Air Compassion for Veterans

Assistance Request Form

    Veteran's Information

  • / / Pick a date.
  • - -
  • Nature of Request *

  • Travel Information

  • / / Pick a date.
  • / / Pick a date.
  • If your request contains more than one destination, please provide details in the 'Nature of Request' section

    Departure

  • Destination

  • Passenger Data

    Please include all travelers, including Service Member, if applicable

  • / / Pick a date.
  • Add New Person

    Verification Information

    Please provide the contact information of someone who can verify your request

  • - -
  • Special Requests

    Please detail any special needs you might have while traveling (service animal, wheelchair assistance, extra time between flights, etc).

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Our address: 4620 Haygood Rd., Suite 1, Virginia Beach, VA 23455 Phone: 888-662-6794. Email: info@aircompassionforveterans.org

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