Travel Insurance Lost Luggage Claim Form
Personal Information
Full Name
Policy Number
Address
Email
Phone Number
Travel Details
Departure Date
Return Date
Flight Number
Airline
Arrival Airport
Date Luggage Lost
Luggage Details
Description of Luggage
Color
Brand
Unique Identifiers / Tags
Estimated Value
Contents of Luggage
Incident Details
Description of Incident
Reported to Airline?
Yes
No
Airline Report Reference Number
Declaration
I declare that the information given is true and complete to the best of my knowledge.