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Access to air travel: guidance for disabled and less mobile passengersAnnex 3: Travel agent checklist and airline codesABTA CHECKLIST FOR TRAVELLERS WITH DISABILITIESWe want everyone to enjoy completely successful travel arrangements. We therefore ask that this checklist be completed before confirming a booking for any customer who has a disability or medical condition requiring special travel, accommodation or dietary arrangements. The questions may seem intrusive but they are necessary to ensure disabled customers receive a quality service tailored to their particular needs. This information will be used to check the suitability of the accommodation, transport and facilities in the destination. This form should also be used to give information regarding specific needs for equipment and / or medication. A. Booking DetailsLead name: B. General1. How would you describe your disability? It may also be helpful to give the medical term for the disability Please circle Yes or No as appropriate C. Mobility1. Do you have any kind of mobility difficulty? Yes / No 2. Can you walk or travel on your own without assistance in an unfamiliar place? Yes / No 3. Are you taking your own wheelchair? Yes / No OPEN: CLOSED: WEIGHT: 4. Do you need to borrow a wheelchair to / from the aircraft? Yes / No 5. Can you walk up/down the aircraft steps without assistance? Yes / No 6. Do you require a wheelchair to visit the WC on board the aircraft? Yes / No 7. If there is a transfer coach provided as part of your arrangements, can you board and leave a standard coach without additional assistance other than from your travelling companion? Yes / No 8. If there is no transfer coach provided as part of your arrangements, do you need a taxi transfer from the airport to your accommodation and return? Yes/ No D. Accessible Information1. Do you have a disability that would make it difficult to see or hear important information, or communicate easily with people providing important or emergency information? Yes / No E. Flight / Coach Tour1. Is it best for you to sit near to the WC? Yes / No 2. Is it best for you to have an aisle seat? Yes / No 3. Do you prefer a no smoking seat? Yes / No 4. Will you be taking medication during the flight? Yes / No 5. Are you taking any medical equipment? Yes / No 6. Are you asthmatic or do you have other breathing difficulties? Yes / No 7. Are you likely to require supplementary oxygen? Yes / No 8. Are you travelling with any kind of assistance dog? Yes / No F. Accommodation1. Can you walk up/down stairs unaided? a) all / most of the time b) some of the time c) occasionally 2. Would you prefer a ground floor room? Yes / No 3. Would you prefer a room near the lift? Yes / No 4. What special facilities do you require in your room to be accessible? For example: 5. Would you like medication to be stored in a fridge? Yes/ No G. Meals1. Do you have a special dietary requirement? Yes / No IMPORTANT CUSTOMER INFORMATIONThis information will be passed on to your travel suppliers, who will do their best to meet your needs. However it is very important to remember that:
I confirm that the information given on this form is correct and understand that there is no guarantee that these needs will be met. I also understand that this information will be passed on to those people responsible for supplying all the arrangements for my travel, but that it will not be communicated to any party which is not responsible for the supply of any of my travel arrangements. Customer signature / DateIf you are answering the above questions on behalf of a disabled person please sign below to confirm that this information is accurate and that you have the disabled person's permission to pass it on for the purpose of making travel arrangements. Customer signature / Date (I am over 18 years of age) AIRLINE CATEGORIES FOR DISABLED PEOPLE REQUIRING ASSISTANCEMEDA: Passenger whose mobility is impaired due to clinical cases with medical pathology in progress, being authorised to travel by medical authorities. Such a passenger usually has social coverage in relation to the illness or accident. STCR: Passenger who can only be transported on a stretcher. Such a passenger may or may not have social protection or specific insurance. WHCR: Passenger who can walk up and down stairs and move about in an aircraft cabin. Passenger who requires a wheelchair or other means for movements between the aircraft and the terminal, in the terminal and between arrival and departure points on the city side of the terminal. WCHS: Passenger who cannot walk up or down stairs, but who can move about in an aircraft cabin. Passenger who requires a wheelchair to move between the aircraft and the terminal, in the terminal and between arrival and departure points on the city side of the terminal. WCHP*: Passenger with a disability of the lower limbs who is unable to take care of him/herself. Passenger who requires assistance to embark or disembark and who can move about in an aircraft cabin only with the help of an onboard wheelchair. WCHC: Passenger who is completely immobile who can move about only with the help of a wheelchair or other means and who requires assistance at all times from arrival at the airport to seating in the aircraft or, if necessary, in a special seat fitted to his/her specific needs. The same kind of assistance is required at both ends of the journey. BLIND: Blind or visually impaired. DEAF: Passenger who is deaf or a passenger who is deaf without speech. DEAF/BLIND: Passenger who is both deaf and blind, who can only move around with the help of an accompanying person. MAAS: Meet and assist - all other passengers in need of special assistance. * WHCP is not yet internationally recognised Published: 1 April 2003 |
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