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Step 1 from 3

Please accept our apologies for the inconvenience during your recent travel. We kindly ask you to fill the claim form below.

Passenger's personal data

*

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*

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*

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Contact address

*

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*

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*

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*

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*

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*

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Please enter a valid mobile phone number without zero at the beginning.

*

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incorrect email

Are you a Miles & More member ?

*

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*

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*

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Your flight

* format dd.mm.yyyy

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*

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Flight number (e.g. LO281)
* LO

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13 digits beginning with 080 (e.g. 0801231231231)

Booking number (consists of 6 characters e.g. XYZ111)

6 znaków alfanumerycznych (np. XYZ111 )

Step 2 from 3

Baggage details
(np. WAW LO 34567)
*

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*

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*

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Claims applies to:
*
*

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*

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(e.g hard shell, soft shell)
*

the field cannot be blank

(e.g. suitcase, bag, sports bag)
*

the field cannot be blank

Contents of baggage

Item Quantity Color Make/Model Date of purchase Amount of claim Ajouter
+

If your baggage was delayed and you had to purchase essential items

Item Quantity Make/Model Date of purchase Price Ajouter
+
Claims applies to:
*
*

the field cannot be blank

*

the field cannot be blank

(e.g hard shell, soft shell)
*

the field cannot be blank

(e.g. suitcase, bag, sports bag)
*

the field cannot be blank

Contents of baggage

Item Quantity Color Make/Model Date of purchase Amount of claim Ajouter
+

If your baggage was delayed and you had to purchase essential items

Item Quantity Make/Model Date of purchase Price Ajouter
+
Claims applies to:
*
*

the field cannot be blank

*

the field cannot be blank

(e.g hard shell, soft shell)
*

the field cannot be blank

(e.g. suitcase, bag, sports bag)
*

the field cannot be blank

Contents of baggage

Item Quantity Color Make/Model Date of purchase Amount of claim Ajouter
+

If your baggage was delayed and you had to purchase essential items

Item Quantity Make/Model Date of purchase Price Ajouter
+
Claims applies to:
*
*

the field cannot be blank

*

the field cannot be blank

(e.g hard shell, soft shell)
*

the field cannot be blank

(e.g. suitcase, bag, sports bag)
*

the field cannot be blank

Contents of baggage

Item Quantity Color Make/Model Date of purchase Amount of claim Ajouter
+

If your baggage was delayed and you had to purchase essential items

Item Quantity Make/Model Date of purchase Price Ajouter
+

Step 3 from 3

Please attach copies of your travel documents, receipts confirming the value of your claim and any other relevant documents. Keep the originals that may be required at the next stage of the proceeding.

Add attachment

The form allows up to 5 attachments ( maximum of 2 MB per file), in the following formats: jpg, tif, pdf, gif, bmp and png.
Please provide your bank account details ( needed In case of reimbursement )
Account in Poland

incorrect bank account number

Account outside Poland