Electric Mobility Device

Customer information

Name of the customer who is travelling with the Electric Mobility Device

Booking Reference

Contact Telephone Number

Electric mobility device details

Manufacturer of Electric Mobility Device

Model of Electric Mobility Device

Estimated value of Electric Mobility Device (£)

Do you have a copy of the manufacturers operating manual?

If yes, please attach here

Total unladen weight of the Electric Mobility Device including batteries to be given in kilograms. (This is the weight of the device unoccupied)

Please note: If your device exceeds 200kg in weight, we require further information as to whether the device can be taken down into different parts to reduce the weight for handling purposes. We will discuss this when we call you back following the submission of this form.

Are e-motion wheels fitted to your Electric Mobility Device?

Does your Electric Mobility Device have Bluetooth installed?

Has your Electric Mobility Device been modified in any way since purchase?

If yes, explain how:

Travel InsuranceWe will take great care with your device, Jet2.com has limited liability (approximately £1,100) for carrying electronic mobility devices as per the Montreal Convention. For that reason, if your device is worth more than £1,100, can you confirm you have bought suitable insurance that covers any damage to your device whilst travelling. You can find this by doing an internet search for ‘mobility device insurance’. I have purchased suitable insurance for my Electric Mobility Device

Battery information

If you are unsure of the battery type, please refer to your operator’s manual or contact the manufacturer as we are unable to carry your device without this information.

Does the mobility aid have a battery?

Is yes, what type of battery is used to power the mobility aid?

How many batteries are used to operate the device?

Battery type instructions

Lithium Batteries (including e-motion wheels)

If the battery is not designed to be removed on your electric mobility device, there is no maximum watt hour rating. Should your device have removable batteries, they must be carried with you in the cabin and not exceed the below Wh rating limits:

1. A singular battery must not exceed 300Wh

2. For two batteries, they must not exceed 160Wh each

Spare lithium batteries may also be carried, providing they do not exceed the above stated limitations – these must also be carried with you in the cabin. Any batteries carried with you in the cabin must be stored securely and protected against short circuit

- For non-spillable, nickel-metal hydride and dry batteries, all removed and spare batteries must be packed in a strong and rigid packaging.

- For spillable batteries, the mobility aid must always be kept upright, or if this is not possible, the battery must be removed from the mobility aid.

- For lithium ion batteries, the number and Watt-hour rating of installed and spare battery(ies) are required where the mobility aid is specifically designed for the battery to be removed during transport.

Is the battery specifically designed to be removed/isolated for transport?

If tools are required to remove the battery please ensure you bring the airport with your Electric Mobility Device.

If yes, explain how:

If the device battery cannot be removed or isolated (made safe for air travel), you will be required to bring an Airsafe plug that can be used to isolate the battery cables.

If your device requires the use of a removable Lithium Ion battery to operate, please can you specify the Watt Hour rating?

If you are unsure then this can be calculated by multiplying the battery Voltage by the AH rating, I.E. 12 Volts x 7.2 AH = 86.4 Watt Hours

Please attach images of the battery

Number of spare batteries being carried:

Measurements

Maximum Height Accepted: 81cm

If your device exceeds this height and cannot be collapsed, it unfortunately cannot be carried. If your device is under 81cm in height, please only fill in the fully built specifications below.

Is the device taller than 81cm?

Fully built height (cm)

Fully built length (cm)

Fully built weight (kg)

Is the device collapsible?

If yes, collapsed height (cm)

If yes, collapsed length (cm)

If yes, collapsed weight (kg)

Can the device be lowered/tilted?

If yes, lowered/tilted height (cm)

If yes, lowered/tilted length (cm)

If yes, lowered/tilted weight (kg)

Means of protecting circuits or preventing the device from being accidentally activated during transit

(You may need to refer to your operator's manual for this information. You need to provide full details of how the device is turned off and the batteries disconnected or isolated to prevent accidental activation in the hold.)

How do you switch the device off?

Medical conditions

Do you have a medical condition that we need to be aware of, including anything affecting major Organs or breathing?

Medical condition (please advise details of condition including date of diagnosis)

Legal statement

It is your responsibility to provide sufficient information about your Electric Mobility Device and batteries prior to travel. If we don’t have adequate or correct information before travel, we may not be unable to transport your Electric Mobility Device for safety reasons and, we must reserve the right to refuse the carriage of your Electric Mobility Device in line with the Dangerous Goods Regulations 2024. This form is for use by both Jet2holidays and Jet2.com customers.

Please tick here to acknowledge your understanding and acceptance of this

Important information

Please bring the operating manual with you to the airport. If you are carrying any spare batteries, we will need to be informed. We highly recommend that comprehensive insurance is in place for damage, delay or loss of the Electric Mobility Device as the airline's liability is limited under Montreal Convention. If you require any further assistance, then please do not hesitate to contact our dedicated mobility assistance line on +44 (0) 800 408 5591 or +44 (0)203 059 8337 if calling from overseas.