1. New Company Registration
Registration - Step 1 - Company Administrator
Email
(must be a valid email to receive login instructions)		   
First name
(as it appears on your driver's license or state id)		  
Last name
(as it appears on your drives license or state id)		  
Birthdate  (mm/dd/yyyy)
Password  
Password - confirm  
Registration - Step 2 - Company Information
Company Name:   
Address:  
City:  
State:  
ZIP / Postal Code:  
Country
Main Phone Number:  
Main Fax Number: (Optional)
Contract Type My company is under contract with Amtrak as a contractor, sub-contractor, government entity or third-party contractor.
 Select One of the Following:
Primary Contractor
Subcontractor
3rd Party
Government Entity
None of the Above
Work Details The work my company performs involves the inspection, construction, maintenance and/or repair of railroad track, bridges, roadway, signal and communictions, electric traction systems, roadway facilities or roadway maintenance machinery.


The work my company performs will be on or near the track or have the potential of coming within 15’ of a track or catenary:


Type of Work: (Select all that apply.)
Category - 1 Operates equipment or vehicles on track
Category - 2 Works on track, bridges, roadway, roadway facilities, or roadway machinery
Category - 3 Works on electric traction systems, signal or communication systems
Category - 4 Performs inspection, installation, construction, maintenance or repair on Amtrak infrastructure (for example - track)
Category - 5 Performs cleanout, product extraction, fueling, maintenance, servicing, inspection, or repair of locomotives, railcars or track equipment
Category - 6 Other
If other then input any additional type of work your company provides for Amtrak:
Hours Does your company total 400,000 or more employee work hours annually?
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