Customer Compensation Form
Personal Details
Given Names
Please list official names (eg. as listed on your Passport)
First name(s) *
Surname(s) *
Home Address *
Phone Number *
Email Address *
Booking Reference *
Case Reference *
Bank Details
Bank Name & Address *
Account Number *
Sort Code *
It is very important to provide correct BIC and IBAN details as part of your application. Without all the relevant information provided your claim will not be processed and it will cause delay to you receiving payment. Refunds will only be processed to the bank details of the lead passenger who travelled.
Travelled Passengers
Date of Travel *
Number of passengers *
Names of travelled passengers *
Origin *
Destination *
Final Destination *

* Denotes Required Field

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Emerald Airlines (Ireland) Limited.
Company Number 687141. Registered in Ireland.
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