Customer Property Claim Form Page 3
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1
2
3
4Attach Original Baggage
Claim Check(s) HERE
Baggage Report Number # __________________
Description of Property
(All items should be listed separately.)
Male /
Store
Original
Receipt
Article / Item
Female
Description
Color
Material
Brand
Size
Purchase Date
Purchased
Price
Attached?
/ Child
(EXAMPLE)
M
Grey with Blue Stripes
Canvas
Nike
10
Foot Locker
10/15/04
$64.00
Yes
No
Shoes
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Luggage Resolution Department
I
2800 Executive Way, Miramar, FL 33025
I
Customer Property Claim Form v8/14
3
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