Aviation Consumer Protection Division

Air Travel Complaint/Comment Form

Items marked with a * are required.

Personal Information:
I am *
Your Name:	Title:	First Name:	*	Last Name:	*
Passenger:	Title:	First Name:	*	Last Name:	*

Contact Information:
Address:
City:		State:
Zip Code:		Home Phone:
E-mail Address:	*	Daytime Phone:	*
( Either E-mail Address or Daytime Phone is required)

Complaint/Comment Information:
Airline/Company:	* (If not listed or not applicable select "OTHER")
Flight Date (if applicable):	(Date Format: mm/dd/yyyy)
Flight Itinerary (if applicable):	(Cities / Flight Number)
*Description of Problem/Inquiry/Comment:**

Attach a File (Optional) :

File Name: (Please click the "Browse" button to select the file and click "Upload File" button.)

Permissions :
Please check the following boxes, as appropriate. (Checking either yes or no will have no bearing on DOT's handling of your complaint/inquiry/opinion.) I agree to permit DOT to provide a copy of my complaint/inquiry/opinion and related documentation to the following entities, as appropriate:
1) State and local governments in the U.S. (e.g., a state airport authority)*	No Yes
2) Federal agencies in the U.S. other than DOT (e.g., Transportation Security Administration)*	No Yes
3) International organizations outside the U.S. that might also have jurisdiction over aviation issues or that facilitate the investigation of airline consumer complaints (e.g., a national enforcement body in Europe, European Civil Aviation Conference(ECAC))*	No Yes

If you use the web complaint form above, we would welcome any comments that you may have about that process.
Please e-mail any such comments to airconsumer2@dot.gov.
(That address does not accept complaints about air service, only comments about the web complaint form process.)

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Office of Aviation Enforcement and Proceedings | U.S. Department of Transportation | 1200 New Jersey Ave, SE | Washington, DC 20590
(Last Updated 03/15/2011)