Canadian Transportation Agency Symbol of the Government of Canada

Reservation Checklist for Travel Agents

Alternate formats

Client Date of travel
Nature of disability File/locator no.
Phone/E-mail Carrier(s)
ACCESSIBLE SERVICES FOR PERSONS WITH DISABILITIESDate requestedDate carrier notifiedDate carrier confirmed
1) Carrier advised of the nature of the person's disability      
2)information in alternate formats on
  • itinerary
  • rates
  • disability-related services (specify)
  • other (specify)
  • alternate format(s)
    1. audio
    2. electronic
    3. braille
    4. large print
      
3)provision of a seat that meets the person's needs (except in emergency EXIT rows)
  • movable aisle arm rest
  • near entrance
  • additional leg room
  • near washroom
  • next to attendant
  • other (specify):
      

4) attendant(s)

medical info required by carrier(s) (yes/no)

(specify)

      

5) carriage of a mobility aidNote 1

  • specify type of mobility aid
    1. manual wheelchair
    2. manual folding wheelchair
    3. scooter
    4. electric wheelchair
    5. other
  • note dimensions
  • type of batteries
    1. wet/acid
    2. gel
    3. dry
  • special tool(s)/instructions needed to disassemble/ assemble wheelchair/battery (specify)
  • tool(s)/instructions to be provided by
    1. carrier
    2. traveller
      
6) use of oxygen on board and/or in terminalsNote 2
  • carrier provided
  • passenger provided
      
7)verify with terminal operator(s) that accessible ground transportation is available to/from terminal
  • taxi
  • shuttle
  • city bus
  • other (specify)
      

8) "Unaccompanied-passenger" services - a higher level of assistance for individuals such as persons who have cognitive or intellectual disabilities

  • (specify contact name/tel. no.)
  • Dep.
  • Arr.
  • (specify services required in terminal(s) prior to departure, during connections, and/or upon arrival)
  • (specify services required on board)
      

9) assistance with registration at check-in counter

      

10) on departure, assistance to transfer the person from a passenger mobility aid

  • at registration counter
  • at departure gate
  • at aircraft doorNote 3

on arrival, assistance to transfer the person to a passenger mobility aid

  • at aircraft door
  • at arrival gate
  • at publication/baggage carrouselNote 4
      

11) assistance to get to the boarding gate (specify)

      

12) assistance to board/deboard (specify)

      

13) assistance to transfer the person

  • between a mobility aid and a passenger seat (on departure)
  • between a passenger seat and a mobility aid (on arrival)
      

14) assistance to store and retrieve carry-on publication/baggage

      

15) provide meal-related services onboard

  • special meal (specify)
  • opening packages
  • identifying items
  • cutting large portions
      

16) assistance to move to/from the onboard washroom (except by carrying)

      

17) assistance to get to a representative of another carrier in the same terminal (specify)

      

18) assistance to retrieve checked publication/baggage

      

19) assistance to get

  • to the general public area
  • to a service animal relief area
      

20) carriage - free of charge - of a trained, certified and harnessed service animal (specify) at the person's seat

      

21) carrier issuing ticket to notify connecting carrier(s) of services requested to be provided

      

22) written confirmation of services to be provided by the carrier

      

Notes

Note 1

There may be conditions or restrictions applicable to this service that should be discussed with the person with a disability.

Return to note 1 referrer

Note 2

There may be conditions or restrictions applicable to this service that should be discussed with the person with a disability.

Return to note 2 referrer

Note 3

There may be conditions or restrictions applicable to this service that should be discussed with the person with a disability.

Return to note 3 referrer

Note 4

There may be conditions or restrictions applicable to this service that should be discussed with the person with a disability.

Return to note 4 referrer

Canadian Transportation Agency Contact Information:

TEL:
1-888-222-2592
TTY:
1-800-669-5575