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.

mandatory fields