Flight delay Submission Form – butterworths-solicitors.co.uk

Flight delay Submission Form

- Step 1 of 5

Your Details

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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People in your party that you would like to include in your claim

Number of passengers in your party (including yourself)

Passenger 2 *

First

Last

Passenger 3 *

First

Last

Passenger 4 *

First

Last

Passenger 5 *

First

Last

Passenger 6 *

First

Last

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Flight Information

Date of Flight

Airline *

Flight Number

If you do not have this to hand please put TBC in the box

Departure Airport

Arrival Airport

Do you have a booking confirmation? *

Yes
No
Yes but I cant access it right now

Booking reference number

Upload Your Booking confirmation

Click or drag a file to this area to upload.

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Travel disruption

My flight was, *

Length of delay? *

Reason for Delay *

Reason for cancellation *

Reason for being Denied Boarding *

Have you submitted a claim directly to the airline? *

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Agreement

By 'ticking' this box, you agree for the above information to be submitted to Butterworths solicitors, in order to process your claim and that you have read and agreed to our Privacy Policy.

https://www.butterworths-solicitors.co.uk/privacy-policy/

Terms and Conditions *

By 'ticking' this box you are confirming that you read and agree to our terms and conditions, and for Butterworths Solicitors to work on your case on a 'NO WIN, NO FEE' basis. If your case is successful Butterworths Solicitors will charge 25% of your compensation + a £25 admin charge + VAT (at the current rate of 20%)

https://www.butterworths-solicitors.co.uk/flight-delay-compensation-ec-261-2004/flight-claims-terms-of-business-and-no-win-no-fee-agreement/

Name

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