Blank Delta Property PDF Form

Blank Delta Property PDF Form

The Delta Property Form is a document designed for travelers who have experienced a loss of luggage while flying with Delta Air Lines. This form facilitates the reporting of missing baggage and helps initiate the claims process for recovery. If you find yourself in this unfortunate situation, you can fill out the form by clicking the button below.

The Delta Property form serves as a crucial document for passengers who experience the unfortunate loss of their luggage while traveling with Delta Air Lines. It is designed to facilitate the process of filing a property loss claim, ensuring that travelers can efficiently report their missing bags and seek compensation for their belongings. The form requires essential information, including the passenger's contact details, flight information, and a thorough description of the lost luggage and its contents. Travelers must provide supporting documentation, such as ticket receipts and proof of ownership for valuable items, to substantiate their claims. Notably, Delta emphasizes the importance of submitting the form only after a five-day waiting period, which allows for initial recovery efforts. Additionally, the form outlines the airline's liability limitations and the timeframe within which claims must be submitted. By detailing these requirements, Delta aims to streamline the claims process while ensuring that passengers understand their rights and responsibilities in the event of luggage loss.

Document Sample

PIR# ____________________________________
Mailing Date _____________________________
FOR OFFICIAL USE ONLY

Property Loss Claim Form

5-1078 Rev 12.09

You will likely receive your luggage within 24 hours. In the unlikely event you do not, please contact the airport at which you filed the claim. If after 5 days, you still have not received your luggage, please fill out this form and submit it and all supporting documentation to:

Delta Air Lines. Inc. Customer Care Baggage, P.O. Box 20598 Atlanta, GA 30320-2598

Fax Number: (888) 880-3412

PLEASE DO NOT FILL OUT AND MAIL FORM UNTIL AFTER 5 DAYS HAVE ELAPSED WITHOUT YOUR LUGGAGE.

We are sorry your luggage was not available after your recent flight. Please accept our apology for the inconvenience this caused. Everything possible will be done to locate and return your property to you promptly. Successful tracing and resolution of this claim depends upon prompt completion and return of this form for each bag that is missing along with the following required documents:

- Passenger ticket receipt(s) for each person involved in this loss. - Claim check(s) or claim check receipt for the missing property.

- Purchase receipt(s) or proof of ownership for all items valued at $250.00 (U.S.) or more.

Delta Air Lines, Inc. reserves the right to deny liability if this form is not received, or postmarked, within 21 days from date of loss.

PLEASE TYPE OR PRINT AND MAIL IMMEDIATELY

Name Mr Mrs Miss/Ms

 

Home Phone

(

)

Business Phone

(

)

 

 

Area Code

Area Code

 

 

 

 

 

 

 

 

Home Address

 

Employed By

 

 

 

 

 

 

 

 

 

 

 

City

State

Business Address (City, State, Zip, Country)

 

 

 

 

 

 

 

 

 

 

Zip /Postal Code

Country

Your Email Address

 

 

 

 

 

 

 

 

 

 

Claim Check Number(s)

 

Baggage File Reference number (ex. ABCDL12345)

 

 

 

 

 

 

 

 

Are You a SkyMiles Member? SkyMiles #

SkyMiles Status

Passenger Ticket Number(s)

 

 

 

Yes No

YOUR COMPLETE ITINERARY

From

To

Airline

Flight Number

Date

Number of pieces checked______________________ Number missing_______________ Estimated weight of each missing piece ___________________

Where did you check your luggage Curbside

Airport Counter

Departure Gate

Other

_____________________________________

Was the bag checked under another name? Yes

No

If yes, what name? ____________________________________________________________

Where did you last see your luggage? _________________________________________________________________________________________________

Was Delta notified of loss immediately ?

Yes

No

If yes, which office? _____________________________________________________________

Date______________________ Time_______________________________ In Person

By Telephone

Was loss reported to any other airlines?

Yes

No

If yes, which airline? _____________________________________________________________

If loss not reported immediately, explain reason for delay ________________________________________________________________________________

Did you see your luggage in customs? Yes

No

If no, did you file a claim then?

Yes

No

With Whom? _________________________

Was excess valuation purchased at time of check-in?

Yes

No

If yes, include copy of receipt.

 

Were you charged for extra pieces/excess weight at time of check-in?

Yes

No

If yes, include copy of receipt.

1

DESCRIPTION OF LUGGAGE

Type

Brand

Color

Material

Pockets Zipper Wheels Straps

Combo Lock Purchase

Original

Yes No Yes No Yes No Yes No

Yes No

Date

Cost

 

 

 

 

2

(Continued On Next Page)

FORM NO. 5-1078 12/2009

SUCCESSFUL RECOVERY OF YOUR PROPERTY DEPENDS ON BEING AS ACCURATE AS POSSIBLE IN

DESCRIBING THE CONTENTS BELOW. PLEASE LIST ALL ARTICLES REGARDLESS OF MONETARY VALUE.

NOTE: When more than once piece of luggage is missing, please list contents of each piece separately.

 

 

 

 

 

DESCRIPTION OF CONTENTS

 

 

 

 

 

 

*Gender: M=Male, F=Female, MC=Male Child, FC=Female Child

Age of Child:______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qty

Article

Color

Size

Material

Label Or Brand

Gender*

Store & City

Date

Original Cost

Other Currency

Purchased

Purchased

USD

 

Type Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Shirt

Blue

L

Cotton

ABC

M

 

ACME/Chicago

3/1/1995

30

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If additional space is needed, please attach separate paper with same data as above.

Total Value of Bag & Contents

ADDITIONAL COMMENTS

List name of other persons or companies which may be on documents, papers, etc. Also any initials which may appear on personalized toiletry kits, monogrammed shirts, etc.

Have you or a member of your family or household ever had a previous baggage property loss or claim with Delta Air Lines or any other airline? Yes No

If yes, please provide airline(s), name(s), and date(s). ___________________________________________________________________________________________________

It is expressly understood and agreed that the furnishing of this proof of loss form by Delta Air Lines, Inc., or assistance in making of the proof of loss is not a waiver of any rights or admission of liability by said Company and any other information and other documents required by said Company shall be furnished on request and considered a part of these proofs. The acceptance of this document shall not be deemed to be a waiver of any defenses of the Company.

The Claimant expressly understands and agrees that he/she is required to immediately inform Delta Air Lines in writing, in the event all or part of the property which is subject matter of this claim is delivered to Claimant from a source other than Delta, its agents, or employees.

The United States Post Office Department has investigative jurisdiction under federal laws relating to sending false or fraudulent claims through United States mails, any such claims received by Delta Air Lines are reported to the United States postal authorities. Loss of luggage involving interstate shipment or articles from such luggage due to theft come within the purview of federal statues and, therefore, are subject to investigation by the Federal Bureau of Investigation.

I do hereby warrant this statement and those on the accompanying form(s) to be accurate, complete and true, and, I hereby make a claim against Delta Air Lines in

the amount of $_____________________________________ for the loss occurring on ______________________________________ 20______________

Claimant Signature_________________________________________________________________________________________________ Date ____________________________

Witness Signature _________________________________________________________________________________________________ Date ____________________________

Please be assured that if your property is located, you will be contacted promptly. Should we be unable to locate your property, please allow 6-8 weeks from mailing

date for processing.

Delta is not liable for loss of money, jewelry, computer/computer equipment, cameras, VCR’s, electronic/video or photographic equipment, negotiable papers or securities, heirlooms, antiques, artifacts, works of art, silverware, irreplaceable books or publications/manuscripts/business documents, precious metals, and other similar valuables or commercial effects. Please note that itineraries traveled internationally are governed by the Montreal Convention and are not subject to the domestic tariff.

RETAIN A COPY OF ALL DOCUMENTS (e.g., CLAIM FORM AND RECEIPTS). MAIL THE ORIGINAL DOCUMENTS

WITHIN 21 DAYS FROM THE DATE OF LOSS TO THE ADDRESS AT THE TOP OF THE FIRST PAGE.

File Specifics

Fact Name Details
PIR Number Each claim must include a unique Property Irregularity Report (PIR) number.
Mailing Address Submit the completed form to Delta Air Lines, Inc. Customer Care Baggage, P.O. Box 20598, Atlanta, GA 30320-2598.
Required Documents Include passenger ticket receipts, claim check receipts, and purchase receipts for items valued over $250.
Submission Deadline The form must be postmarked within 21 days from the date of loss.
International Claims Claims for international travel are governed by the Montreal Convention.
Liability Exclusions Delta is not liable for loss of valuables such as money, jewelry, or electronics.

How to Use Delta Property

Completing the Delta Property form is an important step in addressing your luggage loss. After filling out the form, you will need to submit it along with the required supporting documents to Delta Air Lines. This process is crucial to ensure that your claim is processed efficiently and effectively.

  1. Begin by entering your PIR# and the mailing date at the top of the form.
  2. Fill in your personal details, including your name, home phone number, business phone number, and email address.
  3. Provide your home address and business address, including city, state, zip code, and country.
  4. Indicate whether you are a SkyMiles member and provide your SkyMiles number and status.
  5. Complete your travel itinerary, including the departure and arrival locations, airline, flight number, and date of travel.
  6. Detail the number of checked bags, how many are missing, and the estimated weight of each missing piece.
  7. Specify where you checked your luggage (curbside, airport counter, etc.) and whether it was checked under another name.
  8. State where you last saw your luggage and if Delta was notified of the loss immediately.
  9. Indicate if the loss was reported to any other airlines and provide the name of the airline if applicable.
  10. Answer questions regarding whether you saw your luggage in customs and if you filed a claim there.
  11. Provide a description of your luggage, including type, brand, color, material, and other features.
  12. List all contents of the missing luggage, including their description, quantity, color, size, and original cost.
  13. Include any additional comments or details that may assist in processing your claim.
  14. Sign and date the form, and ensure a witness signature is included if required.
  15. Make copies of all documents for your records before mailing the original documents.
  16. Mail the completed form and all supporting documents within 21 days from the date of loss to the address provided at the top of the form.

Your Questions, Answered

What should I do if my luggage is missing?

If your luggage is missing, first check with the airport where you filed the claim. You will likely receive your luggage within 24 hours. If you do not receive it after 5 days, fill out the Delta Property form and submit it along with all required documents. Send the completed form to Delta Air Lines Customer Care Baggage at the address provided on the form.

What documents do I need to submit with the Delta Property form?

To successfully process your claim, you need to include the following documents:

  1. Passenger ticket receipt(s) for each person involved in the loss.
  2. Claim check(s) or claim check receipt for the missing property.
  3. Purchase receipt(s) or proof of ownership for all items valued at $250.00 or more.

Make sure to keep copies of all documents for your records.

How long do I have to submit the Delta Property form?

You must submit the Delta Property form within 21 days from the date of loss. If the form is not received or postmarked within this time frame, Delta Air Lines reserves the right to deny liability. It’s important to act quickly to ensure your claim is processed.

What happens after I submit my claim?

After you submit your claim, Delta Air Lines will work to locate your property. If your luggage is found, you will be contacted promptly. If it is not located, please allow 6-8 weeks for processing your claim. Remember, Delta is not liable for certain items, such as money, jewelry, and electronics, so be aware of what can be claimed.

Common mistakes

  1. Inaccurate Personal Information: Failing to provide correct personal details, such as name, address, and contact numbers, can delay the processing of your claim. Ensure all information is accurate and up-to-date.

  2. Missing Required Documentation: Not including essential documents like passenger ticket receipts or claim checks can result in a denied claim. Double-check that all required paperwork is attached before submission.

  3. Late Submission: Submitting the form after the 21-day deadline from the date of loss may lead to denial of liability. It is crucial to mail the completed form promptly.

  4. Incomplete Itinerary Details: Omitting flight details, such as the airline, flight number, or date, can hinder the claims process. Provide a complete itinerary for each leg of your journey.

  5. Failure to Describe Contents Accurately: Providing vague or incomplete descriptions of the lost items may complicate the claims process. List all items clearly, including their value and purchase details.

  6. Not Following Instructions: Ignoring specific instructions, such as waiting five days before filing a claim, can lead to unnecessary complications. Adhere to all guidelines outlined in the form.

Documents used along the form

The Delta Property form is essential for filing a claim regarding lost luggage with Delta Air Lines. However, several other documents accompany this form to support the claim and ensure a smooth processing experience. Below is a list of these documents, each explained briefly to clarify their importance in the claims process.

  • Passenger Ticket Receipt: This document serves as proof of the ticket purchased for the flight. It includes details such as the passenger's name, flight number, and travel dates, confirming that the individual was indeed a passenger on the flight in question.
  • Claim Check Receipt: When luggage is checked in at the airport, a claim check is issued. This receipt is crucial as it identifies the specific bag that is missing, linking the claim to the checked luggage.
  • Purchase Receipts: For any items valued at $250 or more that were in the lost luggage, purchase receipts are necessary. They provide proof of ownership and help substantiate the claim's value.
  • Baggage File Reference Number: This number is assigned by Delta Air Lines when the claim is reported. It helps track the status of the claim and is essential for any follow-up communications.
  • SkyMiles Membership Information: If the claimant is a member of Delta's SkyMiles program, providing this information may assist in the claims process. It can also impact the claim's resolution based on the member's status.
  • Documentation of Previous Claims: If the claimant has a history of baggage loss claims, this information may be relevant. It helps Delta understand any patterns and could influence the claim's handling.

In conclusion, gathering these documents along with the Delta Property form can significantly enhance the chances of a successful claim. Each piece of documentation plays a vital role in verifying the claim and expediting the recovery process for lost luggage.

Similar forms

The Delta Property form shares similarities with the baggage claim form used by many airlines. Like the Delta form, this document is designed to help travelers report lost luggage. It typically requires the passenger to provide personal information, details about the flight, and specifics about the missing baggage. Both forms emphasize the importance of submitting the claim promptly and often include a list of required documentation, such as ticket receipts and proof of ownership. This ensures that the airline can efficiently process the claim and work towards locating the lost items.

Another document that resembles the Delta Property form is the insurance claim form for lost personal property. This form is used to report items that have been lost or damaged and typically requires detailed descriptions of the items, their value, and any relevant receipts. Much like the Delta form, it often necessitates the submission of supporting documents to validate the claim. Both forms aim to facilitate a smooth claims process, ensuring that the claimant provides all necessary information to expedite resolution.

The lost item report form used by hotels is also similar to the Delta Property form. When guests misplace belongings during their stay, they can fill out this report to notify hotel staff. Similar to the Delta form, it collects personal details, a description of the lost item, and the circumstances surrounding the loss. Both forms serve as official documentation to track and recover lost property, highlighting the importance of accurate and timely reporting.

The police report for lost property bears resemblance to the Delta Property form as well. When individuals report stolen or lost items, they fill out a police report that details the circumstances of the loss. This document requires a thorough description of the lost item, much like the Delta form, which asks for specifics about the luggage and its contents. Both forms are essential for initiating investigations and can be used as supporting documentation for insurance claims or other recovery processes.

Lastly, the warranty claim form for lost or damaged goods is akin to the Delta Property form. When consumers seek to claim warranty services, they often need to provide details about the product, purchase date, and any supporting documentation, such as receipts. This mirrors the Delta form's requirement for proof of ownership and purchase receipts for lost luggage. Both forms aim to ensure that the claimant provides sufficient information for a successful resolution of their claim.

Dos and Don'ts

When filling out the Delta Property form, it's essential to follow specific guidelines to ensure your claim is processed smoothly. Here’s a list of what you should and shouldn't do:

  • Do fill out the form only after 5 days have passed without receiving your luggage.
  • Do include all required documentation, such as passenger ticket receipts and claim checks.
  • Do provide accurate and detailed descriptions of your luggage and its contents.
  • Do keep a copy of all documents you submit for your records.
  • Do submit the form within 21 days from the date of loss.
  • Don't forget to sign the claim form before sending it.
  • Don't include any items that Delta is not liable for, such as money or jewelry.

Following these steps will help facilitate the processing of your claim and increase the likelihood of a successful recovery of your property.

Misconceptions

  • Misconception 1: You should fill out the Delta Property form immediately after losing your luggage.
  • Many travelers believe they should fill out the claim form as soon as they notice their luggage is missing. However, the form should only be completed after a waiting period of five days. Delta encourages passengers to first allow some time for their luggage to be located and returned.

  • Misconception 2: All items lost in luggage are covered under Delta's liability.
  • It is a common misconception that Delta is responsible for all lost items. In fact, certain valuable items, such as money, jewelry, and electronics, are explicitly excluded from liability. Understanding what is covered is essential to avoid disappointment during the claims process.

  • Misconception 3: You can submit the claim form anytime within 21 days.
  • While it is true that you have 21 days to submit the form, it must be postmarked within that timeframe from the date of loss. Failing to meet this deadline can result in denial of your claim, which is why prompt action is crucial.

  • Misconception 4: You do not need to provide proof of ownership for all items.
  • Some travelers think they can claim items without providing any documentation. However, for items valued at $250 or more, proof of ownership is required. This can include receipts or other documentation. Providing accurate information helps in the successful resolution of the claim.

Key takeaways

When filling out and using the Delta Property form, consider the following key takeaways:

  • Wait for 5 Days: Do not fill out and mail the form until at least 5 days have passed without receiving your luggage.
  • Submit Required Documents: Include all necessary supporting documents, such as passenger ticket receipts and claim check receipts.
  • Timely Submission: Ensure the form is postmarked within 21 days from the date of loss to avoid denial of liability.
  • Accurate Information: Provide detailed and accurate descriptions of your luggage and its contents to aid in the recovery process.
  • Keep Copies: Retain copies of all documents submitted, including the claim form and receipts, for your records.
  • Contact Information: Ensure your contact information is complete and accurate to facilitate communication regarding your claim.