MEET AND ASSIST SERVICE REQUEST FORM PLEASE SELECT A REQUEST TYPE (SELECT ONE)TERMINAL 1 MEET AND ASSISTTERMINAL 2 MEET AND ASSISTSEARCH BEYONDESCORT ONLY - AIRLINE WHEELCHAIR WITH TICKET HOLDERIOM ARRIVE MINISTRIESOTHERREQUESTER'S NAME (FIRST & LAST)(Required) RELATION TO PASSENGER(Required) REQUESTER'S CONTACT PHONE #1(Required) REQUESTER'S EMAIL(Required) SECONDARY CONTACT (FIRST & LAST) SECONDARY CONTACT RELATION TO PASSENGER SECONDARY CONTACT PHONE NUMBER DATE OF TRAVEL(Required) MM slash DD slash YYYY AIRLINE CONFIRMATION # TRAVELER NAME (FIRST & LAST)(Required) TRAVELER CONTACT PHONE #1(Required) TRAVELER'S GENDERMaleFemaleOtherDESCRIBE TRAVELER APPEARANCE(Required)TRAVELER IS AWARE THIS SERVICE HAS BEEN REQUESTED(Required) Yes No PHYSICALLY DISABLED(Required) Yes No DEVELOPMENTALLY DISABLED(Required) Yes No BLIND/LOW VISION(Required) Yes No DEAF/HEARING IMPAIRED(Required) Yes No DO NOT LEAVE ALONE/STAY WITH THIS TRAVELER(Required) Yes No MEET WITH NAME SIGN(Required) Yes No OBTAIN BOARDING PASS(Required) Yes No WILL HAVE CHECKED LUGGAGE(Required) Yes No Language - If not English(Required) HOW WILL THE TRAVELER ARRIVE AT MSP AIRPORT?(Required)GROUND TRANSPORTATIONAIRENTER AIRLINE AND FLIGHT # OR GROUND TRANSPORTATION COMPANY(Required) AIRLINE CONFIRMATION #(Required) DEPARTURE AIRPORT SCHEDULED ARRIVAL TIME(Required) HOW WILL THE TRAVELER DEPART FROM MSP AIRPORT?(Required)GROUND TRANSPORTATIONAIRENTER AIRLINE AND FLIGHT # OR GROUND TRANSPORTATION COMPANY(Required) DESTINATION AIRPORT(Required) SCHEDULED DEPARTURE TIME(Required) PLEASE ADD ADDITIONAL INFO YOU THINK WILL BE HELPFUL TO USCAPTCHA Facebook-f Instagram Youtube
