Baggage Claim

 
Personal Information
Given name(s) Last name(s)
Full Name:*
Contact telephone:
Address of residence:*
Temporary address:
E-mail address:*
Alternate e-mail address:
Frequent flyer status:
Frequent flyer #:
Flight information:
 
Reservation code :
Date of flight:*
Flight #:
City of origin:*
City of destination:*
Did you travel with another airline?*
Airline:*
City of origin:*
City of destination:*
Claim Details
  • Part #*

    Baggage tag #:

  • Add a piece of baggage
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
Name of the passenger involved:*
Type of baggage involved:*

Type of claim:*


Total value claimed (USD):*
Did you take out insurance on this piece of baggage?*
Insurer:
Brand of baggage:*
Surface of the baggage:*
Color of the baggage:*
Year baggage was purchased:
 
List of missing items
Item*
Place of purchase*
Date of purchase*
Original cost*
Cost claimed*
 
 
Expenses incurred while waiting for your baggage
If your bag was delivered 24 hours after your flight’s arrival and you incurred in basic need expenses, we will reimburse up to USD50.00 per day, up to a maximum of 3 days. Please list below the items you had to purchase during the delay of your baggage.
Item*
Place of purchase*
Date of purchase*
Cost (USD)*
 
 
Enclose receipts for essential expenses
In order to reimburse your basic need expenses please attach here a copy of the receipts. If the attachment exceeds 500KB, please send it directly to baggage@copaair.com with your name and flight information.
 
Additional comments:
Describe in detail the incident with your baggage upon arrival to your destination.
Comments:
 
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