Assignment Form


Full Name:

Flight Date:

Flight Number:

Booking number:

 

The Client hereby assigns to Air Claim SRL full ownership and legal title to his/her Claim pursuant to Regulation 261/04, Fly Rights of US DOT (Department of Transportation), Shy Passenger and Montreal Convention 1999 in relation to the above operated flight(s) identified by the booking reference pursuant to the T&C.

The Client authorizes Air Claim SRL to request the operating carrier not to process his/her personal data in relation to the Claim pursuant to applicable personal data protection laws, except only to verify the Claim.

The Client understands that this means that he/she cannot accept any direct contact or payment from the operating carrier.

If the assignment pursuant to this assignment form is declared invalid for any reason, the assignment form shall be considered a power of attorney granted by the Client to Air Claim SRL, pursuant to which Air Claim SRL is granted exclusive power, with full substitution right, to:

represent the Client legally before third parties in relation to the Claim
obtain every type of information required, as well as to initiate information requests with respect to any civil or administrative law proceeding and to initiate complaints with the respective courts or administrative bodies responsible for the enforcement of air passenger rights regulation on behalf of the Client
initiate, conduct and undertake every type of negotiations as well as legal – judicial and extrajudicial – measures appropriate to collect Client’s Claim from the operating carrier
request the operating carrier not to process his/her personal data in relation to the Claim pursuant to applicable personal data protection laws, except only to verify the Claim

collect and receive payments in relation to the Claim on the Client’s behalf.

After Air Claim SRL will receive the payment from the airline, Air Claim SRL will notify the Client and will wait for the Clinet’s Bank Details for a period of 3 months. The Client understands and agrees that after receiving the above notification from Air Claim SRL, Air Claim SRL shall have no liability for Client’s failure to provide his or hers bank details in a 3 months period and the quantum of the entire compensation will be retained by Air Claim SRL at the end of the above mentioned 3 months period.

The Client understands that this means that he/she cannot accept any direct contact or payment from the operating carrier.

 

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Signature Certificate
Document name: Assignment Form
Unique Document ID: 2ea1d594cf6a4bfbcd507a77f8fae6daa4f823fd
Timestamp Audit
December 16, 2019 12:40 pm GMTAssignment Form Uploaded by Straut Andrei - [email protected] IP 188.213.18.32