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Passenger Acknowledgement Form

The Veterans Airlift Command coordinates air transportation for hospitalized military veterans and/or their families. It does this at no cost to either the veteran or his/her family. No taxpayer money is involved in the operation of the VAC; it is all funded by private donations.

A number of steps are involved once a trip request is received, including close working among the passenger group, the military organization, the hospital, volunteer pilots and donated airplane time. The average VAC staff time is more than six hours per trip.

We need your help in making the traveling experience as pleasant and easy as possible. For your part, we ask that you do the following:

• Provide a complete list of all passengers, as well as their ages, weights and relationship to the military veteran. Let us know of any special needs of passengers. We require that all passengers be ambulatory and be able to sit upright for up to three hours at a time. Any in-flight medications must be self-administered.

• We require a physician's release for the recovering veteran to travel in small airplanes. You will aid us in securing the physician's release if we ask for it.

• You and all other passengers attest that you and they are physically capable of making the trip.

• You will pack all luggage in soft-side suitcases or duffel bags, and limit the total luggage weight to 50 pounds. You will not bring any items that are of an unusual size or shape without asking the captain about it ahead of time.

• You understand that the captain of a VAC flight may check passenger photo ID to ensure the ID matches the passenger as identified on the passenger manifest.

• You will immediately contact the VAC if there are any changes in the trip status, including departure places or times or number of passengers.

• Your flight captain is the final authority on all aspects of the flight.

I understand and accept the points set forth above, on behalf of me and all the other passengers on the trip for the benefit of _______________________ scheduled to arrive in ___________________ on _________________.

Name: _________________________________

Date: ________________