Payment Form

If you wish to make a new claim please submit your enquiry here

This form is for customers who received email confirmation from Emerald Airlines that they are entitled to compensation. If you received email confirmation from Emerald Airlines please complete your bank details below so that we can make payment to you

Case Reference *

PNR (Booking Reference) *

Flight Number *

Date of Travel *

First Name *

Surname *

Email Address *

For European bank accounts please provide the following details

European bank account holder name

BIC

IBAN

For UK bank accounts please provide the following details

UK Bank Account Holder Name

BIC/Swift

UK Account Number

Sort Code

For USA/Canada bank accounts please provide the following details

USA / Canadian Bank Account Holder Name

SWIFT

USA Account Number

Routing Number

* Denotes Required Field

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