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Gate Agent Request for Flight Attendant Signature
Flight Attendant Name
*
First
Last
AA Employee #
*
Base
*
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BOS
CLT
DCA-AA
DCA-US
DFW
LAX
LGA
MIA
ORD
PHL
PHX
RDU
SFO
STL
Email
*
Flight Attendant Phone #
###
-
###
-
####
Date of Incident
*
MM
/
DD
/
YYYY
Flight #
*
Departure City
*
Gate Agent Name
Additional Information - Optional
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