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Disability Service Request Form to Passengers Originating From and/or Destined To USA

Full Name*
Reservation Code*
Phone Number*
Email Address*
Do you require a seating accommodation? If yes, please provide seat type of your preference.
Do you bring on board an assistive device? If yes, please provide type and model of the assistive device.
Do you travel with a service animal? If yes, is it an emotional support or a trained service animal? (E.g.: Dog, Cat)
Do you require an assistance on boarding, deplaning of the aircraft, and going around at the airport?
If you need a wheelchair, please select the type of wheelchair which best serves your need from the following:
Do you require any other disability assistance? If yes, please tell us about it.

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