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GlobalAssist™ Deployment.

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Request GlobalAssist™

Person completing deployment form:

(if an existing GlobalAssist™ member)

Type of assistance requested:

Please select all types of assistance required

Person(s) requiring assistance:

e.g. Overview of nature of incident / Injuries / Existing Health Conditions / Additional persons requiring assistance

Location of person(s) requiring assistance:

Current Location
Current Location
City
State/Province
Zip/Postal
Country
e.g. Location / Landmarks / Specific Instructions / Nature of Emergency / Injuries Sustained / Existing Medical Conditions

Maximum file size: 5MB

e.g. Images of injuries / Location / Landmark

Alternative methods to deploy GlobalAssist™

Existing GlobalAssist™ members will require your unique Membership No.

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