Flight Route
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TO or FROM EUROPE or UK
TO or FROM ISRAEL
Reason for claim?
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DELAYED
CANCELLED
OVERBOOKED
MISSED CONNECTION
What was the total delay
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Less than 3 hours (NOT ELIGIBLE)
3 - 8 hours (To or From EU/UK only)
More than 8 hours (To or From Israel/EU/UK)
Reason for delay
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Not Sure
Technical Issues
Other airline related issue
Strike (Not Eligible)
Weather (Not Eligible)
When did the airline notify you of the above issue?
*
On day of flight
2 - 7 days before the flight
7 - 14 days before the flight
More than 14 days before the flight (not eligible)
If applicable, tick any of the following that you were offered from the airline
Hotel Accomodation
Refreshments
Transport
Flight Voucher
Cash
Other
Airline
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Aegian Airlines
Air Berlin
Air Canada
Air France
Air Ukraine
Alitalia
American Airlines
Arkia Airlines
Austrian Airways
British Airways
Delta Airlines
EasyJet
Ethiopian Airlines
ELAL
Emirates
Finnair
Iberia
Jet2
KLM
LOT
Monarch Airlines
Norwegian
Ryan Air
SAA
Swiss Air
Thomas Cook Airlines
Turkish Airlines
United Airlines
Virgin Atlantic
Wow Airlines
For code-share, must be the OPERATING AIRLINE
Flight Number
*
(Eg: BA 1452)
Departure Airport
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Arrival Airport
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Date and Time of Flight (Scheduled)
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Day
-
Month
Year
Date
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
Date and Time of Flight (Actual)
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-
Day
-
Month
Year
Date
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
Booking Reference
*
E-Ticket Number/s
*
If more than 1 passenger, please use comma between
PERSONAL DETAILS
Number of Passengers
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1
2
3
4
5
6
7
8
9
Primary Passenger Name
*
Title
Name
Surname
Other Passenger Full Names
E-mail
*
Contact Number
*
-
Country Code
-
Area
Number
Agent
How did you hear about us?
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