Request for transportation of passenger on a stretcher

Personal data of the passenger (in Latin characters)

First name*

Surname*

Panorama Club card number

Join PANORAMA CLUB here

Your contacts

E-MAIL *

Phone *

Personal data of the accompanying person (in Latin characters)

First name*

Surname*

Status*

Additional information

From (city)*

To (city)*

Departure date*

Ticket number *

RETURN FLIGHT DETAILS

From (city)*

To (city)*

DEPARTURE DATE OF RETURN *

Ticket number

Additional information

Select your language*

NOTES

Important: request for passenger transportation on a stretcher must be sent to UIA Contact Center no later than 72 hours before the scheduled flight departure. Providing the medical clearance form (MEDIF) is mandatory.

Passenger who can be transported only on a stretcher can be accepted for transportation on UIA aircraft provided free seats are available on the flight.

If transportation en-route involves the participation of other airlines, the passenger of this category can be accepted for transportation only at presence of confirmation from other carriers about such transportation.

I have read and accepted the terms and conditions of service. I hereby grant my consent to the processing of all personal data herein for the purpose of the performance of the service and declare that I and all passengers in this booking have been diligently informed about the UIA’s Passenger and Baggage Carriage Rules and Privacy Policy and have accepted their conditions including information on sensitive personal data.

I hereby agree to receive from Ukraine International Airlines the information (marketing materials) with current special offers for airline travel and other services, including e-News, joint promotional campaigns (fares) of UIA and its partners, on Panorama Club loyalty program, and I hereby agree to the processing of my personal data for the purpose of receipt of such information (marketing materials) and personalized commercial offers in compliance with UIA’s Privacy Policy.
You can withdraw your consent for commercial subscription at any time, either via the “unsubscribe” option as instructed in the relevant UIA’s e-letter, or by sending a written request about unsubscribing to the Data Protection Officer of UIA.

mandatory fields