Greyhound Lines, Inc. 2015 Extra Board Operator Runaround Claim Form

Extra Board Operator Runaround Claim Form

Greyhound Lines, Inc.
THIS IS NOT A PAY CLAIM FORM
PLEASE SUBMIT PAY CLAIMS VIA THE ONLINE PAY CLAIM FORM IN THE DRIVER OPS PORTAL:
https://driverops.greyhound.com/Account/Login
All Fields MUST have valid information entered to be processed. Check your pay screen on the date claim occurred for claim information. OEAD does not research or enter Runaround claims
Claimant Information
Driver Name *
First and Last Name
Employee Number *
Home Location *
E-mail (For Sent Receipt Only)
Is this a pre-assignment location? *

Yes No
Assignment Information
Date of Work Claimed: *

MM DD YYYY
Claim Location *
Work Performed By (Name) *
Operator Number: *
Schedule Number *
Section *
Dep Time *
AM/PM *
Driver Log
Upload log if needed for hours verification
Claim Description *
Please add description of claim facts only
OSC Response (For OSC Use Only)
Runaround Code
Approved/Denied
Amount
OSC Dispatcher
Date Occurred

Month Day Year
Should be Empty: