Book Assisted Travel Share Tweet If you'd like assistance during your journey, we'll do everything we can to provide the help you need. Have you arranged travel assistance with us before? * Yes No Your contact details Title - None -MrMrsMsMissMxDr First name* Last name* Mobile number* Alternative contact number Email* Confirm email* Preferred method of contact * Phone Email Assistance Profile Please indicate which of the following best describes your disability/impairment * Visual impairment Hearing impairment Mobility impairment Verbal impairment Learning disability Other Prefer not to say At which point of the journey do you require assistance? * All points (including changing trains at intermediate stations) Origin and destination station Origin station only Destination station only Other (please specify) Point of journey - Other* Do you need to use a ramp to board the train? * Yes No Do you use a wheelchair or scooter? * Yes No Is your wheelchair/scooter 120cm x 70cm or less? * Yes No Do you transfer to a seat? * Yes No If you need assistance with luggage, please provide the size and quantity Are you travelling with an assistance dog? * Yes No Are you travelling with a companion? Yes No Tickets Have you already purchased tickets? Yes No Do you require assistance with booking tickets? Yes No If you know your booking reference please add it here otherwise leave blank Outward journey From* To* Departure date* Day Day12345678910111213141516171819202122232425262728293031 Month MonthAugSepOctNovDecJanFeb Year Year20222023 Departure time* Hour Hour01234567891011121314151617181920212223 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 How are you getting to the train station before you depart? How are you leaving the station at your final destination? Return journey Are you booking assistance for a return journey? Yes No From* To* Departure date* Day Day12345678910111213141516171819202122232425262728293031 Month MonthAugSepOctNovDecJanFeb Year Year20222023 Departure time* Hour Hour01234567891011121314151617181920212223 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 How are you getting to the train station before you depart? How are you leaving the station at your final destination? Any other comments I'm happy to take part in a satisfaction survey * Occasionally we carry out short customer surveys about the service and assistance we offer. These are carried out by an independent research agency on our behalf and help us improve our services. Sometimes we're asked to share your information with the Office of Rail and Road and their research suppliers who conduct research to drive customer journey improvements. Yes No How we use your data We hold your contact details and journey data in the Passenger Assist booking system for two years. We share your journey data with other Train Operating Companies and Network Rail - so we know you're looked after for the whole of your rail journey, even when you're not travelling on our trains. For more information about how we use your data see our Privacy Policy. Leave this field blank Submit
