Eu Complaint Form Page 3

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9. A complaint has already been lodged with:
 the airline
 a consumer protection body: …………………………………….
 other private or public institution: ……………………………….
10. Redress sought by the passenger:
 Financial compensation
 Reimbursement of expenses in lack of assistance
 Other……………………………………………………………..
Additional explanations or remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
List of supporting documents:
(
Enclosures of confirmed ticket/ reservation, receipt copies of additional expenses if claiming
reimbursement of extra costs, airline reply and/or reply from a consumer body/or other complaint
body that has reviewed this complaint, etc.)
1. …………………………………….
2 ……………………………………..
3. …………………………………….
4. …………………………………….
5. …………………………………….
! Please sign and send your complaint form to the airline and/or to the competent national
enforcement body! It is recommended that this form be sent by registered mail (a copy
should be kept).
"I, the undersigned, passenger (name) ………..…………..., authorise the national body
responsible for applying Regulation [EC] 261/2004 to act in my name, as far as its powers
permit, in dealings with the above-mentioned airline, and to have access to the personal data
relating to me which are kept by that airline"
Done at (place)__________________________
On (date)________________________
Signature:
A list of designated enforcement bodies and more information about EU passenger rights can be found at
the following webpage of the European Commission:
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