[PDF] INTERIM EXPENSES - Air Canada PDF interimExpenses

disbursements will be deducted from the final settlement if the bag is not located Please complete and submit the Interim Expense Claim form which will serve

Eligible active and retired members of the Canadian and U S military are now entitled to check up to three pieces of checked baggage, each weighing up to 32

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Carrier does not agree to carry fragile items as checked baggage, or when otherwise placed in the care of the carrier, unless they are suitably and adequately

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do not apply; animal is not considered part of the checked baggage allowance A maximum of two dogs, or two cats, of comparable size up to 14kg each, that are

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If you are missing several pieces of baggage, please complete a separate list for each missing bag PLEASE INCLUDE ALL AIRLINE TICKETS, BAGGAGE CLAIM

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26 fév 2021 · “Baggage Check” means those portions of the ticket which provide for the carriage of passenger's checked baggage and which are issued by

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“Baggage Check” means those portions of the ticket which provide for the carriage of passenger's checked baggage and which are issued by carrier as a receipt

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International Departures Gate area through the connecting corridor, located near the C Gates access point Your checked baggage will be delivered to your final

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Pre-clear U S Customs with your checked baggage Drop off checked baggage at the U S A and Connection Baggage belt Proceed through Passenger

[PDF] INTERIM EXPENSES - Air Canada

disbursements will be deducted from the final settlement if the bag is not located Please complete and submit the Interim Expense Claim form which will serve

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Upgrades to Air Canada Signature Class, Business Class, Premium Rouge and Premium Economy • Complimentary checked baggage allowance

Interim Expense Claim Form

Air Canada requires that receipts be submitted for all reasonable expense reimbursements incurred for clothing and toiletries, due to the delay of your bag(s). Any disbursements will be deducted from the final settlement if the bag is not located. Please complete and submit the Interim Expense Claim form which will serve for the reimbursement of incidental expenses. You may scan all receipts and completed forms as an attachment at the end of the online webform in the below link or submit originals for consideration of reimbursement to the following address.

Air Canada Baggage Claims

Air Canada ZIP 1116

P.O. Box 8000, station Airport

Dorval, Quebec

H4Y 1C3

Thank You.

INTERIM EXPENSE CLAIM FORM

Baggage Tracing Number : (ex. YULAC12345)

I, Mr. / Mrs. / Ms.

(Family Name/s) ( Given Name/s) (Name as indicated on Passport if different from above)

do solemnly declare that on the _________day of ____________ year ____________ I checked baggage belonging to

____________________________________________ which was delayed by the airline(s) and for which this interim

expense claim is made.

COMPLETE ITNERARY

From To Airline Flight Number Full Date

COMPLETE ITNERARY

1.Num ber of persons travelling together: Infants (under 2 years) ___

Ticket numbers __________________________________________________________________________________

2.To tal number of bags checked ___________________________________________________________________

3.Cl aim check or tag numbers_____________________________________________________________________

4.Were you charged for Additional Checked Bagage? Amount paid ________________ (Attach

receipt)

5.Did you declare "excess valuation" and purchase additional coverage?_ Value declared___________

Amount paid __________________________(Attach receipt)

6.Was there a name, address or any other identification on the bag(s)? (i.e. tags, stickers, ribbons)

7.Was the loss reported? Time Date _

By phone or in person? _________ To which airline? ____________________________________ If the missing baggage was not reported immediately upon arrival, state the reason for the delay

Are you pursuing this claim with another carrier? _______________________Carrier?_______________________

8.Was your baggage rerouted or rechecked en-route? Where? _____________________

Why? _______________________________________________________________________________________ By which airline? _______________________________________ New tag numbers __________________________

9.Was the baggage for which this claim is being made, cleared through Customs? ____________________________

If so, where?________________ Were the contents inspected? ______________________________________________

After clearance, where was the baggage placed? ____________________By whom? _________________________________

10.Do you have any insurance covering the delayed items? _____________________________________________

Name / Address of insurance company _______________________________________________________________ Will you be claiming from them? ____________________________________________________________________

11.Other relevant information or comments _________________________________________________________

PLEASE ATTACH A PHOTOCOPY OF A SIGNED PHOTO IDENTIFICATION (MANDATORY) Frequent Flyer ID : ___________________________________ Date of Birth : _____________________________________ (Optional) yy/mm/dd

Residence Address :

Residence Tel: ()___

Cell: ()________________________________

E-Mail : _____________________________________________________________________

Company Name :

Business Address :

Business Tel.:

Any prior address (within past 2 years):

Prior Tel.:

Have you or any member of your household ever had a previous claim with Air

Canada or any

other airline? YES NO If yes, give name of carrier _______________________ and date _________________________________ 3 For the purpose of tracing your baggage as well as processing and verifying your claim, it is sometimes necessary to disclose personal information that you have provided us relating to your claim into a baggage tracing and/or claims database, which is accessible to other participating airlines and handling agencies. By signing the declaration below you consent to this disclosure. I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath. I understand this declaration may be subject to review and investigation and I hereby give Air Canada the authority to require from anyone any documents or stat ements in relation to this declaration. According to section 131 and 132 of the Criminal Code, any person who makes a solemn declaration knowing that the declaration is false, is guilty of an indictable offense and may be liable for imprisonment for a term not exceeding fourteen years. Similar laws are applicable in other countries. I also understand that Air Canada may disallow any claim for loss, which contains misrepresentations, including false statements concerning whether or not previous claims have been made with Air Canada or other carriers. Claimant's Signature ________________________________________ Date: __________________

LIST OF ITEMS CLAIMED AS INTERIM EXPENSES

Please ensure that you provide a complete list of all items purchased as interim expenses while you were not in possession of your bag and attach all original purchase receipts QTY

Article

Size , Color,

Brand,

Manufacturer,

Serial Num ber (s )

etc. Male

Female

Infant

(M/F/I)

Date of

Purchase

City/St ore

Where purchased

Original

Purchase Price

TOTAL AMOUNT CLAIMED If possible, show in Canadian or US Dollars. (If applicable, show rate of exchange) $___________________quotesdbs_dbs9.pdfusesText_15

[PDF] [PDF] INTERIM EXPENSES - Air Canada

Interim Expense Claim Form

Air Canada Baggage Claims

Air Canada ZIP 1116

P.O. Box 8000, station Airport

Dorval, Quebec

H4Y 1C3

Thank You.

INTERIM EXPENSE CLAIM FORM

Baggage Tracing Number : (ex. YULAC12345)

I, Mr. / Mrs. / Ms.

COMPLETE ITNERARY

From To Airline Flight Number Full Date

COMPLETE ITNERARY

1.Num ber of persons travelling together:__________________ Infants (under 2 years) _____________________

2.To tal number of bags checked ___________________________________________________________________

3.Cl aim check or tag numbers_____________________________________________________________________

4.Were you charged for Additional Checked Bagage?________ Amount paid ________________________ (Attach

5.Did you declare "excess valuation" and purchase additional coverage?_____ Value declared_______________

6.Was there a name, address or any other identification on the bag(s)? (i.e. tags, stickers, ribbons)

7.Was the loss reported? ______________Time ______________Date _____________

8.Was your baggage rerouted or rechecked en-route? __________ Where? _______________________________

9.Was the baggage for which this claim is being made, cleared through Customs? ____________________________

10.Do you have any insurance covering the delayed items? _____________________________________________

11.Other relevant information or comments _________________________________________________________

Residence Address :

Residence Tel: (____)_________________ __________

Cell: (____)____________________________________

Company Name :

Business Address :

Business Tel.:

Any prior address (within past 2 years):

Prior Tel.:

Canada or any

LIST OF ITEMS CLAIMED AS INTERIM EXPENSES

Article

Size , Color,

Brand,

Manufacturer,

Serial Num ber (s )

Female

Infant

Date of

Purchase

City/St ore

Original

Purchase Price

1.Num ber of persons travelling together: Infants (under 2 years) ___

4.Were you charged for Additional Checked Bagage? Amount paid ________________ (Attach

5.Did you declare "excess valuation" and purchase additional coverage?_ Value declared___________

7.Was the loss reported? Time Date _

8.Was your baggage rerouted or rechecked en-route? Where? _____________________

Residence Tel: ()___

Cell: ()________________________________