First Great Western - Assisted Travel

            
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            Assisted Travel
 
                                    Assisted Travel
                                Booking form
If you need assistance to make a journey (for example help getting on or off a train, or ramps for a wheelchair), please complete this form at least 24 hours before you travel.

One of our advisers will check your journey details and send a confirmation email to the email address that you give us. We may also need to contact you to confirm certain aspects of your plan, so please make sure you check your email before you travel. Thank you for taking the time to complete this form.
Apply for a priority seat cardPDF Web priority seat application form
Apply for a mobility scooter permitPDF Scooter application form
Please note that some power scooters are effectively road vehicles and unsuitable for carriage on public transport. Please read our current policy on the wheelchairs and power scooters (PDF).

				About you
			Please complete your details

					Have you arranged travel assistance with us before?This is required.
				
					Title
				
					First name*First name must have at least 0 and no more than 50 characters.The value of the First name field is not valid.
				
					Surname*Surname must have at least 0 and no more than 50 characters.The value of the Surname field is not valid.
				
					Daytime telephone number*Enter a valid telephone number.
				
					Evening telephone numberEnter a valid telephone number.
				
					Mobile numberEnter a valid sms/mms telephone number.
				
					Address 1*Address 1 must have at least 0 and no more than 256 characters.The value of the Address 1 field is not valid.
				
					Address 2Address 2 must have at least 0 and no more than 256 characters.The value of the Address 2 field is not valid.
				
					Address 3Address 3 must have at least 0 and no more than 256 characters.The value of the Address 3 field is not valid.
				
					Postcode*Postcode must have at least 0 and no more than 256 characters.The value of the Postcode field is not valid.
				
					Preferred email address*Enter a valid e-mail address.
				
					Confirm email address*Enter a valid e-mail address.
				
					Are you travelling with a companion?This is required.
				
					What type of assistance do you require?*
				
					If other please give details and for all types of assistance please provide any added information such as, travel with an assistance dog, need help with luggage, need station wheelchair, travelling with a companion etc.If other please give details and for all types of assistance please provide any added information such as, travel with an assistance dog, need help with luggage, need station wheelchair, travelling with a companion etc. must have at least 0 and no more than 256 characters.The value of the If other please give details and for all types of assistance please provide any added information such as, travel with an assistance dog, need help with luggage, need station wheelchair, travelling with a companion etc. field is not valid.
				
					Do you require assistance with booking tickets or making reservations?This is required.
				
				Outward journey details
			Please tell us about how you will be arriving at the station.

In order to help us provide you with the correct assistance please plan to arrive at your departure station 20 - 30 minutes early and contact a member of staff on arrival.

					Date of outward journey? (DD/MM/YYYY)*Date of outward journey? (DD/MM/YYYY) must be a valid date.
				
					Time of arrival? (hh:mm)*Time of arrival? (hh:mm) must have at least 0 and no more than 256 characters.The value of the Time of arrival? (hh:mm) field is not valid.
				
					Method of arrival (please select)
				
					Other method of arrivalOther method of arrival must have at least 0 and no more than 256 characters.The value of the Other method of arrival field is not valid.
				
				Outward train journey 1
			Please tell us which service you are booked on

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Outward train journey 2
			Please tell us if you are travelling on more than 1 train

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Outward train journey 3
			Please tell us if you are travelling on more than 2 trains

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Outward departure details
			Please tell us about how you will be departing the station

					Method of departure (please select)
				
					Other method of departureOther method of departure must have at least 0 and no more than 256 characters.The value of the Other method of departure field is not valid.
				
				Return journey details
			Please tell us about how you will be arriving at the station.

In order to help us provide you with the correct assistance please plan to arrive at your departure station 20 - 30 minutes early and contact a member of staff on arrival.

					Date of return journey? (DD/MM/YY)Date of return journey? (DD/MM/YY) must be a valid date.
				
					Time of arrival? (hh:mm)Time of arrival? (hh:mm) must have at least 0 and no more than 256 characters.The value of the Time of arrival? (hh:mm) field is not valid.
				
					Method of arrival (please select)
				
					Other method of arrivalOther method of arrival must have at least 0 and no more than 256 characters.The value of the Other method of arrival field is not valid.
				
				Return train journey 1
			Please tell us which service you are booked on

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Return train journey 2
			Please tell us if you are travelling on more than 1 train

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Return train journey 3
			Please tell us if you are travelling on more than 2 trains

					From
				
					To
				
					Depart (hh:mm)Depart (hh:mm) must have at least 0 and no more than 256 characters.The value of the Depart (hh:mm) field is not valid.
				
					Arrive (hh:mm)Arrive (hh:mm) must have at least 0 and no more than 256 characters.The value of the Arrive (hh:mm) field is not valid.
				
					Seat reservation(s) numbersSeat reservation(s) numbers must have at least 0 and no more than 256 characters.The value of the Seat reservation(s) numbers field is not valid.
				
				Return departure details
			Please tell us about how you will be departing the station

					Method of departure (please select)
				
					Other method of departureOther method of departure must have at least 0 and no more than 256 characters.The value of the Other method of departure field is not valid.
				
				Contact details
			We may need to contact you to confirm your booking or to ask for more information to assist with your booking. Please let us know how you would like to be contacted

					ContactBy email
By telephone
By text (may be possible in the future)

					If you have selected telephone, please advise of a preferred time when you would like us to contact you.
				
					Do you want to make this same journey again within the next month?This is required.
				
					If yes, please provide detailsIf yes, please provide details must have at least 0 and no more than 256 characters.The value of the If yes, please provide details field is not valid.
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