REQUEST FAMILY ACCESS TO RST ONLINE

* - 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*

Work Email

I am aware I can only apply for family members who have rail staff travel facilities through me.

Family Member 1 Details

First Name*

Last Name*

Dependant Type

Date of Birth*

Family Member 2 Details

First Name*

Last Name*

Dependant Type

Date of Birth*

Family Member 3 Details

First Name*

Last Name*

Dependant Type

Date of Birth*

Family Member 4 Details

First Name*

Last Name*

Dependant Type

Date of Birth*

If you require more than 4 dependants then an additional form is needed.

Declaration*

By checking this box I confirm:By submitting this form I confirm:

All details provided are correct.
This form has been submitted by me, the employee.(If this form is completed by anyone other the employee it will be deemed a fraudulent request and risks the rail staff travel facilities of both the employee and all family members.)

I also understand that:

I am responsible for my dependant's use of rail staff travel facilities as outlined in the RST Conditions of Issue and Use www.raildeliverygroup.com/rst/conditions-of-issue-and-use.
I have read RST’s privacy information and have made family members aware of it. www.raildeliverygroup.com/rst/rst-privacy
I am responsible for my family members use of RST Online, and any mis-use by them may impact my own eligibility to rail staff travel facilities,
I have made family members aware of the Privacy Notice and Conditions of Use of RST Online www.railstafftravel.com
As soon as any dependant is no longer eligible for rail staff travel facilities, I must inform RST and return all of their staff travel facilities. I must not allow my dependant to continue to use their facilities.
If I am in any doubt about eligibility, I must check with RST. 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 - REQUEST FAMILY ACCESS TO RST ONLINE - XX40 - This form is not valid for use after 31/03/2025

Once completed save the form with a filename of “YourLastname_Your Firstname_XX40_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