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Add flight details
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Flight disruption type*
Delay type?*
Airline*
Where did you make your booking*
Flight number*
Booking reference*
Booking type (Hidden)*
Booking type*
Ticket number*
Cabin class*
Number of travellers*
This is total number of travellers incl. the main passenger
Flight date*

DayMonthYear
Flight time*
Departure airport*
Destination Airport*
Cancellation notice period*
Flight delay duration?*
Re-routed flight delay duration?*
Flight disruption reason*

Alternate flight details
Alternate flight offered by airline?*
Alternate flight taken?*
Journey completed using non airline transport?
Alternate flight number*
Alternate flight date*

DayMonthYear
Alternate flight time*
Alternate departure airport
Alternate destination airport

Passenger details
Email*
Email of person who booked flight
Telephone*
First Name*
Last Name*
Passport number*
Date of birth*

DayMonthYear
Country of residence*
Address 1st line*
Address 2nd line
City*
Post code/ Zip*
State/ County*
Additional passengers
Passenger 2 - Name*

First NameLast Name
Passenger 2 - Date of birth*

DayMonthYear
Passenger 3 - Name*

First NameLast Name
Passenger 3 - Date of birth *

DayMonthYear
Passenger 4 - Name*

First NameLast Name
Passenger 4 - Date of birth*

DayMonthYear
Passenger 5 - Name*

First NameLast Name
Passenger 5 - Date of birth*

DayMonthYear
Passenger 6 - Name*

First NameLast Name
Passenger 6 - Date of birth *

DayMonthYear
Passenger 7 - Name*

First NameLast Name
Passenger 7 - Date of birth *

DayMonthYear
Passenger 8 - Name*

First NameLast Name
Passenger 8 - Date of birth *

DayMonthYear
Supporting documents

Cancelof
Comments

Bank details

Required by airline to pay you directly
Bank country location*
Bank currency*
Bank name*
Account holder name*
Account number*
Sort code/ Routing number/ BSB*
Required for UK/ USA/ Japan/ Brazil
Swift/ BIC number*
Not required for UK/ USA/ AUS
IBAN number*
Required for Europe
Claimant address 1st line*
Claimant address 2nd line*
Claimant billing town/city*
Claimant billing postcode/ zip*
Claimant billing country (list)*
Prefer payment by cheque?

Claim submission payment
Main traveller fee
Additional traveller fee
YouClaim fee
Remember, with YouClaim's super low fees, you keep more (up to £65 more per passenger!) of your potential flight compensation when compared to using Claims Management companies.

The claim submission fee below is based on £9.99 per main passenger (plus £4.95 per additional passenger).

Claim submission fee *

GBPCard payment is made via Stripe's secure payment platform which meets security standards set by the Payment Card Industry Data Security Standard (PCI DSS)

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Airline compensation form for delayed & cancelled flights

Delayed flight compensation

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Alternate flight details

Passenger details

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Bank details

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