"At the moment I can confirm 10 dead and 20 injured," Martin Strba, a fire services spokesman, said.
Martina Pavlikova, a spokeswoman for the Slovak Railways, said: "All the dead and injured were on the bus. There were only a few passengers on the train and they didn't suffer any serious injuries."
Three helicopters and nine ambulances took the injured to hospital.
Maria Faltaniova, a police spokeswoman, said: "According to preliminary information, there were 36 people on the bus."
Local media said that the bus was transporting tourists from the town of Banovce-nad-Bebravou to the ski resort.
It was also reported that the crossing had light signals and but no bars to stop vehicles from crossing.
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