Jumpseat Complaint Form

• Subject

• Personal Information

• Name * First Last
• Email *
• Phone Number * ### - ### - ####
• Your Role *

  Jumpseater Captain First Officer Other
• If Other...

• Complaint Description

• Date * MM / DD / YYYY
• Airport *
• Airline *
• Flight # *
• Individuals Involved *

  Captain First Officer Gate Agent Manager Other

  More than 1 name can be selected.

• If Other... *
• Please Describe the Incident... *