Blank Claim Passenger Property PDF Form

Blank Claim Passenger Property PDF Form

The Claim Passenger Property form is a document provided by American Airlines and US Airways for passengers who have experienced issues with their baggage, such as loss, damage, or missing contents. By completing this form, you initiate the process of reporting your claim and seeking compensation for your inconvenience. To ensure a smooth process, make sure to fill out all sections accurately and return the form within 45 days of your travel date.

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The Claim Passenger Property form serves as a vital tool for travelers who have experienced issues with their luggage while flying with American Airlines or US Airways. This form is designed to facilitate the reporting and processing of claims related to lost, damaged, or delayed baggage. Customers are urged to complete all sections of the form accurately and return it within 45 days from their travel date to ensure timely processing. The form requires essential information, such as the passenger's contact details, flight itinerary, and a detailed description of the claim, including any missing contents or damage. Travelers must also include supporting documents, such as airline ticket receipts and baggage claim checks, to substantiate their claims. The airline outlines specific liability limitations for lost or damaged baggage, emphasizing the importance of understanding these terms before submitting a claim. By adhering to the guidelines set forth in the form, passengers can enhance their chances of a successful resolution to their baggage issues.

Document Sample

Dear American Airlines/US Airways Customer,

Please accept our sincere apology for the mishandling of your property. We understand your concern and realize the inconvenience this causes. Once the form has been returned to us, we will intensify our tracing efforts with the goal of locating and returning your property.

Complete all areas of this form and return it to us no later than 45 days from the date of travel. Failure to return this completed form to us within the timeframe may result in the denial of your claim.

If your claim involves more than one piece of baggage, please itemize each bag and its contents separately. Failure to include the requested information may affect the processing of your claim.

Check list:

Airline ticket receipts

Baggage claim checks

Receipt(s) for excess value claimed

Receipt(s) for excess baggage charges paid

Receipt(s) for all items valued over $150.00

Clear and legible government issued photo identiication for each passenger making a claim

Damage claims: retain all damaged bags and/or contents until your claim has been resolved

Retain a copy of all documents submitted to the airline for your personal records

Once you have completed the form, please return it to us by mail or fax:

American Airlines, Inc.

US Airways

Central Baggage Service

Central Baggage

PO Box 619613 – MD 1322

4000 E Sky Harbor Blvd.

Dallas/Ft. Worth, TX 75261-9613

Phoenix, AZ 85034

Fax: 972-425-0714

Fax 480-693-2305

Email: [email protected]

Email: [email protected]

Liability Limitations:

Liability for loss, delay, or damage to baggage will be limited as follows:

Domestic Travel (wholly within the United States) - $3,400 per ticketed passenger.

Certain items are excluded from liability; see Contract of Carriage at AmericanAirlines.com or USAirways.com

International Travel (including domestic portions of international itineraries) are covered by the Montreal Convention – 1,131 SDRs

(Special Drawing Rights) per ticketed passenger

Thank you for your cooperation,

Your American Airlines Central Baggage Team

PASSENGER PROPERTY QUESTIONNAIRE

AAdvantage or US Dividend Account: ________________

Record Locator or File Reference Number: ________________

Type of Claim: (check all that apply)

Lost Luggage

 

 

 

Missing Contents

 

 

 

Damaged Luggage and/or Contents

 

 

Delay Expenses

 

 

 

 

 

 

 

 

 

 

 

Mr. First

Middle

Last Name

 

Phone Number

 

 

 

Mrs.

 

 

 

 

 

 

 

Ms.

 

 

 

Home:

 

Business:

 

 

 

 

 

 

 

 

 

Permanent Mailing

Number

Street

Apt.

Temporary Mailing

Number

Street

Apt.

Address

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

City

 

State

 

Zip Code

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

Country

 

 

 

Postal Code

 

 

 

Postal Code

 

 

 

 

 

 

 

 

 

 

 

Email Address:

 

 

 

Employed by:

 

 

 

 

 

 

 

Occupation:

 

 

 

 

 

 

 

 

 

 

 

Your Complete Flight Itinerary

From

To

Airline

Flight Number

Travel Date

Have you, or any member of your household, had a previous baggage claim with AA/US or any other airline in the last 5 Years? Yes

No

If yes, list each airline, claimant name and dates (attach an additional page if necessary)

 

Airline(s) __________________________________________________ Name(s) __________________________________________________

Date(s) _______________________________________________________________________________________________________________

Information gathered on this form may be shared with other airlines, local, state and federal law enforcement agencies or private insurers.

Number of ticketed passengers

Number of passengers

 

 

Purpose of trip?

 

Length of stay?

traveling in your party:

claiming missing baggage:

 

 

 

 

 

 

 

 

 

 

 

 

 

Were you charged for excess

Yes No

 

 

Did you declare and pay for excess value: Yes

No

and/or overweight baggage:

 

 

 

Value declared: $

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you received your baggage and are you missing contents only:

Yes No

If yes, how many bags are missing contents?

Was airline notiied of loss immediately? Yes No

If yes, at what ofice?

 

By telephone

In person

If airline was not notiied within 4 hours, state the reason for the delay:

Where and when did you last see your baggage?

Has this loss been reported to another airline? Yes No

If yes, please provide name of airline and city where reported.

Certiication and Understanding

APPLICABLE IN USA ONLY. It is expressly understood and agreed by the claimant that the furnishing of this form and any assistance given by employees of American Airlines, Inc., are acts of courtesy and shall not constitute a waiver of any rights or an admission of liability by or on the part of American Airlines, Inc., its employees or agents. Any other information and/or documents relating to this statement which are required by American Airlines, Inc., will be furnished by claimant upon request and shall be considered part of this statement.

The United States Post Ofice has investigative jurisdiction under federal laws relating to sending false or fraudulent claims through the United States mail and any

such claims received by American Airlines, Inc., are reported to the United States Postal Authorities. Loss of baggage in interstate shipment or of articles from such baggage come within the purview of federal statutes relating to thefts from interstate shipment and, are therefore, subject to investigation by the Federal Bureau of

Investigation.

OP124 (Rev 11/2013) CPN 5689520

Complete Reverse Side

BAGGAGE AND CONTENT DESCRIPTION

NOTE: When more than one piece of baggage is lost, complete a separate baggage and content list for each missing bag.

Baggage routing:

Flight number(s) on claim check:

Airport checked from:

Airport checked to:

 

 

 

 

Baggage tag number(s):

 

Passenger ticket number(s):

 

 

 

 

Number of bags checked:

Number of bags received:

Baggage checked at: Curbside Ticket Counter Gate Other

 

 

 

 

Was baggage rechecked and new tags issued? Yes

No

If yes, at what airport?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was baggage available at Customs? Yes

No

N/A

If yes, at what city?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Give details if the original routing was changed after starting your trip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was your property packed in a box? Yes

No

Was your property packed with an external cover? (example: golf bag) Yes No

 

 

 

 

 

 

 

 

 

 

 

Is the name on the bag(s) different from the passenger? If so, what name?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please list any initials, marks, tags, ribbons, cords, tape or other exterior markings on your bag(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bag Type

Material

Color(s)

Brand

 

Bag

 

Open/Close

 

Wheels

Retractable

Purchase

Cost of Bag

 

Dimensions

with Zipper

 

Handle

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hard

 

 

 

 

 

 

Yes

 

Yes

Yes

 

 

 

Soft

 

 

 

 

 

 

No

 

No

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender = M: Male F: Female

CH: Child

I: Infant (under 2 yrs)

 

 

Qty

Article/Item

Size

Gender

Description

Color

Material

Brand Label

M,F,CH,I

 

 

 

 

Store

Purchased

Purchase

Date

Original

Cost

1

4

Shoes

12

M

White with blue stripes

Leather

Nike

Sears

Jan-13

$55.00

T-Shirts

L

M

Undershirts

White

Cotton

Hanes

JCP

Jan-13

$20.00

 

 

 

 

 

 

 

 

 

 

If additional space is needed, please attach a separate page. Be sure to include a complete description and cost for each item along with receipts for all items valued over $150.00.

TOTAL:

$

I do hereby warrant the foregoing statement and those on the accompanying forms to be accurate, complete and true. I hereby make a claim against American Airlines, Inc./US Airways, in the amount of $ ______ for a loss occurring on _______________

______________________________________________________

___________________________________________________

Claimant signature

Date

Claimant signature*

Date

*Signatures are required for each passenger claiming lost property. Parents may sign for their children under age 18.

File Specifics

Fact Name Details
Purpose of the Form This form is used by passengers to claim lost, damaged, or delayed baggage with American Airlines or US Airways.
Submission Deadline Passengers must return the completed form within 45 days from the date of travel to avoid claim denial.
Required Information All areas of the form must be completed, including itemizing each piece of baggage and its contents.
Checklist for Claims Passengers should include airline ticket receipts, baggage claim checks, and receipts for items valued over $150.
Liability Limitations For domestic travel, liability is limited to $3,400 per ticketed passenger; international travel follows the Montreal Convention.
Contact Information Claims can be submitted via mail or fax to designated addresses for American Airlines and US Airways.
Legal Jurisdiction The form is governed by U.S. federal laws, including regulations on false claims and thefts from interstate shipments.
Previous Claims Passengers must disclose if they have made a previous baggage claim with any airline in the last five years.
Documentation Retention It is important for passengers to keep copies of all documents submitted for their personal records.
Signature Requirement Each passenger claiming lost property must sign the form; parents may sign for children under 18.

How to Use Claim Passenger Property

After you fill out the Claim Passenger Property form, the next step is to submit it to American Airlines or US Airways. Ensure that you send it back within 45 days of your travel date. If you miss this deadline, your claim may be denied. Gather all required documents and receipts before mailing or faxing the form. This will help facilitate the processing of your claim.

  1. Begin by entering your AAdvantage or US Dividend Account number.
  2. Fill in the Record Locator or File Reference Number.
  3. Check the appropriate boxes for the type of claim: Lost Luggage, Missing Contents, Damaged Luggage and/or Contents, or Delay Expenses.
  4. Provide your full name, including first, middle, and last name.
  5. Enter your phone number, both home and business, if applicable.
  6. List your permanent and temporary mailing addresses, including street, apartment number, city, state, zip code, and country.
  7. Include your email address and employment information, such as your occupation and employer.
  8. Document your complete flight itinerary, including departure and arrival locations, airline, flight number, and travel date.
  9. Indicate whether you or anyone in your household has had a previous baggage claim in the last five years. If yes, provide details about the airlines, names, and dates.
  10. State the number of ticketed passengers and the number claiming missing baggage.
  11. Answer whether you were charged for excess and/or overweight baggage, and if applicable, provide the declared value.
  12. Indicate if you have received your baggage and are missing contents only, and specify how many bags are missing contents.
  13. Confirm if the airline was notified of the loss immediately, and if so, how.
  14. Detail where and when you last saw your baggage.
  15. Report if the loss has been reported to another airline and provide the name and city of that airline.
  16. Complete the baggage and content description section, including baggage routing, flight numbers, and baggage tag numbers.
  17. Specify the type, material, color, brand, and dimensions of the bags.
  18. List all articles or items lost, including size, gender, description, color, material, brand, store purchased, purchase date, and original cost.
  19. Calculate the total cost of lost items and enter the amount in the designated space.
  20. Sign and date the form, ensuring that signatures are provided for each passenger claiming lost property.

Your Questions, Answered

What is the Claim Passenger Property form?

The Claim Passenger Property form is a document provided by American Airlines and US Airways for passengers to report lost, damaged, or delayed baggage. This form allows travelers to detail their claims and submit necessary information to facilitate the tracing and potential recovery of their property. It is essential to complete all sections accurately and return it within 45 days of travel to ensure processing.

How do I submit the Claim Passenger Property form?

You can submit the completed form by mail or fax. The mailing address for American Airlines is:

  1. American Airlines, Inc.
  2. US Airways Central Baggage Service
  3. Central Baggage
  4. PO Box 619613 – MD 1322
  5. 4000 E Sky Harbor Blvd.
  6. Dallas/Ft. Worth, TX 75261-9613

The fax numbers are 972-425-0714 for American Airlines and 480-693-2305 for US Airways. You can also send an email to [email protected] or [email protected] if you prefer electronic communication.

What documents do I need to include with my claim?

When submitting your claim, it is important to include several key documents to support your case. These include:

  • Airline ticket receipts
  • Baggage claim checks
  • Receipts for any excess value claimed
  • Receipts for excess baggage charges
  • Receipts for all items valued over $150.00
  • Clear identification for each passenger making a claim
  • For damage claims, retain all damaged bags and contents until the claim is resolved

Retaining copies of all submitted documents for your records is also advised.

What happens if I do not submit the form within 45 days?

If the Claim Passenger Property form is not submitted within 45 days from the date of travel, your claim may be denied. Timely submission is critical to ensure that your claim is processed and considered. It is recommended to complete and send the form as soon as possible after realizing your property is missing or damaged.

What is the liability limit for lost or damaged baggage?

The liability limits for lost or damaged baggage vary depending on the type of travel. For domestic travel within the United States, the limit is $3,400 per ticketed passenger. If your travel includes international segments, the Montreal Convention applies, which sets the liability at 1,131 Special Drawing Rights (SDRs) per ticketed passenger. Certain items may be excluded from liability, so reviewing the Contract of Carriage is advisable.

What if my claim involves multiple pieces of baggage?

If your claim involves more than one piece of baggage, you must itemize each bag and its contents separately on the form. Providing detailed descriptions and values for each item is crucial. Omitting this information may delay or negatively impact the processing of your claim. Ensure that all necessary details are included to facilitate a smoother claims process.

Common mistakes

  1. Failing to complete all sections of the form. Each part is important for processing your claim.

  2. Not returning the form within the 45-day deadline. Late submissions can lead to claim denial.

  3. Omitting details about multiple pieces of luggage. Each bag and its contents should be itemized separately.

  4. Neglecting to include required documentation. This includes airline ticket receipts and baggage claim checks.

  5. Not providing clear identification. A government-issued photo ID is necessary for each passenger making a claim.

  6. Forgetting to retain damaged items. Keep all damaged bags and contents until your claim is resolved.

  7. Failing to keep a copy of submitted documents. Always retain copies for your personal records.

  8. Not notifying the airline of the loss immediately. Timely notification is crucial for claim processing.

  9. Providing incomplete information about previous claims. List all relevant details if you have claimed with other airlines in the past.

Documents used along the form

When filing a claim for lost or damaged property with American Airlines or US Airways, you may need to gather additional documents to support your case. Here are a few important forms and documents that are often used alongside the Claim Passenger Property form:

  • Airline Ticket Receipts: This document serves as proof of your travel and is essential for verifying your flight details. Keep a copy handy, as it may be required for your claim.
  • Baggage Claim Checks: These are the tags you receive when you check your luggage. They help track your bags and are crucial for claims related to lost luggage.
  • Receipts for Excess Baggage Charges: If you paid extra for additional luggage, these receipts are important. They confirm that you incurred costs beyond the standard baggage allowance.
  • Clear Government-Issued Photo Identification: Each passenger making a claim must provide a valid ID. This helps verify your identity and ensures that the claim is processed correctly.

Having these documents ready can streamline the claims process and increase the chances of a successful resolution. Remember, thoroughness is key when dealing with lost or damaged baggage claims.

Similar forms

The Claim Passenger Property form bears similarities to the Lost Property Report commonly used in various industries, including retail and hospitality. Both documents serve the purpose of reporting lost items and initiating a recovery process. A Lost Property Report typically requires detailed information about the lost item, including a description, location of loss, and contact information for the claimant. Just as with the Claim Passenger Property form, timely submission is crucial for the processing of the report. Both documents aim to facilitate communication between the claimant and the organization, ensuring that the lost item can be traced and returned efficiently.

Another document that resembles the Claim Passenger Property form is the Insurance Claim Form. This form is used when individuals seek compensation for lost or damaged items under an insurance policy. Similar to the airline claim form, the Insurance Claim Form requires detailed information about the loss, including item descriptions, values, and circumstances surrounding the incident. Both forms emphasize the importance of submitting supporting documentation, such as receipts or photographs, to substantiate the claim. Timeliness is also a key factor, as insurance companies often have specific deadlines for claim submissions, much like the 45-day limit set by airlines.

The Baggage Claim Form used by various transportation services, including buses and trains, shares characteristics with the Claim Passenger Property form. This form allows passengers to report missing or damaged luggage and initiate a claim for reimbursement or recovery. Both documents require the claimant to provide personal information, travel details, and a description of the lost or damaged items. The Baggage Claim Form also emphasizes the need for timely reporting and the inclusion of relevant documentation, echoing the requirements outlined in the airline claim form.

Additionally, the Property Damage Claim Form is another document that aligns closely with the Claim Passenger Property form. This form is typically used when individuals seek compensation for property that has been damaged due to negligence or accidents. Both forms require a thorough description of the property, the nature of the damage, and any supporting evidence, such as photographs or repair estimates. The emphasis on accurate and complete information is crucial in both cases, as it directly impacts the processing of the claim and the potential for reimbursement.

Lastly, the Customer Feedback Form, while primarily focused on gathering feedback about services, can also be similar to the Claim Passenger Property form in certain contexts. When customers report issues such as lost property, they often fill out a feedback form that includes details about their experience. Both documents require the provision of personal information and specifics about the incident. While the primary goal of a Customer Feedback Form may not be to initiate a claim, it can serve as a tool for documenting customer issues, which may lead to further action, much like the Claim Passenger Property form initiates a recovery process for lost items.

Dos and Don'ts

When filling out the Claim Passenger Property form, consider the following do's and don'ts to ensure your claim is processed smoothly.

  • Do complete all sections of the form accurately.
  • Do include receipts for items valued over $150.
  • Do submit the form within 45 days of your travel date.
  • Do retain copies of all documents you send.
  • Don't forget to itemize each piece of baggage and its contents separately.
  • Don't submit the form without checking for clarity and legibility.

Misconceptions

Misconceptions about the Claim Passenger Property form can lead to confusion and delays in processing claims. Here are four common misunderstandings:

  • All claims must be submitted within 30 days. Many people believe that they have a full month to submit their claims. In reality, the form must be returned within 45 days from the date of travel. Missing this deadline could result in a denial of the claim.
  • Only lost luggage is eligible for claims. Some individuals think that claims can only be made for completely lost bags. However, the form also accommodates claims for missing contents and damaged luggage. It's important to specify the type of claim being made.
  • Submitting the form is enough to guarantee compensation. There is a misconception that merely filling out and submitting the form will ensure reimbursement. In fact, the processing of claims requires additional documentation, such as receipts for valuable items and proof of baggage check. Failing to provide this information may hinder the claim's progress.
  • Claims are only processed if the airline is notified immediately. While it is beneficial to report the loss promptly, some believe that failing to notify the airline within a specific timeframe voids the claim. Although timely notification is encouraged, claims can still be processed if the airline is informed within a reasonable period, even if it exceeds four hours.

Understanding these misconceptions can help ensure a smoother claims process and increase the likelihood of a successful resolution.

Key takeaways

When filling out and using the Claim Passenger Property form, it’s essential to follow specific guidelines to ensure your claim is processed efficiently. Here are key takeaways to keep in mind:

  • Complete All Sections: Make sure every part of the form is filled out accurately. Incomplete forms can lead to delays or denial of your claim.
  • Submit Within 45 Days: Return the completed form within 45 days from your travel date to avoid claim denial.
  • Itemize Multiple Claims: If you are claiming for more than one piece of baggage, list each bag and its contents separately.
  • Gather Required Documentation: Include all necessary receipts, such as airline ticket receipts and baggage claim checks, to support your claim.
  • Retain Damaged Items: If your baggage is damaged, keep all damaged bags and contents until your claim is resolved.
  • Keep Copies: Always retain copies of the documents you submit for your records.
  • Understand Liability Limits: Be aware of the liability limits for lost or damaged baggage, which vary depending on whether your travel is domestic or international.
  • Notify the Airline Promptly: Report any loss to the airline as soon as possible, ideally within four hours of the incident.
  • Provide Accurate Contact Information: Ensure your contact details are correct to facilitate communication regarding your claim.
  • Be Honest and Accurate: Ensure that all information provided is truthful and complete, as false claims can lead to legal consequences.

Following these guidelines will help you navigate the claims process more smoothly and increase the likelihood of a successful resolution.