A step-by-step guide for planning your travel
From the: Canadian Transportation Agency
Available in multiple formats
Name. (specify).
Date of travel. (specify).
File/Locator number. (specify).
Phone/E-mail. (specify).
Service provider (carrier). (specify).
Check box; Advise carrier of the nature of your disability.
Check box; Obtain written confirmation of services to be provided
Reader’s note.
Presentation of a table. The table has 2 columns. The left one is entitled : “Accessible Services for Persons with Disabilities” and the second one : “Date confirmed”. Each row of the second columns has a blank space to fill and won’t be mentioned further.
End of reader’s note.
· Check box: itinerary,
· Rates,
· disability-related services (specify), or
· other (specify).
Multiple formats
Chose between:
· e-mail,
· braille, or
· text only.
Reader’s note.
All following items have check box for selection.
End of reader’s note.
· moveable aisle arm rest,
· moveable arm rest between seats,
· near entrance,
· additional leg room,
· near washroom,
· next to attendant,
· additional seating space, or
· other (specify).
Note.
There may be conditions or restrictions applicable to this service that should be discussed with your service provider.
End of note.
Is medical info required by carrier(s)?
Check box yes or no.
If yes, specify.
Note.
There may be conditions or restrictions applicable to this service that should be discussed with your service provider.
End of note.
· Type (specify),
· Dimensions (specify),
· Type of batteries (specify,)
· Special tools/instructions needed to disassemble/assemble (specify).
Tools/instructions to be provided by
· Check box carrier, or
· Traveller.
Note.
There may be conditions or restrictions applicable to this service that should be discussed with your service provider)
End of note.
· Check box; carrier-provided (fees may be applicable),
· passenger-provided, or
· assistance to/from washroom with oxygen.
Is oxygen needed between flights/travel segments?
Check box yes or no.
· Check box; taxi,
· Shuttle,
· city bus,
· between terminals, or
· other (specify).
Are advance reservations for accessible ground transportation required?
Check box yes or no.
· Contact name (specify).
· Telephone number (specify).
· Services required in terminal(s) prior to departure, during connections, and/or upon arrival (specify).
· Services required on board (specify).
Check box yes or no.
Note.
There may be conditions or restrictions applicable to this service that should be discussed with your service provider.
End of note.
· Check box: at registration counter,
· at departure gate,
· between a mobility aid and a passenger seat, or
· at aircraft/vehicle door.
On arrival, assistance to transfer to a passenger mobility aid
· Check box: between a passenger seat and a mobility aid,
· at aircraft/vehicle door,
· at arrival gate, or
· at baggage carrousel.
Note.
There may be conditions or restrictions applicable to this service that should be discussed with your service provider.
End of note.
Request electric cart or carrier-provided wheelchair?
Check box yes or no.
Check box yes or no.
If yes, specify.
Assistance with short distances and stairs?
Check box yes or no.
Check box yes or no.
If yes, specify
Check box yes or no.
Check box yes or no.
Check box yes or no.
· Check box: dietary requirements related to your disability,
· opening packages,
· identifying items, or
· cutting large portions.
Check box yes or no.
Check box yes or no.
If yes, specify.
Check box yes or no.
· Check box: to the general public area, or
· to a service animal relief area.
Specify size (height, width, length in a standing position).
Verify space for service animal at your seat.
· Type of allergies (specify).
· Accommodation required (specify).
End of Table.
Canadian Transportation Agency
Ottawa Ontario K1A 0N9
Tel.: 1-888-222-2592
Fax: 819-997-6727
TTY: 1-800-669-5575
E-mail: info@otc-cta.gc.ca
Web site: www.cta.gc.ca