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ABN 16 009 661 901

Customer Checklist For people travelling with mobility aids

To make your journey with us as smooth as possible, please complete this Checklist before making a booking so that you have this information available at the time of booking. Please carry this Checklist with your other travel documents so that you have the information available if required on the day of travel.

Passenger Name: _____________________________

Frequent Flyer No: _____________________________
(If applicable)

Mobility Aid Type: Manual   Electric

Mobility Aid Height: _____________________________ cm (adjusted state)

Mobility Aid Width: _____________________________ cm (adjusted state)

Mobility Aid Length: _____________________________ cm (adjusted state)

Mobility Aid Weight: _____________________________ kgs

Refer to Qantas.com for Qantas size dimension restrictions.

Electric wheelchairs must fit within the Qantas specified size dimensions and must be carried in the upright position.

Manual wheelchairs must fit within the Qantas specified size dimensions. If the wheelchair cannot be loaded in the upright position and it weighs under 32kgs, it may be carried on its side if the manufacturer has confirmed that it can safely travel on its side. Please carry a copy of the manufacturer’s confirmation with you.

Do you consent to your manual wheelchair being carried on its side? YES   NO

Battery Type: Gel cell (dry)   Wet non-spillable   Wet spillable

Does your battery require disconnection? YES   NO (Gel cell only)
If yes, explain how to disconnect the battery

Do you have any instructions for how your Mobility Aid should be folded, adjusted or disassembled? YES   NO
If yes, explain how this is performed

Are there any special instructions that are important for us to know to take care of your mobility aid? YES   NO
If yes, explain what they are

Passenger Signature: __________________________  Date: ___________________

Note: If you are not sure of the answer to any of these questions, please ask your mobility aid manufacturer for this information/assistance before travelling.