United Airlines Claim PDF Details

Before filling out this UA luggage claim form, there are several things you should be aware of:

1. You need to complete and return this claim form as quickly as possible, because United Airlines' ability to locate your lost property is largely dependent on the information you provide. If you do not return the form within 45 days, the airline is no longer responsible for your claim.

2. In addition to this form, you should also provide your copy of the flight ticket or ticket receipt, original proof of purchase for items valued at $100 USD or more, your baggage claim checks, and possibly other documents, such as an excess value receipt if you declared a value above the standard liability limit at check-in.

3. Once you have completed the form, you need to mail or fax it to United Airlines' Baggage Resolution Service Center in Houston, Texas.

QuestionAnswer
Form NameUnited Airlines Customer Property Claim Form
Form Length3 pages
Fillable?Yes
Fillable fields212
Avg. time to fill out21 min 36 sec
Other namesunited airlines reimbursement form, claim united, how to united airline claim, united airlines reimbursement claim form

Form Preview Example

Customer Property Claim Form

UNITED ■.

Please accept our sincere apologies for the inconvenience you have been caused by the delay of your checked property. To assist us with your claim, please complete and return this form.

While our efforts to locate your property continue, it is of the utmost importance to promptly complete this claim form and return it to us as soon as possible. The most intensive phase of tracing is based on the information provided on this claim form. In the event you fail to return the completed claim form within 45 days, no action shall lie against United Airlines. The claim form should be completed in its entirety with a detailed description of each individual item contained within the bag(s), or the items missing from the baggage, including signatures from all persons impacted. If your claim involves more than one bag, please itemize each bag and its contents separately. The accuracy of the information you provide enhances our ability to locate your property through our tracing efforts. Failure to include requested information may affect the processing of your claim.

In addition, please include the following items in addition to this signed form to assist in processing your claim:

Customer copy of the light ticket, or ticket receipt

Original proof of purchase for items valued at $100 USD or higher

Baggage claim checks

Excess value receipt, if excess value was declared at check in

For interim expense reimbursement, receipts are required for all items purchased

European customers, please include bank name and address, account name and ABA/Chips number

Clear and legible copy of driver’s license or other government issued photo ID for each person on claim.

Important: Please retain copies of all documents you send to us, for your records.

Notice of Baggage Liability Limits

For domestic travel between points within the United States (except for domestic portions of interna- tional journeys), United’s liability for loss of, damage to, or delay in delivery of a passenger’s checked baggage is limited to $3,300 per ticketed passenger, unless a higher value is declared in advance and appropriate charges are paid. In accordance with 14 CFR Part 382, the above limit of liability does not apply for loss, damage or delay of wheelchairs or other assistive devices. Excess value may not be declared on certain types of articles. United assumes no liability for high value, fragile, or perishable items carried in connection with domestic travel. For a complete list of excluded items, see the terms in our Contract of Carriage or at our website, united.com.

For international travel to which the Warsaw Convention applies, liability for loss, delay, or damage to baggage is limited to $20 per kilogram (approximately $9.07 per pound) up to $640, and $400 per passenger for unchecked baggage.

For international travel to which the Montreal Convention applies, liability for loss, delay, or damage is limited to 1,131 SDR per passenger for baggage, whether checked or unchecked. Exchange rates are available at www.IMF.org.

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Customer Property Claim Form

UNITED ■.

Personal and light information, please type or print legibly

 

 

 

 

Type of Claim:

Damage

Interim

Loss

 

Pilferage

 

 

 

 

File reference number

 

 

 

 

 

 

Baggage Claim Check Nos.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Last

 

First

MI

 

 

 

Home Phone

 

Business Phone

 

Mr.

 

 

 

 

 

 

 

 

 

 

Area Code

 

Areas Code

 

Mrs.

 

 

 

 

 

 

 

 

 

 

(

)

 

(

)

 

Miss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

 

 

 

 

 

 

 

 

 

Occupation

 

Employed By

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

Business Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State/Province

 

 

 

E-Mail Address

 

 

 

 

 

City/State/Province

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

 

Zip/Postal Code

 

 

 

 

 

 

Country

 

 

 

Zip/Postal Code

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Bags Checked

 

Total Bags Lost

Number of Passengers

 

 

MileagePlus or Frequent Flyer

 

When and where

 

 

 

 

 

 

 

 

Travelling

 

 

 

Number/Airline

 

Was your bag last seen?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Excess Bag Yes

 

Did you declare and

Yes

 

 

 

Where did you check your baggage?

 

 

 

 

Fee Paid?

 

pay for higher value?

Value: $__________

 

Ticket Counter________ Curbside_______ Other_________

 

No

 

 

 

 

 

 

No

 

 

 

 

Was your bag(s)

 

Yes

 

 

If yes, were you

Yes

 

 

City and Airline who handled

 

Reason for Reroute

 

rerouted or

 

 

 

 

given a different

 

 

 

rerouting

 

 

 

 

rechecked enroute?

 

No

 

 

claim check?

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you attempt to

 

Yes

 

 

 

At what UA office did you report

 

Has loss been reported to another airline?

 

 

claim baggage as

 

 

 

 

 

your loss?

 

 

 

Yes

 

No

 

 

 

 

soon as you arrived?

 

No

 

 

 

 

 

 

 

If yes, please give airline and city where reported:

 

 

 

 

 

 

 

 

 

Have you or members of your household ever filed a claim before

 

Yes

 

If yes, Airline(s)__________________________________

 

this one with any airline(s) for baggage loss, damage, or pilferage?

 

No

 

Date(s)__________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete itinerary

From

To

Airline

Flight #

Date

Certiication and understanding

The United States Post Ofice has investigative jurisdiction under federal laws relating to sending false or fraudulent claims through the United States mails. Any such claims received by United Airlines are reported to US Postal authorities.

I do hereby promise the foregoing statement and those on all accompanying forms and supporting documents to be accurate, complete, true and I hereby make a claim against United Airlines in the

amount of $

 

for loss occurring on

 

, 20

 

.

 

Requires signature of each customer claiming lost property.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer Signature

 

 

Date

Customer Signature

 

 

 

Date

 

 

 

 

 

 

 

 

 

Customer Signature

 

 

Date

Customer Signature

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

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Customer Property Claim Form

Baggage description and contents listing

UNITED ■.

List contents separately if more than one

Type of Bag

Color of Bag

Manufacturer

Date Purchased

Original Cost

bag

I

I

I

I

 

 

 

Initials, Marks, Labels, or other Exterior Identification. List name of any person(s) which may be on documents, papers, etc.

Description of contents: If claim is for more than 1 customer, please indicate ownership of items. Gender: M= Male, F= Female, CH=Child, INF= infant (0-3 yrs.)

Qty Article/Item Size

Gender

Description, Color, Material, Brand Label

Where

Date

Original

 

M, F, CH, INF

 

Purchased

Purchased

Cost

If additional space is needed, please attach separate paper with same data as above

Total value of bag and

contents

Include the following items with your claim

Passenger ticket receipts for each person involved in this loss

Baggage claim checks

Excess value receipt, if applicable

Interim Expense Reimbursement receipts

Copy of driver’s license or other government issued photo ID for each person in the claim Include original proof of purchase for items valued at $100 or higher

Mail or fax to: United Airlines, Inc.

Baggage Resolution Service Center 611 Lockhaven Drive

Houston, TX 77073 Phone 1-800-335-2247

Local 1-281-821-3526 Fax 1-281-553-1484

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How to Edit United Airlines Customer Property Claim Form Online for Free

The PDF editor that you can go with was developed by our number one web developers. You may create the united airlines reimbursement claim form document immediately and conveniently with this app. Simply comply with this instruction to get started.

Step 1: Choose the button "Get Form Here" on this site and press it.

Step 2: The form editing page is currently available. It's possible to add text or update present details.

To be able to complete the document, type in the data the program will ask you to for each of the next sections:

stage 1 to filling out claim united

Note the details in Excess Bag Yes Yes Fee Paid Excess, Did you declare and Yes Yes pay, At what UA office did you report, Yes Yes No No, Where did you check your baggage, Has loss been reported to another, If yes Airlines Dates If yes, Complete itinerary From From, To To, Flight Flight, Date Date, Yes Yes No No Complete Itinerary, Certiication and understanding, Certification and Understanding, and I do hereby promise the foregoing.

step 2 to completing claim united

Put down the vital information while you're on the Customer Signature, Date, Customer Signature, and Date part.

Completing claim united stage 3

The List contents separately if more, Type of Bag, Color of Bag, Manufacturer, Date Purchased, Original Cost, Initials Marks Labels or other, Description Color Material Brand, Size, Where Purchased, Date Purchased, Original Cost, and Gender M F CH INF box will be your place to place the rights and obligations of each party.

stage 4 to completing claim united

Look at the sections If additional space is needed, Include the following items with, Include the following items with, Reminders, Total value of bag and contents, Passenger ticket receipts for, Baggage claim checks, Passenger ticket receipts for each, Excess value receipt if applicable, Interim Expense Reimbursement, Copy of drivers license or other, Include original proof of purchase, Mail or fax to, United Airlines Inc, and Baggage Resolution Service Center and next fill them in.

claim united If additional space is needed, Include the following items with, Include the following items with, Reminders, Total value of bag and contents, Passenger ticket receipts for, Baggage claim checks, Passenger ticket receipts for each, Excess value receipt if applicable, Interim Expense Reimbursement, Copy of drivers license or other, Include original proof of purchase, Mail or fax to, United Airlines Inc, and Baggage Resolution Service Center fields to fill

Step 3: Hit the "Done" button. Finally, you can export the PDF document - upload it to your electronic device or send it through email.

Step 4: Come up with a copy of each form. It will save you some time and permit you to prevent issues later on. Keep in mind, the information you have is not shared or viewed by us.

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