Travelers Feedback Form

Please fill out this form if you have a concern, comment or suggestion you would like to share with our DISABILITY OFFICE. If this is in reference to an incident you experienced at the airport please provide as much information as possible such time, date, location, name(s), etc. This will help us in investigating the matter.

NOTE: THIS FORM IS TO BE USED IN REFERENCE TO TRAVELERS WITH DISABILITIES AND IS NOT INTENDED FOR THE GENERAL PUBLIC.

SO THAT WE MAY CORRESPOND WITH YOU, PLEASE PROVIDE THE FOLLOWING:

Name:*  
Address:
City:
State:
Zip:
Email:*
Phone:
extender
Date of Incident:
Time of Incident:
Location of Incident:
Name(s) of People Involved:
Airline/Tenant Name:
extender
Nature of Incident:
Proposed Remedy

Note: case sensitive