Virgin Atlantic POC Approval and Battery Approval Request

UK Freephone 0800 368 9651
Fax 020 399 70909 (open 9am to 5pm GTM Mon to Fri)
US Toll Free 877 736 891 or Local 307 732 0040
Fax 307 734 2982 (open 24hr for emergencies)
Email [email protected]
Web https://oxygentogo.com/virgin

If you anticipate using a portable oxygen concentrator (POC) onboard any Virgin Atlantic flight, you must follow this process and be cleared by OxygenToGo®. The aircraft cabin is pressurised between 6 and 8,000 feet above sea level. If you have any queries about this form, please contact OxygenToGo® direct.

Please complete all fields a minimum of 48 hours (excluding weekends) before your first flight is scheduled to depart
OxygenToGo® will contact you to review your request and the next steps
If OxygenToGo® doesn’t contact you within 24 hours, please call to make sure they’ve received your request.
Once approved, please bring a copy of this form with you to the airport.

POC and/or Battery Rental
If you need to rent a POC for a Virgin Atlantic flight, you must complete a separate
OxygenToGo® rental agreement, which you can find on oxygentogo.com/virgin. You can also rent POC batteries if you need them for your own equipment.

Approved POC’s
Only Virgin Atlantic approved POC’s can be used onboard a Virgin Atlantic flight.
No other oxygen sources will be allowed. You may use your own POC if it is one of our approved units.

You can only use the Virgin Atlantic approved POC’s onboard (shown below and on https://oxygentogo.com/virgin)
No other oxygen sources are allowed onboard Virgin Atlantic flights
All POC’s must be battery operated, and can’t be plugged into the aircraft power supply

Passenger Details

Name of passenger using the Portable Oxygen Concentrator (POC):(Required)

First Last

Passenger’s contact phone number(Required)

Secondary Phone

Passenger’s contact email(Required)

Travel Details

Virgin Atlantic Confirmation Number (Six (6) digits long)(Required)

Departure Flight #1 Origin

Departure Flight #1 Destination

Departure Flight #1 Number

Departure Flight #1 Date

Departure Flight #2 Origin

Departure Flight #2 Destination

Departure Flight #2 Number

Departure Flight #2 Date

Return Flight #1 Origin

Return Flight #1 Destination

Return Flight #1 Number

Return Flight #1 Date

Return Flight #2 Origin

Return Flight #2 Destination

Return Flight #2 Number

Return Flight #2 Date

POC Device Details

Supplier of POC Device(Required)

What is the make and model of the POC(Required)

Other Device Name & Model

Total number of batteries that you have or will be supplied(Required)

Note: The DOT allows up to 150% of flight hours in battery hours.

LPM Flow Setting(Required)

The Airline’s pressurized aircraft cabin altitude equals 8,000 feet above sea level

Flow Setting(Required)

Passenger Signature

Date

This field is for validation purposes and should be left unchanged.