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LIFT Wheelchair Request Form V1.0.22

Wheelchair Assist Request

This service will only be available from the LIFT check-in counters and from the aircraft to the arrivals hall.

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Customer & Flight information

Please complete the information below of the customer traveling with us that requires Wheelchair Assistance at the airports. All information is required unless marked optional.

*Name and Surname

*Email

*Booking Reference Number

*Date of birth

*Contact number

Please answer the following questions

*Are you wheelchair bound?

Yes

No

*Do you have your own wheelchair?

Yes

No

*Is your wheelchair battery operated?

Yes

No

Please provide more information of your wheelchair

*Are you able to walk up/down the stairs without assistance?

Yes

No

*Are you able to walk long distances?

Yes

No

*Are you able to bend your knee(s)?

Yes

No

*Are you able to manage in the cabin unaided?

Yes

No

*Are you able to control your bladder and bowel movements?

Yes

No

*Can you assist yourself in the event of an emergency evacuation?

Yes

No

*Do you require any on-board observation during the flight?

Yes

No

*Will you be travelling alone?

Yes

No

Please be aware that we do not offer in-flight assistance, so it's important to arrange for a travel companion who is able-bodied to accompany you during the flight. Your safety and comfort are our priority, and having a capable companion by your side will ensure a smoother and more enjoyable journey

*Are you able to walk to the toilet without assistance from the crew?

Yes

No

Kindly be advised that our crew is unable to assist passengers to the restroom. We kindly request that you make arrangements for an able-bodied passenger to accompany and assist you when using the restroom during the flight. Your comfort and convenience are of utmost importance to us, and having a companion to assist you will ensure a more pleasant travel experience.

*Other Important Information Relevant medical conditions, recent operations, chronic medication or if oxygen is required for the duration of the flight

Please be advised, if you have any medical condition that needs clearance from a doctor as per our Terms and Conditions of Carriage, then you will be required to attach a letter from the attending physician, which must clearly state that you are fit to travel.

Medical Certificate (if required)

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*By submitting this form you agree to the LIFT Terms and Conditions and Limitations of this service. You further acknowledge that you have read and understood the requirements for travelling.

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I have read the Terms and Conditions for Special Needs and Disabled Travellers

I have read the Terms and Conditions for Special Needs and Disabled Travellers

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Terms & Conditions

Terms & Conditions