Request for assistance - People with special needs

Type of assistance needed

Type of assistance needed
Select the assistance type(s) you need

Assistance for blind or visually impaired passengers

Assistance for deaf or hearing-impaired passengers

Assistance for disabled passengers with cognitive or developmental disability

Specify (dementia, alzheimer, down syndrome…)

CPAP (Continuous Positive Airway Pressure Machine)

Describe the CPAP characteristics

Will you need to use the CPAP onboard?

Yes

POC (portable oxygen concentrator)

Describe the POC characteristics

Will you need to use the POC onboard?

Yes

Service animal (see conditions)

Specify what kind of dog

Trained service dog

Emotional Support and Psychiatric Service dog Passengers wishing to travel with emotional support animals must also have their personal physician fill out the TAP Medical Information Form for Air Travel - MEDIF (Part 2) (PDF, 0.1MB, EN).

Dog’s weight

Weight

Height

Length

Width

Wheelchair

Select the level of mobility impairment that best applies to your situation

Passenger who can ascend and descend steps and move in the aircraft cabin, but who require a wheelchair for distance to/from aircraft.

Passenger who cannot ascend and descend steps but who can move in the aircraft cabin. Require a wheelchair for distance to/from aircraft and must be carried up/down steps.

Passenger completely immobile. Require a a wheelchair to/from the aircraft and must be carried up/down the steps and to/from their seat.

Will you transport your own wheelchair?

Yes

What type of wheelchair or mobility aid will you transport?

Describe the special assistance you need

Dimensions and weight

Weight

Height

Length

Width

Number of batteries

Total Battery Power (Wh)

Other type of assistance

other mobility aid

Provide further informations if you need to

Request for assistance to people with special needs