Customer Property Claim Form Page 2
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4Attach Original Baggage
Claim Check(s) HERE
Baggage Report Number # __________________
Missing Luggage
Missing Contents
Damage
Interim Expenses
CUSTOMER PROPERTY CLAIM FORM
Name:
First
Middle Initial
Last
Confirmation Code
Street Address:
Missing/Damaged Baggage Claim check number/s
Ticket Counter Gate Other _____
City:
State:
Zip:
Where did you check your bag/item?
If less than one year at above address, list previous address
No. of Checked Bags:
No. of Bags Received:
No. of Bags Missing:
Home Phone:
Cell Phone:
Baggage was last seen at:
Did you pass through customs?
Yes
No
(
)
(
)
Occupation:
Employer:
City on tag that baggage was checked to:
Checked on (Airline/Flight No.):
Customer’s final destination:
Business Address:
Was baggage seen there?
Yes
No
City:
State:
Zip:
Was baggage rerouted or rechecked?
If yes, city/airline that rerouted:
Yes
No
Business Phone:
Email Address:
Social Security Number:
Passport Number:
Issuing Country:
GENERAL BAGGAGE INFORMATION
Yes
No
If necessary, will you provide written authorization for Spirit to inspect all related customs documents?
Yes
No
Have you or members of your household ever filed a previous baggage claim(s) with Spirit Airlines?
If yes, date(s) filed:
If yes, was claim(s) for lost baggage, missing contents, or damage?
Yes
No
Have you or members of your household ever filed a claim(s) with any other airline?
If yes, state airline and date of loss:
Male
Female
Child
Contents of the current missing or damaged baggage are for:
Yes
No
Do you have private insurance or credit card coverage for this loss?
If yes, company and address:
Provide details if original passenger routing was changed after beginning trip:
Yes
No
Was Spirit notified of loss / damage immediately?
If yes, in what city’s baggage office? _________ Date:______ Time:______
If Spirit was not notified, state reason for delay:
Yes
No
Has the loss / damage been reported to any other airline?
If yes, to what airline?
Yes
No
Was the loss reported to the police?
If yes, with what police department?
Report number:
Date filed:
Phone number:
DESCRIPTION OF PROPERTY
Type of Item
Descriptive Elements
Color
Brand Name
Exterior Identification
Purchase Date (Mo/Yr)
Purchase Price
Lock
Retractable Handle
Wheels
Zippers
Straps
Pockets
FLIGHT INFORMATION
Date
From
To
Flight #
Airline
Luggage Resolution Department
I
2800 Executive Way, Miramar, FL 33025
I
Customer Property Claim Form v8/14
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