Medical Policy
Alitalia advises to follow airfare rules for medical waivers.

Eligibility

• Traveler and family member

Definition of Immediate Family Member

• Spouse, domestic partner, children, step-children, parents, step-parents, brothers, step-brothers, sisters, step-sisters, grandparents, grandchildren, fathers-in-law, mothers-in-law, brothers-in-law, sisters-in-law, sons-in-law, daughters-in-law, aunts, uncles, nieces, nephews

Documentation Required

• Illness and/or death must be substantiated by a valid hospital or death certificate.
• Unacceptable documentation includes:         
• Typed letter on physician letterhead 
• Medical note from chiropractor 
• Note from physical therapist 

Tickets issued by travel agents

• Alitalia tickets (055) must be refunded by the issuing agency through ARC.

Before refunding you must send the copy of hospital/death certificate to  MedicalRefundsUSCA@alitalia.com for authorization.

Note: Failure to send above documents will result in an irrevocable ADM.

Enter medical / death refunded tickets here.

*required fields

*Agent's First and Last Name

*Agent's Email

*ARC or assigned AZ code

*Agency

*Alitalia PNR# (Enter 6 digits) * (10 digit) Ticket# Passenger Name 1 055- 2 055- 3 055- 4 055- 5 055- 6 055- 7 055- 8 055- 9 055-   *Ticket Issue Date: (mm/dd/yyyy) (pick a date)   *Refund Date: (mm/dd/yyyy) (pick a date)   *Ticket Departure Date: (mm/dd/yyyy) (pick a date)   *Origin City:   *Destination City:   *Flight number: *Class of service A B C D E G H I J K L M N O P Q S T V W X Y   *FareBasis   *Reason for waiver   *Currency *Base Fare Enter an amount in numbers only (for example 100.00). No letters or symbols.

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