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At Schiphol

Book assistance

You can request assistance from AAC by completing the form below. You can also use this form to request assistance on someone else's behalf.

Please note!
This form can only be used for passengers departing from Schiphol.

Fields with * are mandatory

Details of the person requesting the service

First name  *
Surname prefix(es) 
Family name  *
Address 
Postcode 
Town 
Telephone  *
E-mail adress  *

Passenger details

Gender  *
Male
Female
First name  *
Surname prefix(es) 
Family name  *
Age 
Mobile phone  *

Handicap

Able to walk?  *
Yes
No

If you are able to walk, what is the maximum distance you can walk?

Max. distance you can walk 
Able to climb stairs? 
Yes
No
If you are able to walk, are you able to switch wheelchairs yourself? 
Yes
No

If you are not able to walk, do you have:

Your own wheelchair? 
Yes
No
An electric wheelchair? 
Yes
No
A wet battery? 
Yes
no
Are you travelling with oxygen? 
Yes
No
Do you have any other physical disabilities? 

Flight details

Departure

Flight number 
Luchtvaartmaatschappij 
Departure date from Schiphol 
(e.g. 11-03-2011)
Arrival time at Schiphol* 
(e.g. 12:15)
Arriving at Schiphol by: 
Where does the passenger wish to be picked up from? 
Other remarks 

* For flights within Europe you will need to be present at least 2 hours before departure. For flights outside Europe: at least 3 hours before departure.

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