Airline Damage
Share your experience with our law firm
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What date was your wheelchair damaged?
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-
Month
-
Day
Year
Date
What airport were you at when your chair was damaged? (if you are unclear which airport the damage occurred at please list all airports were at during your travel)
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What airline(s) were you flying?
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What type of wheelchair do you use?
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Manual
Power
Scooter
Other
What is the make and model of your wheelchair?
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Describe how your wheelchair was damaged.
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Did you submit a formal repair request to the airline to fix any damage?
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Yes
No
If yes, did the airline agree to fix the damage?
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Yes
No
How long did it take to get your wheelchair damage full fixed or replaced? (indicate if it is currently unresolved)
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May we contact you to discuss your wheelchair damage by the airlines further?
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Yes
No
Do you have images of the damaged chair? If so please upload them here.
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