Reservation Checklist for Travel Agents: A step-by-step guide for meeting the needs of travellers with disabilities

Client

Date of travel

File/Locator no.

Phone/E-mail

Service provider (carrier)

____ Advise carrier of the nature of the person's disability
____ Obtain written confirmation of services to be provided

Accessible Services for Persons with Disabilities	Date Requested	Date Carrier Notified	Date Carrier Confirmed
1) Information in multiple formats on ____ itinerary ____ rates ____ disability-related services: ______________________________________ ____ other: ______________________________________ Multiple formats ____ e-mail ____ braille ____ text only
2) Seating that meets the person's needs (except in emergency exit rows) ____ moveable aisle arm rest ____ moveable arm rest between seats ____ near entrance ____ additional leg room ____ near washroom ____ next to attendant ____ additional seating space ____ other: ______________________________________
3) Attendant(s)^{Note 1} Is medical info required by carrier(s)? ____ yes ____ no If yes, specify: ______________________________________
4) Carriage of a mobility aid^{Note 2} Type: ______________________________________ Dimensions: ______________________________________ Type of batteries: ______________________________________ Special tools/instructions needed to disassemble/assemble: ______________________________________ Tools/instructions to be provided by ____ carrier ____ traveller
5) Use of gaseous oxygen or portable oxygen concentrator on board and/or in terminals^{Note 3} ____ carrier-provided (fees may be applicable) ____ passenger-provided ____ assistance to/from washroom with oxygen Is oxygen needed between flights/travel segments? ____ yes ____ no
6) Accessible ground transportation to/from terminal ____ taxi ____ shuttle ____ city bus ____ between terminals ____ other: ______________________________________ Are advance reservations for accessible ground transportation required? ____ yes ____ no
7) "Unaccompanied-passenger" services (a higher level of assistance for individuals such as persons who have cognitive or intellectual disabilities) Contact name: ______________________________________ Telephone number: ______________________________________ Services required in terminal(s) prior to departure, during connections, and/or upon arrival: ______________________________________ Services required on board: ______________________________________
8) Assistance with registration at check-in counter? ____ yes ____ no
9) On departure, assistance to transfer from a passenger mobility aid^{Note 4} ____ at registration counter ____ at departure gate ____ between a mobility aid and a passenger seat ____ at aircraft/vehicle door On arrival, assistance to transfer to a passenger mobility aid ____ between a passenger seat and a mobility aid ____ at aircraft/vehicle door ____ at arrival gate ____ at publication/baggage carrousel^{Note 5} Request electric cart or carrier-provided wheelchair? ____ yes ____ no
10) Assistance to get to the boarding gate/area? ____ yes ____ no If yes, specify: ______________________________________ Assistance with short distances and stairs? ____ yes ____ no
11) Assistance to board/deboard? ____ yes ____ no If yes, specify: ______________________________________
12) Assistance to store and retrieve carry-on publication/baggage? ____ yes ____ no
13) Is an on-board wheelchair available? ____ yes ____ no
14) Is a tie-down available? ____ yes ____ no
15) Meal-related services provided on-board: ____ dietary requirements related to the person's disability ____ opening packages ____ identifying items ____ cutting large portions
16) Assistance to move to/from the onboard washroom (except by carrying)? ____ yes ____ no
17) Assistance to get to a representative of another carrier in the same terminal? ____ yes ____ no If yes, specify: ______________________________________
18) Assistance to retrieve checked publication/baggage? ____ yes ____ no
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 at the person's seat Size (height, width, length in a standing position): ______________________________________ Verify space for service animal at the person's seat
21) Carriage — free of charge — of the person's mobility aid (not counting towards checked publication/baggage allowance)
22) Carrier to issue a ticket to notify connecting carrier(s) of services to be provided
23) Allergies Type of allergies: ______________________________________ Accommodation required: ______________________________________

For more information about the Agency, please contact:

Canadian Transportation Agency
Ottawa, ON K1A 0N9
Telephone: 1-888-222-2592
TTY: 1-800-669-5575
Facsimile: 819-997-6727
E-mail: info@otc-cta.gc.ca
Web site: www.otc.gc.ca

Available in multiple formats.