employee:

Date:

Form - Dependant Travel Not Required - XX24 - This form is not valid for use after 31/03/2020

Once completed save the form with a filename of “YourLastname_YourFirstname_XX24_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