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| 1) | First Name | |||||
| 2) | Last Name | |||||
| 3) | Email Address: | |||||
| 4) | Clock or Employee ID: | |||||
| 5) | Where Are You Based? | |||||
| 6) | Best contact phone number: | |||||
| 7) | Best time to call: | |||||
| 8) | Date of Incident: | |||||
| 9) | FLIGHT ATTENDANT'S STATEMENT OF ISSUE: (Please be as specific as possible. Include times of infraction, scheduler names, possible witnesses, etc..) | |||||
| 10) | Did you request a Review of Crew Orders? | |||||
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| 11) | Your Digital Signature: | |||||
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Crew Scheduling Report