Eu Complaint Form (Page 2 of 3) in pdf

Eu Complaint Form Page 2

Tick the appropriate box(es) and fill in the following sections:

1. Type of complaint/ incident:

 Denied boarding

 Delay

Duration … hours

 Flight cancellation

 Downgrading

2. Did the airline provide you with information on air passenger rights?

Yes  No

3. Did you receive assistance? Yes  No

 Meals

 Refreshments

 Hotel

 Transfer between hotel and airport

 Communication facilities (tel/ fax/ e-mail)

 Other: ………………………………

4. Were you rerouted?

Yes after….. hours

with which airline or other mode of transport: ………………..

on which flight segments (

)? .........................................

from/to/via

 No

5. Were you refunded?

Yes  for the whole ticket price  part of ticket price

 No

6. Did you receive a financial compensation?

Yes Amount …………€

 No

7. In case of a flight cancellation:

When were you informed about the cancellation?

 at the airport

 1 week before the departure of the flight

 2 weeks before the departure of the flight

 More than 2 weeks before the departure of the flight

What was the reason of the flight cancellation? (if known)………………………

…………………………………………………………………………………….

8. In case of denied boarding:

 The airline asked for volunteers to surrender their seats

 You gave up your seat voluntarily

 You were denied boarding against your will

Eu Complaint Form Page 2