EU261 Disruption Compensation and Expense Claim Form

Type of Claim:

Reason For Compensation Claim:

Title:

Customer First Name:

Customer Surname:

Telephone Number:

Email Address:

Confirm Email Address:

Flight Reservation Number:

Disrupted Flight Number:

Date of Disrupted Flight:

Departure Airport:

Arrival Airport:

Number of Customers Making a Claim for Compensation:

Does this booking include an infant?

Yes

No

Title:

First Name:

Surname:

Customer 1 :

Hotel Expenses - (Limited to 2/3 Star accommodation only with supporting VAT registered invoices)

Amount:

Currency:

Meal Expenses

Amount:

Currency:

EU261 Compensation/Other

Amount:

Currency:

Total Amount:

Currency:

I hereby confirm the total expense amount

YOUR CLAIM CAN ONLY BE PROCESSED ON SUBMISSION OF THE RECEIPTED EXPENSES TO SUPPORT YOUR CLAIM

To attach receipts please select the file you wish to upload by clicking browse. Please ensure that all receipts are on one document and are legible. The following file types are acceptable PDF, JPG, GIF, DOCX or DOC. Please note there is a 4MB file size limit.

Bank Name:

IBAN Number:

Swift Code (or BIC):

In which country is your bank account held?

* Compensation claims will not be accepted for delays less than 3 hours (on arrival). If your flight has been cancelled or delayed 3 hours or more (on arrival) and is caused by a reason within the control of Ryanair you may be entitled to compensation, click here. Expenses claims will not be accepted for delays less than 2 hours.

I/we hereby declare that all information/answers given in connection with this claim are true and correct to the best of my/our knowledge. I confirm that where a claim is made on behalf of others I have their authority to act on their behalf, including receiving any payments on their behalf. I/we understand that the information on this form may be passed onto my/our insurance assessors for the purpose of claim investigation and fraud prevention.

Please fill in all required fields - only the fully completed form can be sent. Confirmation that the claim was submitted correctly is a transfer to the confirmation page.

Click here to confirm that you have read and fully understand the above declarations on behalf of all customers named on this claim form.

Disrupted flight details