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 PROVIDE SPECIFIC INFORMATION ABOUT THE TYPE OF SERVICE THAT WILL BE NEEDED(Required)Please note. If requesting wheelchair service, please contact the airline.An Airport Foundation MSP Volunteer can be scheduled to meet and assist the traveler with needs other than a wheelchair transfer, but the wheelchair transfer must be provided by the contracted airline representative.CAPTCHA Facebook-f Instagram Youtube
