PRM Incident Report

Report Date of incident (dd.mm.yyyy):

Time of incident (hh:mm):

Airline?

Flight number:

Passenger Name :

Requested Service

Delivered Service

Pre-Booked Service

Pre-booked: was the PRM request submitted to the airport whitin 36 hours of scheduled departure.

Attachment

Location of incident

Gate

Another

Type of incident

Another

Minutes of Passenger waiting time for PRM

Minutes of flight delay

Further details

Attachment

Name:

Email:

Tel. Nr: