Disability Accommodation Form / Fly Tucson

Request for Additional Medical Assistance for Individuals with Disabilities/Parents/Caregivers

This form is recommended to be filled out by anyone who has, or will be accompanying an individual(s) with, a disability who would like to request additional assistance while traveling through Tucson International Airport. Please provide as much detail as you feel comfortable disclosing so TUS can provide the best and easiest travel experience possible. For additional support going through TSA Screening, call TSA Cares at 1-855-787-2227.

Name(Required)

First Last

Name(s) of people traveling with

First

Last

Email(Required)

Phone

Will you or someone in your traveling party need extra time/assistance while at Tucson International Airport?(Required)

Yes

Are there any specific services/assistance that you and(or) your traveler(s) will need?

What day is your flight?(Required)

MM slash DD slash YYYY

What time is your flight?(Required)

Hours

Minutes

AM/PM

What Airline are you flying on?(Required)

What is your flight number?

Have you already contacted your airline and/or TSA?(Required)

Yes

Will you or your traveling companion(s) be bringing any specialized equipment through TSA?(Required)

Yes

Will any supplies/equipment be loaded into the cabin and not be included in carry-on luggage?(Required)

Yes

Will you be bringing medication into the cabin? If yes, please ensure it is clearly labeled for screening purposes.(Required)

Yes

If yes, is this medication liquid?(Required)

Yes

N/A

Will you need preboarding for your flight?(Required)

Yes

Are there any other details you feel pertinent to disclose prior to your flight to ensure we are able to provide you with the best possible travel experience?

CAPTCHA

Request for Additional Medical Assistance for Individuals with Disabilities/Parents/Caregivers

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