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Traveling can be an exciting adventure, but it can also come with unexpected challenges, such as lost luggage. If you find yourself in this unfortunate situation after flying with Delta Air Lines, the Delta Property Loss Claim Form is your key to seeking resolution. This form is designed to help you report and track your missing baggage, ensuring that you provide all necessary information for a successful claim. Within its pages, you'll find sections to fill out your personal details, flight information, and a comprehensive list of the contents of your luggage. Additionally, the form requires supporting documents, such as passenger ticket receipts and proof of ownership for valuable items. It's essential to act promptly, as Delta has specific timeframes for filing claims. After five days without your luggage, you can complete this form and submit it to Delta’s Customer Care Baggage department. The form also emphasizes the importance of accuracy in describing your lost items, as this significantly aids in the recovery process. By following the guidelines outlined in the Delta Property Loss Claim Form, you can navigate this stressful situation with clarity and confidence.

Delta Property Example

PIR# ____________________________________
Mailing Date _____________________________
FOR OFFICIAL USE ONLY

Property Loss Claim Form

5-1078 Rev 12.09

You will likely receive your luggage within 24 hours. In the unlikely event you do not, please contact the airport at which you filed the claim. If after 5 days, you still have not received your luggage, please fill out this form and submit it and all supporting documentation to:

Delta Air Lines. Inc. Customer Care Baggage, P.O. Box 20598 Atlanta, GA 30320-2598

Fax Number: (888) 880-3412

PLEASE DO NOT FILL OUT AND MAIL FORM UNTIL AFTER 5 DAYS HAVE ELAPSED WITHOUT YOUR LUGGAGE.

We are sorry your luggage was not available after your recent flight. Please accept our apology for the inconvenience this caused. Everything possible will be done to locate and return your property to you promptly. Successful tracing and resolution of this claim depends upon prompt completion and return of this form for each bag that is missing along with the following required documents:

- Passenger ticket receipt(s) for each person involved in this loss. - Claim check(s) or claim check receipt for the missing property.

- Purchase receipt(s) or proof of ownership for all items valued at $250.00 (U.S.) or more.

Delta Air Lines, Inc. reserves the right to deny liability if this form is not received, or postmarked, within 21 days from date of loss.

PLEASE TYPE OR PRINT AND MAIL IMMEDIATELY

Name Mr Mrs Miss/Ms

 

Home Phone

(

)

Business Phone

(

)

 

 

Area Code

Area Code

 

 

 

 

 

 

 

 

Home Address

 

Employed By

 

 

 

 

 

 

 

 

 

 

 

City

State

Business Address (City, State, Zip, Country)

 

 

 

 

 

 

 

 

 

 

Zip /Postal Code

Country

Your Email Address

 

 

 

 

 

 

 

 

 

 

Claim Check Number(s)

 

Baggage File Reference number (ex. ABCDL12345)

 

 

 

 

 

 

 

 

Are You a SkyMiles Member? SkyMiles #

SkyMiles Status

Passenger Ticket Number(s)

 

 

 

Yes No

YOUR COMPLETE ITINERARY

From

To

Airline

Flight Number

Date

Number of pieces checked______________________ Number missing_______________ Estimated weight of each missing piece ___________________

Where did you check your luggage Curbside

Airport Counter

Departure Gate

Other

_____________________________________

Was the bag checked under another name? Yes

No

If yes, what name? ____________________________________________________________

Where did you last see your luggage? _________________________________________________________________________________________________

Was Delta notified of loss immediately ?

Yes

No

If yes, which office? _____________________________________________________________

Date______________________ Time_______________________________ In Person

By Telephone

Was loss reported to any other airlines?

Yes

No

If yes, which airline? _____________________________________________________________

If loss not reported immediately, explain reason for delay ________________________________________________________________________________

Did you see your luggage in customs? Yes

No

If no, did you file a claim then?

Yes

No

With Whom? _________________________

Was excess valuation purchased at time of check-in?

Yes

No

If yes, include copy of receipt.

 

Were you charged for extra pieces/excess weight at time of check-in?

Yes

No

If yes, include copy of receipt.

1

DESCRIPTION OF LUGGAGE

Type

Brand

Color

Material

Pockets Zipper Wheels Straps

Combo Lock Purchase

Original

Yes No Yes No Yes No Yes No

Yes No

Date

Cost

 

 

 

 

2

(Continued On Next Page)

FORM NO. 5-1078 12/2009

SUCCESSFUL RECOVERY OF YOUR PROPERTY DEPENDS ON BEING AS ACCURATE AS POSSIBLE IN

DESCRIBING THE CONTENTS BELOW. PLEASE LIST ALL ARTICLES REGARDLESS OF MONETARY VALUE.

NOTE: When more than once piece of luggage is missing, please list contents of each piece separately.

 

 

 

 

 

DESCRIPTION OF CONTENTS

 

 

 

 

 

 

*Gender: M=Male, F=Female, MC=Male Child, FC=Female Child

Age of Child:______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qty

Article

Color

Size

Material

Label Or Brand

Gender*

Store & City

Date

Original Cost

Other Currency

Purchased

Purchased

USD

 

Type Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Shirt

Blue

L

Cotton

ABC

M

 

ACME/Chicago

3/1/1995

30

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If additional space is needed, please attach separate paper with same data as above.

Total Value of Bag & Contents

ADDITIONAL COMMENTS

List name of other persons or companies which may be on documents, papers, etc. Also any initials which may appear on personalized toiletry kits, monogrammed shirts, etc.

Have you or a member of your family or household ever had a previous baggage property loss or claim with Delta Air Lines or any other airline? Yes No

If yes, please provide airline(s), name(s), and date(s). ___________________________________________________________________________________________________

It is expressly understood and agreed that the furnishing of this proof of loss form by Delta Air Lines, Inc., or assistance in making of the proof of loss is not a waiver of any rights or admission of liability by said Company and any other information and other documents required by said Company shall be furnished on request and considered a part of these proofs. The acceptance of this document shall not be deemed to be a waiver of any defenses of the Company.

The Claimant expressly understands and agrees that he/she is required to immediately inform Delta Air Lines in writing, in the event all or part of the property which is subject matter of this claim is delivered to Claimant from a source other than Delta, its agents, or employees.

The United States Post Office Department has investigative jurisdiction under federal laws relating to sending false or fraudulent claims through United States mails, any such claims received by Delta Air Lines are reported to the United States postal authorities. Loss of luggage involving interstate shipment or articles from such luggage due to theft come within the purview of federal statues and, therefore, are subject to investigation by the Federal Bureau of Investigation.

I do hereby warrant this statement and those on the accompanying form(s) to be accurate, complete and true, and, I hereby make a claim against Delta Air Lines in

the amount of $_____________________________________ for the loss occurring on ______________________________________ 20______________

Claimant Signature_________________________________________________________________________________________________ Date ____________________________

Witness Signature _________________________________________________________________________________________________ Date ____________________________

Please be assured that if your property is located, you will be contacted promptly. Should we be unable to locate your property, please allow 6-8 weeks from mailing

date for processing.

Delta is not liable for loss of money, jewelry, computer/computer equipment, cameras, VCR’s, electronic/video or photographic equipment, negotiable papers or securities, heirlooms, antiques, artifacts, works of art, silverware, irreplaceable books or publications/manuscripts/business documents, precious metals, and other similar valuables or commercial effects. Please note that itineraries traveled internationally are governed by the Montreal Convention and are not subject to the domestic tariff.

RETAIN A COPY OF ALL DOCUMENTS (e.g., CLAIM FORM AND RECEIPTS). MAIL THE ORIGINAL DOCUMENTS

WITHIN 21 DAYS FROM THE DATE OF LOSS TO THE ADDRESS AT THE TOP OF THE FIRST PAGE.

File Breakdown

Fact Name Description
PIR Number This is a unique identifier for your property loss claim, which should be filled out at the top of the form.
Mailing Instructions The completed form must be mailed to Delta Air Lines, Inc. Customer Care Baggage within 21 days from the date of loss.
Required Documents Supporting documents include passenger ticket receipts, claim checks, and purchase receipts for items valued over $250.
Claim Submission Timing Do not submit the form until 5 days have passed without receiving your luggage.
International Travel Claims for international itineraries are governed by the Montreal Convention, which may differ from domestic claims.
Liability Limitations Delta is not liable for certain items such as money, jewelry, or electronics, as specified in the claim form.

Guide to Using Delta Property

To proceed with your claim for lost luggage, follow the steps outlined below to complete the Delta Property form accurately. Ensure you have all necessary documentation ready for submission.

  1. Write your PIR number in the designated space at the top of the form.
  2. Fill in the mailing date next to the PIR number.
  3. Indicate your name by selecting Mr, Mrs, Miss, or Ms.
  4. Provide your home and business phone numbers, including area codes.
  5. Enter your home address, including city, state, zip code, and country.
  6. List your employer's name and business address, including city, state, zip code, and country.
  7. Include your email address for correspondence.
  8. Fill in your claim check number(s) and baggage file reference number.
  9. Indicate if you are a SkyMiles member and provide your SkyMiles number and status.
  10. Detail your complete travel itinerary, including flight details and the number of checked pieces and missing items.
  11. Specify where you checked your luggage and whether it was under another name.
  12. State where you last saw your luggage and if Delta was notified of the loss immediately.
  13. Indicate if the loss was reported to any other airlines and provide their names if applicable.
  14. Describe the luggage in detail, including type, brand, color, material, and any features.
  15. List all contents of the missing luggage, regardless of their value, using the provided format.
  16. Complete the section for additional comments, including any previous claims with Delta or other airlines.
  17. Sign and date the claim form, and ensure a witness also signs and dates it.
  18. Retain a copy of all documents for your records before mailing the original documents within 21 days from the date of loss.

Get Answers on Delta Property

What should I do if my luggage is missing?

If your luggage is missing, you should first contact the airport where you filed the claim. You will likely receive your luggage within 24 hours. If you do not receive it within 5 days, complete the Delta Property form and submit it along with all required documentation.

What documents do I need to submit with the Delta Property form?

You must include the following documents:

  • Passenger ticket receipt(s) for each person involved in the loss.
  • Claim check(s) or claim check receipt for the missing property.
  • Purchase receipt(s) or proof of ownership for all items valued at $250.00 or more.

How long do I have to submit the Delta Property form?

The form must be received or postmarked within 21 days from the date of loss. Failure to do so may result in denial of liability.

What information is required on the Delta Property form?

Provide your personal information, contact details, and a complete itinerary. You will also need to describe your luggage and its contents in detail. Be as accurate as possible to assist in the recovery process.

Can I claim for items of lesser value?

Yes, you can list all articles regardless of their monetary value. However, only items valued at $250.00 or more require proof of ownership.

What happens if my luggage is not located?

If your luggage is not found, processing your claim may take 6-8 weeks from the mailing date of your documents. Delta will contact you promptly if your property is located.

Is Delta liable for all types of loss?

No, Delta is not liable for certain items, including money, jewelry, electronics, and irreplaceable items. Review the list of exclusions carefully.

What if I have previously filed a claim with Delta or another airline?

You must disclose any previous baggage property loss or claim with Delta or any other airline. Provide the airline name, your name, and the date of the claim.

How do I ensure my claim is processed efficiently?

Complete the Delta Property form accurately and submit it promptly with all required documentation. Retain copies of all documents for your records.

Common mistakes

Filling out the Delta Property form can be a straightforward task, but many people make mistakes that can delay their claims. One common error is not waiting the required five days before submitting the form. Delta specifically states that the form should not be filled out until five days have passed since the luggage was reported missing. Ignoring this guideline can lead to unnecessary complications.

Another frequent mistake is failing to provide all necessary documentation. Claimants must include passenger ticket receipts, claim checks, and purchase receipts for items valued at $250 or more. Missing even one of these documents can result in a denial of the claim. It’s essential to double-check that all required papers are attached before mailing the form.

Some individuals also overlook the importance of accuracy in their personal information. Incomplete or incorrect details, such as the name, phone number, or email address, can hinder communication with Delta. Providing accurate contact information ensures that the airline can reach out promptly with updates about the claim.

Another common issue arises when people do not clearly describe their missing luggage. Vague descriptions can lead to confusion and may slow down the recovery process. It’s crucial to provide specific details about the luggage, including its type, brand, color, and any unique features.

People sometimes forget to indicate whether the luggage was checked under a different name. If the bag was checked in under someone else's name, this information is vital for Delta to locate it. Neglecting to mention this can complicate the search for the missing property.

Additionally, failing to report the loss immediately can be a significant oversight. Delta asks for details about when and how the loss was reported. If there was a delay, explaining the reason is important. Omitting this information may raise questions about the legitimacy of the claim.

Another mistake involves the total value of the bag and its contents. Claimants often fail to calculate this correctly. Providing an accurate total value is essential for the processing of the claim. If the value is underestimated, it may lead to a lower payout than expected.

Some individuals also neglect to include information about previous claims. Delta asks if there have been past baggage losses with them or other airlines. Failing to disclose this information can lead to complications and potential denials.

Lastly, many people do not keep copies of their submitted documents. It’s crucial to retain a copy of the claim form and all supporting documents. This practice can be beneficial if there are any disputes or if additional information is requested later.

By avoiding these common mistakes, individuals can streamline the process of submitting their Delta Property form and increase the likelihood of a successful claim.

Documents used along the form

When dealing with a property loss claim with Delta Air Lines, several other documents may be necessary to support your claim. Each of these forms plays a crucial role in ensuring a smooth and efficient claims process. Below is a list of common forms and documents that are often used alongside the Delta Property form.

  • Passenger Ticket Receipt: This document serves as proof of your travel and is essential for verifying your flight details. It includes information such as your flight number, date of travel, and the itinerary.
  • Claim Check Receipt: When you check in your luggage, you receive a claim check. This receipt is vital for tracking your luggage and verifying that you reported the loss to Delta.
  • Purchase Receipts: For items valued at $250 or more, you need to provide proof of ownership. This can include receipts from stores or online purchases, which help establish the value of the lost items.
  • Baggage File Reference Number: This number is assigned to your claim and helps Delta track the status of your luggage and claim process. It is important to keep this number handy for any follow-up inquiries.
  • SkyMiles Membership Information: If you are a member of Delta's SkyMiles program, including your membership number can sometimes expedite the claims process and provide additional benefits.

Gathering these documents can help facilitate your claim with Delta Air Lines. Ensure that you have everything organized and ready to submit, as this will aid in a quicker resolution to your property loss situation. Remember to retain copies of all documents for your records.

Similar forms

The Delta Property form shares similarities with several other documents used in claims and reporting processes. Below is a list of seven documents that are comparable, along with an explanation of how they relate to the Delta Property form.

  • Loss Damage Waiver (LDW) Form: This document is used in car rentals to protect against loss or damage. Like the Delta Property form, it requires detailed information about the incident and the items involved.
  • Travel Insurance Claim Form: This form is submitted to claim benefits for lost or delayed luggage. It similarly asks for proof of ownership and details of the loss, much like the Delta Property form.
  • Homeowners Insurance Claim Form: This document is filed for claims related to lost or damaged personal property at home. It requires documentation of ownership and a description of the items, mirroring the requirements of the Delta form.
  • Frequent Flyer Program Claim Form: Used by airlines to claim missing miles or benefits, this form also demands specific details about the travel experience, similar to how the Delta Property form requires information about luggage loss.
  • Property Damage Claim Form: This form is utilized in various contexts, such as vehicle accidents or property damage. It requires a detailed account of the damage and supporting documentation, akin to the Delta form's requirements for lost luggage.
  • Medical Expense Claim Form: When claiming reimbursement for medical costs, this form requires detailed information about the services rendered. The need for thorough documentation parallels the Delta Property form's emphasis on providing evidence of ownership and value.
  • Warranty Claim Form: This document is used to claim repairs or replacements under warranty. It often requires proof of purchase and details about the product, similar to the Delta form's request for proof of ownership for lost items.

Dos and Don'ts

When filling out the Delta Property form, consider the following guidelines:

  • Ensure you wait at least 5 days after your luggage is lost before submitting the form.
  • Provide accurate and complete information for each section of the form.
  • Include all required supporting documents, such as receipts and claim checks.
  • Use clear and legible type or print to avoid any misunderstandings.
  • Mail the form and documents within 21 days from the date of loss.

Avoid these common mistakes:

  • Do not submit the form before the 5-day waiting period has elapsed.
  • Avoid incomplete information that may delay processing.
  • Do not forget to keep copies of all documents submitted.
  • Do not assume Delta will locate your luggage without your prompt action.
  • Do not include items that are not eligible for reimbursement, such as cash or jewelry.

Misconceptions

  • Misconception 1: The Delta Property form can be submitted immediately after luggage loss.
  • In fact, you should wait for 5 days after the luggage is reported lost before filling out and submitting the form.

  • Misconception 2: All claims are processed within a week.
  • While Delta aims to locate lost luggage promptly, processing claims can take 6 to 8 weeks if the luggage is not found.

  • Misconception 3: You do not need to provide proof of ownership for items under $250.
  • Proof of ownership is required for all items valued at $250 or more, regardless of whether they are listed in the claim.

  • Misconception 4: You can submit the claim form via email.
  • The claim form must be mailed or faxed to the specified Delta address; email submissions are not accepted.

  • Misconception 5: Delta is responsible for all lost items.
  • Delta is not liable for certain items, including cash, jewelry, and electronics, as stated in the form.

  • Misconception 6: You can file a claim without notifying Delta first.
  • Delta must be notified of the luggage loss immediately, and failure to do so may affect the claim.

  • Misconception 7: You can submit one claim for multiple pieces of luggage.
  • Each missing bag requires a separate claim form to be filled out and submitted.

  • Misconception 8: The form can be filled out by anyone on behalf of the passenger.
  • The claim must be signed by the passenger or the person directly affected by the luggage loss.

  • Misconception 9: You do not need to keep copies of submitted documents.
  • It is essential to retain copies of all documents, including the claim form and receipts, for your records.

  • Misconception 10: Claims are automatically approved if the form is submitted on time.
  • Timely submission does not guarantee approval. Delta reserves the right to deny claims based on various factors.

Key takeaways

When dealing with the Delta Property form, it's important to understand the key steps to ensure a smooth process. Here are some essential takeaways:

  • Wait 5 Days: Do not fill out and send the form until at least 5 days have passed since your luggage went missing.
  • Gather Required Documents: Collect all necessary documentation, including passenger ticket receipts, claim checks, and proof of ownership for items valued at $250 or more.
  • Complete the Form Accurately: Provide detailed and accurate descriptions of your luggage and its contents to facilitate the recovery process.
  • Submit Within 21 Days: Ensure that the completed form and all supporting documents are mailed or postmarked within 21 days from the date of loss to avoid denial of liability.
  • Keep Copies: Retain copies of all documents submitted, including the claim form and receipts, for your records.

Following these guidelines will help streamline your claim process with Delta Air Lines. Be thorough and proactive to ensure a better chance of recovering your lost property.