Emerald Airlines - Customer Compensation Form

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 *

IBAN *

BIC *

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

Submit Form