PIA | Great People to Fly With - Special Assistance Form

Type of assistance needed:
Connection Assistance
Portable oxygen concentrators
Service dog
Wheelchair
Seating accomodation
Escort assistance for a visually impaired passenager
Stowage of an assistive device
Other special assistance needs

If "other" please describe needs:

Address

Area Code

Telephone

If you are our Award Plus Member, Enter your Frequent Flyer Number

Required Flight Information

Flight No^*

Flight Date^*

Seat Number

Class Of Travel
Business Economy

Member ID / CNIC / Passport

Password

Member ID / CNIC / Passport

Password