Case Number

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Contact Information

Customer Information

Flight Information (if applicable)

Additional Customers (if applicable)

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Is your issue related to travel on flights in the range of our 3000 – 3999 series?

  • Yes
  • No

Do you need a letter for your insurance?

  • Yes
  • No


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Please provide additional information

Please upload all the relevant documentation with your request so it can be processed.
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We are unable to accept Word documents. Please consider sending PDF files instead.