What documentation is required for a medical exception to fly business/first class?

Under extenuating circumstances, such as documented medical reasons, business class or first class service may be reimbursable where it is normally prohibited, provided the expense is approved by the traveler’s Financial Dean.   The “documented” material is typically a note from the traveler’s doctor to substantiate the accommodation request.  This doctor’s note should be sent to FAS Finance along with the request for the exception.  Please note that if for any reason the documentation handed to you has sensitive or confidential information that it should be emailed via Accellion or another secure file transfer and not email alone.