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)(Required) REQUESTER'S GENDERMaleFemaleOtherRELATION TO PASSENGER (REQUIRED)(Required) REQUESTER'S CONTACT PHONE #1 (REQUIRED)(Required) REQUESTER'S EMAIL (REQUIRED)(Required) SECONDARY CONTACT (FIRST & LAST) SECONDARY CONTACT RELATION TO PASSENGER SECONDARY CONTACT PHONE NUMBER SERVICE DAY (DAY OF WEEK - REQUIRED)(Required) MM slash DD slash YYYY AIRLINE CONFIRMATION # TRAVELER NAME (FIRST & LAST - REQUIRED)(Required) TRAVELER CONTACT PHONE #1 (REQUIRED)(Required) DESCRIBE TRAVELER APPEARANCE(Required)TRAVELER IS AWARE THIS SERVICE HAS BEEN REQUESTED (REQUIRED)(Required) Yes No PHYSICALLY DISABLED (REQUIRED)(Required) Yes No DEVELOPMENTALLY DISABLED (REQUIRED)(Required) Yes No BLIND/LOW VISION (REQUIRED)(Required) Yes No DEAF/HEARING IMPAIRED (REQUIRED)(Required) Yes No DO NOT LEAVE ALONE/STAY WITH THIS TRAVELER (REQUIRED)(Required) Yes No MEET WITH SIGN NAME (REQUIRED)(Required) Yes No OBTAIN BOARDING PASS (REQUIRED)(Required) Yes No WILL HAVE CHECKED LUGGAGE (REQUIRED)(Required) Yes No Language - If not English(Required) HOW WILL THE TRAVELER ARRIVE AT MSP AIRPORT? (REQUIRED)(Required)GROUND TRANSPORTATIONAIRENTER AIRLINE AND FLIGHT # OR GROUND TRANSPORTATION COMPANY (REQUIRED)(Required) AIRLINE CONFIRMATION #(Required) DEPARTURE CITY SCHEDULED ARRIVAL TIME (REQUIRED)(Required) HOW WILL THE TRAVELER DEPART FROM MSP AIRPORT? (REQUIRED)(Required)GROUND TRANSPORTATIONAIRENTER AIRLINE AND FLIGHT # OR GROUND TRANSPORTATION COMPANY (REQUIRED)(Required) DESTINATION CITY (REQUIRED)(Required) SCHEDULED DEPARTURE TIME (REQUIRED)(Required) PLEASE ADD ADDITIONAL INFORMATION IF NEEDED:CAPTCHA Facebook-f Instagram Youtube
