Objednávka prepravy osôb na vozíku alebo pomoci s prepravou EN

BOOKING FORM FOR WHEELCHAIR PASSENGERS OR PASSENGERS REQUIRING ASSISTANCE.

We kindly remind You to submit Your order at least 24 hours prior to the journey.

* Required data

1. TRANSPORTATION DETAILS

ONWARD JOURNEY

Journey date:*

Initial station:*

Final destination:*

Train connection: (train number or the departure/arrival times, in case of more connecting trains - please list all train connections)

RETURN JOURNEY

Journey date:

Initial station:*

Final destination:*

Train connection: (train number or the departure/arrival times, in case of more connecting trains - please list all train connections)

2. PASSENGER DETAILS

Name(s) and Surname:*

Address:*

PRM card number: (if PRM-card holder)

Your contact telephone number:*

E-mail:*

Other way to contact you:

3. SUBMITTER DETAILS

Name(s) and Surname:

Telephone, e-mail or other contact to be used to inform you about the status of your booking (acceptance/denial):

4. WHEELCHAIR TYPE/SPECIAL NEED

Please, specify:*

Mechanical wheelchairElectrical/voltaic wheelchairRollatorTricycleOther (please, specify in the note below)

Notes:

5. ACCOMPANIMENT

Please, specify:*

with a guidewithout a guidewith a guiding dogother (please, specify within the notes below)

Notes:

6. REQUIRED ASSISTANCE

Please, specify:*

Coupling of a carriage with lifting platform – wheelchair embarkationAssistance with boarding/disembarkation using the mobile lifting platform of infrastructure manager ŽSRAssistance for boarding/disembarkationAssistance offering the barrier-free access to the trainReservation of a couchette (when travelling by the night train R 614/R17614/R 615 Zemplín on the route Bratislava - Košice - Humenné and back)Other (please, specify within the notes below)

Notes:



Your order will be sent to the Contact Centre of Železničná spoločnosť Slovensko. In case you do not receive any reply within 24 hours, please call +421 24 48 58 188 or send e-mail to info@slovakrail.sk. Thank you.