Special Request

Important information:

For travel agencies or tour operators only
Please fill in the complete information in order to enable us to edit efficiently your request
This request has to arrive at EDW at the latest 48hours before departure

Name of travel agency:
Name of agent:
E-mail adress
Direct contact number:

The following passenger(s) need(s) the Special Request:
Passenger 1
Passenger 2
Passenger 3
Passenger 4

C-Class	Y-Class
Date	from	to	Flight number
Date	from	to	Flight number
Date	from	to	Flight number

Children

UMNR (Unaccompanied Minor)

Date of birth:

BSCT (Baby-Basket)
Possible only with a valid seat reservation:

Passangers with health problems

oxygen bottle (CHF 300.- per bottle per leg) according to the enclosed medical certificate with informations such as:

is oxygen needed permanently or only in an emergency
amount of oxygen per minute
dry or humidified oxygen

WCHR (Pax can climb stairs and move around in the cabin)

WCHS (Pax cannot climb stairs but move around in the cabin)
Reason for WCHS:

Illness:	acute	chronic
Is he/she able to walk a few steps of his/her own?	yes	no
Assistance needed on board	eating	Restroom
	none
accompaning person Name:	yes	no
Travel experience by air:	yes	no

WCHC (Pax cannot either climb stairs or move around in the cabin and can only be booked with a companion) Exceptions can be requested at Tel. +41 43 816 50 60.
Reason for WCHC:

Illness:	acute	chronic
Is he/she able to walk a few steps of his/her own?	yes	no
Assistance needed on board	eating	Restroom
	none
accompaning person Name:	yes	no
Travel experience by air:	yes	no

if own wheelchair is to be transported, following information is needed:
battery operated, if yes		wet cell batteries	dry batteries
	electronic
	manual
	foldable

Special meals

BBML (Baby Meal) 0-24 months, on long haul flights only

CHML (Child Meal) 2-12 years

DBML (Diabetic)

GFML (Gluten Free)

MOML (Moslem)

NLML (Non Lactose)

VGML (Vegetarian meal excluding dairy products and eggs)

VLML (Vegetarian meal including dairy products)

Other:

Transportation of animals

PETC (Pet in Cabin) weighs not more than 8kg including the box, transportation in a soft container.

	Dog		Cat
	Weight of animal including the box

Number:

AVIH (Animal in Hold) Transportation in a suitable solid sided container which can be acquired at the Swissport Supervisor counter (Terminal 2, row 3) and be payed for at the Swissport ticket center.
The weight of the pet and the conatiner will be charged at the excess baggage rate.

	Dog	Cat
Other:
	Box size (Height x Length x Width) Weight of animal including the box:

Number:

Sport equipment in excess of 120cm
(fares are valid for C-&Y- Class, no one-way fares possible)

Surfboard / Waveboard
(shorthaul: CHF 170.-, longhaul CHF 250.- )

Number:

Kite surf equipment
(shorthaul CHF 170.-, longhaul CHF 250.- )

Number:

Hangglider
(shorthaul CHF 170.-, longhaul CHF 250.- )

Number:

Boat
(shorthaul CHF 170.-, longhaul CHF 250.- )

Number:

Bicycle
(shorthaul CHF 120.-, longhaul CHF 250.-)

Number:

Other:
(shorthaul: CHF 170.-, Langstrecke CHF 250.- )

Number:

Misc

OTHS (others) description:

For any attachements please us the following faxnumber +41 43 816 50 61

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Special Request