EU FLIGHT QUESTIONNAIRE

Please fill out the following (no obligation) questionnaire. This should take less than ten minutes. Questions marked with an asterisk are mandatory.

Part 1. Personal information:

*Your name:

*Your address:

Your phone number:

*Your email address:

Part 2. Information about your trip:

*:

*Your six-digit confirmation code or your e-ticket number:

*Flight number:

From:

To:

*Scheduled date of departure:

*Was your flight delayed?
yesno
If yes, then by how much? (Please note: To be eligible for , you must have arrived at least 3 HOURS later than scheduled to your final destination.)

*Was your flight canceled?
yesno
If yes, then how many days in advance were you notified of the ? (Please note: To be eligible for compensation, you must have been notified less than 14 DAYS before your scheduled departure.)

If you ended up taking a replacement flight, please enter that flight number and date here.

*Were you denied boarding?
yesno
Was there any reason given for the delay or cancellation? If yes, then what was the reason?

Part 3. Other information

*Did you have a connecting flight?
yesno
If yes, please include the flight number and scheduled date/time here.

*Were you traveling with family members under the same reservation whom you want to include in the compensation claim?
yesno
If yes, please write the names of any adults here:

If yes, please write the names of any children here:

*Have you already filed a complaint with the airline or received compensation?
yesno

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