Property Irregularity Report Form

BAGGAGE SERVICES

DECLARATION OF LOST, DAMAGED OR STOLEN BAGGAGE
Passenger Name
Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Email
example@example.com
Flight Number
(e.g TL160)
Date of Travel

DayMonthYear
Date
Booking Reference
6 digit code on your booking
Departure Port
Airnorth Route Only
Arrival Port
Airnorth Route Only
Permanent Address
Temporary Address
Delivery Address
BAG 1
Colour
Style
If you have selected Other, please advise the style below:
Contents
Contents
Contents
Bag Tag Number
Bag Weight
If unknown please use approx. weight
Photos

Mishandled or Damaged Baggage
Cancelof
BAG 2
Colour
Style
If you have selected Other, please advise the style below:
Contents
Contents
Contents
Bag Tag Number
Bag Weight
If unknown please use approx. weight
Photos

Mishandled or Damaged Baggage
Cancelof
Bags Last Seen At
Destination on Tag
Ticket Number
e.g. 935-0000000000
Private Insurance
Reported To
Date

DayMonthYear
Date
I hereby make the following declaration in support of my/our claim for lost, damaged baggage. In signing this declaration, I/We hereby declare that I/We am/are not eligible to make a duplicate claim with another airline carrier or insurance company. If a duplicate claim is identified, any claim made with
Airnorth shall be deemed void. I/We consent to my/our personal information being disclosed to Airnorth for the purposes of making this claim:
Signature
Should be Empty:

BAGGAGE SERVICES