Fare Collection Form

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* 1. Which rail line were you riding?

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* 2. Date

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* 3. Train # (From Printed Schedule)

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* 4. What is your boarding station?

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* 5. What is your arrival station?

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* 6. What is your boarding time?

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* 7. What is your arrival time?

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* 8. Which train car were you in?

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* 9. How full was your train car?

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* 10. Was your ticket collected?

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* 11. Were other passengers tickets collected?

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* 12. What type of ticket were you carrying or attempting to purchase?

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* 13. Reason for the missed collection?

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* 14. What was the approximate number of passengers boarding at your station?

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* 15. If you have any other additional comments, please enter them here:

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