Request for transportation by a passenger for medical purposes own oxygen apparatus on board an aircraft

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 *

Information about the oxygen apparatus

Type of apparatus *

Weight of apparatus *

Note: It is necessary to provide information concerning the type, manufacturer and dimensions of oxygen apparatus in the field "Notes"

Return flight details

From (city) *

To (city) *

Return flight date *

Additional information

Select your language *

Notes

Important: Request for transportation of own oxygen apparatus must be sent to UIA Customer Support Center no later than 48 hours before the scheduled flight departure.

Providing the medical clearance form (MEDIF) or medical card FREMEC (Frequent Traveller's Medical Card) is mandatory.

Liquid oxygen systems are forbidden for transportation by air transport.

Note: click here for information about portable oxygen concentrators approved for transportation on board of UIA aircrafts on flights to/from USA

* 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