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
YESNO
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 *

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BAGGAGE SERVICES