Request for transportation of passenger who use a wheelchair

Personal data (in Latin characters)

First name *

Surname *

PANORAMA CLUB card number

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Your contacts

E-mail *

Phone *

Flight details

From (city) *

To (city) *

Departure date *

Ticket number *

Identification of category of the special assistance

Limitation of passenger`s mobility *

Passenger can ascend and descend steps and move in the aircraft cabin, but requires a wheelchair to and from the aircraft. Passenger cannot ascend and descend steps but can move in the aircraft cabin. He requires a wheelchair to and from the aircraft and must be carried up and down the steps. Passenger who is completely immobile. He requires a wheelchair to and from the aircraft and must be carried up and down the steps and to and from his seat.

Request for transportation of passenger`s own wheelchair

Type of wheelchair

Note: own wheelchairs of passengers regardless of their weight and size cannot be accommodated in the aircraft passenger cabin and shall only be accepted as checked baggage on all UIA flights.

Important: request for transportation of a wheelchair passenger must be sent to UIA Contact Center no later than 48 hours before the scheduled flight departure.

For some categories of the special assistance: if necessary, check-in staff is entitled to ask the passenger to provide the medical clearance form MEDIF (Medical Information Form) or medical card FREMEC (Frequent Traveller's Medical Card)

* I hereby confirm the validity of all personal data herein and grant my consent to the processing of this personal data for the purpose of getting a response to my request, for the performance of the Contract of carriage and other carriage related additional services (for example, meals, all types of baggage, seat type selection, upgrade of comfort level, Unaccompanied Minor service). I declare that I and all passengers whose personal data I am providing, have been diligently informed about the UIA’s Carriage Agreement, Passenger and Baggage Carriage Rules and Privacy Policy and have accepted them conditions.

I hereby agree to the processing of my personal data for the purpose of receipt from UIA personalized offers and marketing materials with special offers for airline travel and other services, including e-News, joint promotional campaign (fares) of UIA and its partners, on Panorama Club loyalty programs in compliance with UIA’s Privacy Policy. I can withdraw my consent for commercial subscription at any time.

mandatory fields