Personal details

Fields marked with are required

Title is required
First name is required Please enter proper characters
Last name is required Please enter proper characters
Email is required Please enter a valid email address

Address

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Please enter proper phone number
Preferred method of contact is required
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Please enter proper phone number
Required assistance

GWR train services can carry manual or powered wheelchairs up to the following dimensional and weight limitations: Width 700mm, Length (including footplates) 1200mm, Weight (including passenger) 300kg.

Which point of the journey do you require assistance? is required
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Sensory/Mobility impairment
Other Impairment
Additional Assistance types
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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?
Do you require help with your luggage?

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

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Outward journey

Please tell us about how you will be arriving at the station. 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.

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

Journey from is required

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

Journey to is required
Scheduled departure date is required Departure date should be less than arrival date
Scheduled departure time is required

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

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

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

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

Journey from is required

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

Journey to is required
Scheduled departure date is required Return date should be greater than outward date
Scheduled departure time is required

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

We are unable to submit your form with some of the special characters you’ve used entered
We are unable to submit your form with some of the special characters you’ve used entered
We are continuously making improvements to Passenger Assist. We would like to share Passenger Assist data with GWR’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
Response required (If you don't want a response from us, we will still investigate your comments, but will not contact you further)
Response required (If you don't want a response from us, we will still investigate your comments, but will not contact you further) is required
I agree to the terms and conditions is required