International Flight Delay Insurance Claim Form
Personal Details
Full Name
Date of Birth
Passport Number
Nationality
Contact Number
Email Address
Flight Details
Flight Number
Airline
Scheduled Departure Date
Scheduled Departure Time
Departure Airport
Destination Airport
Delay Information
Total Delay Duration (hh:mm)
Reason for Delay (if known)
Description of Delay Experience
Bank Details (for Claim Payment)
Bank Name
Account Number/IBAN
Account Holder Name