ALL PROTESTS MUST BE MADE IN WRITING TO: (AF Roster Protest Form _KCS) Ms. Tammy Hardge Stephenson Director Labor Relations Kansas City Southern Railway Co. P.O. Box 219335 Kansas City, MO. 64121-9335 Please consider this as a roster protest filed in accordance with Rule 4.3 DATE ___________________________________________________________________ CLAIMANT'S NAME _________________________ EID NUMBER __________________ ADDRESS _______________________________________________________________ _________________________________________________________________________ TELEPHONE NUMBER _____________________________________________________ TITLE OF ROSTER(S) Being Protested ________________________________________ _________________________________________________________________________ _________________________________________________________________________ SUBJECT OF PROTEST (What are you protesting?) _____________________________ __________________________________________________________________________ __________________________________________________________________________ WHY IS THIS A VALID PROTEST (EXPLAIN) ____________________________________ __________________________________________________________________________ __________________________________________________________________________ ADDITIONAL INFORMATION _________________________________________________ __________________________________________________________________________ __________________________________________________________________________ COPY THIS PROTEST FORM TO THE GENERAL CHAIRMAN'S OFFICE ALLIED FEDERATION - FAX (615) 338-0209 or EMAIL [email protected] COPY THIS PROTEST FORM TO KCS LABOR RELATIONS