Assisted Travel | TransPennine Express

Personal Details

Fields marked with ∗ are required

Title ∗ Title is required

First name ∗ First name is required Please enter proper characters

Last name ∗ Last name is required Please enter proper characters

Email ∗ Email is required Please enter a valid email address

Postcode

First Line Of Address We are unable to submit your form with some of the special characters you’ve used entered

Second Line Of Address We are unable to submit your form with some of the special characters you’ve used entered

City/town We are unable to submit your form with some of the special characters you’ve used entered

Country We are unable to submit your form with some of the special characters you’ve used entered

Contact number Please enter proper phone number

Preferred method of contact ∗ Preferred method of contact is required

Are you travelling with a companion?

Companion name We are unable to submit your form with some of the special characters you’ve used entered Please enter proper characters

Companion contact number Please enter proper phone number

Required assistance

Which point of the journey do you require assistance? ∗ Which point of the journey do you require assistance? is required

Are you travelling with an assistance dog?

If other please give details We are unable to submit your form with some of the special characters you’ve used entered

Sensory/Mobility impairment

Visual Impairment

Speech Impairment

Hard of hearing/Deaf

Accompanied by Assistance Dog

Mobility - no ramp required

Mobility - ramp required

Mobility - wheelchair required at the station

Mobility - wheelchair to seat transfer required

Other Impairment

Dyslexia

Autism

Dementia

Accompanies by Assistance dog

Learning difficulties

Mental health condition

Non-verbal

Other

If other, specify details We are unable to submit your form with some of the special characters you’ve used entered

Mobility

If you selected "other" please specify details We are unable to submit your form with some of the special characters you’ve used entered

Do you require a Wheelchair space?

A colleague will contact you shortly

Some stations provide a buggy service, if this service is available at any of the stations you are travelling from, would you like to use a buggy?

Yes

Do you require help with your luggage?

Yes

Any additional information? (5000 characters maximum)

You are unable to use the following special characters when submitting this form ()[]{}+=#^;<>~

Please help us to protect your data by NOT sharing any bank account, or other payment details in this form

We are unable to submit your form with some of the special characters you’ve used entered

Outward journey

In order to help us provide you with the correct assistance, please arrive at your departure station 30 minutes before your train leaves and contact a member of staff.

Booking reference (if applicable) We are unable to submit your form with some of the special characters you’ve used entered

Journey origin ∗

Start typing the station name in and then click on the relevant station in the drop down box

Journey origin is required

Journey destination ∗

Start typing the station name in and then click on the relevant station in the drop down box

Journey destination is required

Scheduled departure date ∗ Scheduled departure date is required Departure date should be less than arrival date

Scheduled departure time ∗ Scheduled departure time is required

Via ( which station are you changing at? )

Start typing the station name in and then click on the relevant station in the drop down box

If reservations already held, please advise carriage and seat number We are unable to submit your form with some of the special characters you’ve used entered

How are you arriving at your origin station?

If you selected "other" please specify details We are unable to submit your form with some of the special characters you’ve used entered

How are you departing from your destination station?

If you selected "other" please specify details We are unable to submit your form with some of the special characters you’ve used entered

Are you returning?

Return journey

Please tell us about how you will be departing the station.

Journey origin ∗

Start typing the station name in and then click on the relevant station in the drop down box

Journey origin is required

Journey destination ∗

Start typing the station name in and then click on the relevant station in the drop down box

Journey destination is required

Scheduled departure date ∗ Scheduled departure date is required Return date should be greater than outward date

Scheduled departure time ∗ Scheduled departure time is required

Via

Start typing the station name in and then click on the relevant station in the drop down box

If reservations already held, please advise carriage and seat number We are unable to submit your form with some of the special characters you’ve used entered

How are you arriving at your origin station?

If you selected "other" please specify details We are unable to submit your form with some of the special characters you’ve used entered

How are you departing from your destination station?

If you selected "other" please specify details

We are continuously making improvements to Passenger Assist. We would like to share Passenger Assist data with TransPennine Express's research supplier, other train operating companies, and the rail regulator and their research suppliers to conduct research to drive customer journey improvements – do you agree to be contacted regarding your experience? ∗ We are continuously making improvements to Passenger Assist. We would like to share Passenger Assist data with TransPennine Express's research supplier, other train operating companies, and the rail regulator and their research suppliers to conduct research to drive customer journey improvements – do you agree to be contacted regarding your experience? is required

I agree to the terms and conditions. ∗ I agree to the terms and conditions is required