Homepage Blank Delta Property Form
Outline

When traveling, the last thing anyone expects is to lose their luggage. Unfortunately, this can happen, and understanding the Delta Property form is crucial for those affected. This form is designed to facilitate the process of filing a property loss claim with Delta Air Lines. It requires essential information, such as passenger details, flight information, and a thorough description of the lost luggage and its contents. Claimants must provide supporting documents, including ticket receipts and proof of ownership for valuable items. It is important to note that Delta reserves the right to deny claims if the form is not submitted within 21 days of the loss. Additionally, travelers are advised to wait five days after reporting the loss before completing this form, as luggage may still be located within that time frame. Timeliness and accuracy in filling out the form can significantly impact the resolution of the claim, making it imperative for passengers to act promptly and carefully.

Sample - Delta Property Form

Property Loss Claim Form
5-1078 Rev 12.09
FOR OFFICIAL USE ONLY
PIR# ____________________________________
Mailing Date _____________________________
Delta Air Lines, Inc. reserves the right to deny liability if this form is not received, or postmarked, within 21 days from date of loss.
PLEASE TYPE OR PRINT AND MAIL IMMEDIATELY
Home Address
Name Mr Mrs Miss/Ms
Your Email Address
You will likely receive your luggage within 24 hours. In the unlikely event you do not, please contact the airport at which you filed the claim. If after 5 days, you still
have not received your luggage, please fill out this form and submit it and all supporting documentation to:
Delta Air Lines. Inc. Customer Care Baggage, P.O. Box 20598 Atlanta, GA 30320-2598
Fax Number: (888) 880-3412
PLEASE DO NOT FILL OUT AND MAIL FORM UNTIL AFTER 5 DAYS HAVE ELAPSED WITHOUT YOUR LUGGAGE.
We are sorry your luggage was not available after your recent flight. Please accept our apology for the inconvenience this caused. Everything possible will be done to
locate and return your property to you promptly. Successful tracing and resolution of this claim depends upon prompt completion and return of this form for each bag
that is missing along with the following required documents:
- Passenger ticket receipt(s) for each person involved in this loss.
- Claim check(s) or claim check receipt for the missing property.
- Purchase receipt(s) or proof of ownership for all items valued at $250.00 (U.S.) or more.
Number of pieces checked______________________ Number missing_______________ Estimated weight of each missing piece ___________________
Where did you check your luggage Curbside
Airport Counter Departure Gate Other _____________________________________
Was the bag checked under another name? Yes
No If yes, what name? ____________________________________________________________
Where did you last see your luggage? _________________________________________________________________________________________________
Was Delta notified of loss immediately ? Yes
No If yes, which office? _____________________________________________________________
Date______________________ Time_______________________________ In Person
By Telephone
Was loss reported to any other airlines? Yes No If yes, which airline? _____________________________________________________________
If loss not reported immediately, explain reason for delay ________________________________________________________________________________
Did you see your luggage in customs? Yes
No If no, did you file a claim then? Yes No With Whom? _________________________
Was excess valuation purchased at time of check-in? Yes
No If yes, include copy of receipt.
Were you charged for extra pieces/excess weight at time of check-in? Yes
No If yes, include copy of receipt.
YOUR COMPLETE ITINERARY
From
To Airline Flight Number
Date
DESCRIPTION OF LUGGAGE
1
Type Brand Color Material
Pockets
Yes No
Zipper
Yes No
Wheels
Yes No
Straps
Yes No
Combo Lock
Yes No
Purchase
Date
Original
Cost
City
Zip /Postal Code
Claim Check Number(s) Baggage File Reference number (ex. ABCDL12345)
Employed By
Home Phone
Area Code
Business Address (City, State, Zip, Country)
Passenger Ticket Number(s)
Are You a SkyMiles Member?
Yes No
SkyMiles #
SkyMiles Status
State
Country
( )
Business Phone
Area Code
( )
2
(Continued On Next Page)
FORM NO. 5-1078 12/2009
ADDITIONAL COMMENTS
List name of other persons or companies which may be on documents, papers, etc. Also any initials which may appear on personalized toiletry kits, monogrammed
shirts, etc.
Have you or a member of your family or household ever had a previous baggage property loss or claim with Delta Air Lines or any other airline? Yes No
If yes, please provide airline(s), name(s), and date(s). ___________________________________________________________________________________________________
It is expressly understood and agreed that the furnishing of this proof of loss form by Delta Air Lines, Inc., or assistance in making of the proof of loss is not a waiver of
any rights or admission of liability by said Company and any other information and other documents required by said Company shall be furnished on request and
considered a part of these proofs. The acceptance of this document shall not be deemed to be a waiver of any defenses of the Company.
The Claimant expressly understands and agrees that he/she is required to immediately inform Delta Air Lines in writing, in the event all or part of the property which
is subject matter of this claim is delivered to Claimant from a source other than Delta, its agents, or employees.
The United States Post Office Department has investigative jurisdiction under federal laws relating to sending false or fraudulent claims through United States mails,
any such claims received by Delta Air Lines are reported to the United States postal authorities. Loss of luggage involving interstate shipment or articles from such
luggage due to theft come within the purview of federal statues and, therefore, are subject to investigation by the Federal Bureau of Investigation.
I do hereby warrant this statement and those on the accompanying form(s) to be accurate, complete and true, and, I hereby make a claim against Delta Air Lines in
the amount of $_____________________________________ for the loss occurring on ______________________________________ 20______________
Claimant Signature_________________________________________________________________________________________________ Date ____________________________
Witness Signature _________________________________________________________________________________________________ Date ____________________________
Please be assured that if your property is located, you will be contacted promptly. Should we be unable to locate your property, please allow 6-8 weeks from mailing
date for processing.
Delta is not liable for loss of money, jewelry, computer/computer equipment, cameras, VCR’s, electronic/video or photographic equipment, negotiable papers or
securities, heirlooms, antiques, artifacts, works of art, silverware, irreplaceable books or publications/manuscripts/business documents, precious metals, and other
similar valuables or commercial effects. Please note that itineraries traveled internationally are governed by the Montreal Convention and are not subject to the
domestic tariff.
RETAIN A COPY OF ALL DOCUMENTS (e.g., CLAIM FORM AND RECEIPTS). MAIL THE ORIGINAL DOCUMENTS
WITHIN 21 DAYS FROM THE DATE OF LOSS TO THE ADDRESS AT THE TOP OF THE FIRST PAGE.
SUCCESSFUL RECOVERY OF YOUR PROPERTY DEPENDS ON BEING AS ACCURATE AS POSSIBLE IN
DESCRIBING THE CONTENTS BELOW. PLEASE LIST ALL ARTICLES REGARDLESS OF MONETARY VALUE.
NOTE: When more than once piece of luggage is missing, please list contents of each piece separately.
DESCRIPTION OF CONTENTS
*Gender: M=Male, F=Female, MC=Male Child, FC=Female Child Age of Child:______________
ArticleQty Color Material Label Or Brand
Store & City
Purchased
Date
Purchased
Original Cost
USD
Other Currency
Type Amount
Gender*
Size
Shirt1
Blue
L Cotton ABC
M ACME/Chicago
3/1/1995 30 00
If additional space is needed, please attach separate paper with same data as above. Total Value of Bag & Contents

Form Information

Fact Name Description
Form Purpose This form is used to file a claim for lost luggage with Delta Air Lines.
Submission Timeline Claim forms must be submitted within 21 days from the date of loss to avoid denial of liability.
Required Documentation Passengers must provide ticket receipts, claim checks, and proof of ownership for items valued over $250.
Contact Information Claims should be sent to Delta Air Lines, Inc. Customer Care Baggage, P.O. Box 20598, Atlanta, GA 30320-2598.
Claim Filing Delay Do not fill out this form until at least 5 days have passed without receiving your luggage.
International Itineraries Claims for international travel are governed by the Montreal Convention, which has different rules than domestic travel.
Exclusions Delta is not liable for loss of certain valuables, including money, jewelry, and electronics.
Investigation Authority Losses involving interstate shipment may be investigated by federal authorities, including the FBI.

Detailed Guide for Filling Out Delta Property

To proceed with your claim for lost luggage, you will need to complete the Delta Property form accurately. Ensure that you have all necessary documentation ready to support your claim. This includes your passenger ticket, claim check, and purchase receipts for any high-value items. Follow the steps outlined below to fill out the form correctly.

  1. Write your PIR number in the designated space at the top of the form.
  2. Enter the mailing date in the appropriate field.
  3. Fill in your name, selecting the appropriate title (Mr, Mrs, Miss/Ms).
  4. Provide your home and business phone numbers, including area codes.
  5. Complete your home address, including city, state, zip code, and country.
  6. Indicate your email address for communication purposes.
  7. List your claim check number(s) and baggage file reference number.
  8. Indicate whether you are a SkyMiles member and provide your SkyMiles number and status.
  9. Detail your complete itinerary, including departure and arrival locations, airline, flight number, and date of travel.
  10. State the number of pieces checked and the number missing.
  11. Estimate the weight of each missing piece of luggage.
  12. Specify where you checked your luggage (curbside, airport counter, etc.).
  13. Indicate if the bag was checked under another name and provide that name if applicable.
  14. Describe where you last saw your luggage.
  15. Note if Delta was notified of the loss immediately and provide details of the notification.
  16. Explain if the loss was reported to any other airlines.
  17. Provide details about whether you saw your luggage in customs and if you filed a claim there.
  18. Indicate if excess valuation was purchased and include a copy of the receipt if applicable.
  19. Describe the luggage in detail, including type, brand, color, material, and any features.
  20. List all contents of the luggage, regardless of value, in the provided section. Include details such as quantity, article description, color, size, material, store and city of purchase, date, and cost.
  21. Add any additional comments, including previous claims with Delta or other airlines.
  22. Sign and date the form in the designated areas for both the claimant and a witness.
  23. Make copies of all documents for your records before mailing the original documents.
  24. Mail the completed form and all supporting documentation within 21 days of the loss to the address provided at the top of the first page.

Obtain Answers on Delta Property

  1. What should I do if my luggage is missing?

    If your luggage is missing, you should first report it to Delta immediately at the airport where you filed the claim. You will likely receive your luggage within 24 hours. If you do not receive it within 5 days, you should complete the Delta Property form and submit it along with all required documentation.

  2. What documentation is required to file a claim?

    To successfully file a claim, you need to provide:

    • Passenger ticket receipt(s) for each person involved in the loss.
    • Claim check(s) or claim check receipt for the missing property.
    • Purchase receipt(s) or proof of ownership for all items valued at $250.00 or more.
  3. How long do I have to submit the claim form?

    You must submit the Delta Property form within 21 days from the date of loss. If the form is not received or postmarked within this timeframe, Delta Air Lines reserves the right to deny liability.

  4. What information do I need to provide about my luggage?

    When filling out the form, you should provide detailed information about your luggage, including:

    • Type, brand, color, and material of the luggage.
    • Any unique features such as pockets, zippers, wheels, and straps.
    • The original purchase date and cost of the luggage.
  5. How do I describe the contents of my luggage?

    List all articles in your luggage, regardless of their monetary value. Include details such as quantity, color, size, material, brand, and original cost. If you have more than one piece of luggage missing, list the contents of each piece separately.

  6. What if I see my luggage in customs?

    If you see your luggage in customs, you should file a claim with the appropriate customs office. If you did not file a claim at that time, you can still complete the Delta Property form to report the loss.

  7. What happens after I submit my claim?

    After you submit your claim, Delta Air Lines will begin processing it. If your property is located, you will be contacted promptly. If it cannot be located, please allow 6-8 weeks for processing from the date you mailed your claim.

  8. What items are not covered under the claim?

    Delta is not liable for certain items, including:

    • Money, jewelry, and electronics.
    • Heirlooms, antiques, and works of art.
    • Irreplaceable books or business documents.
  9. Where should I send my completed claim form?

    You should mail your completed claim form and all supporting documents to:

    Delta Air Lines, Inc. Customer Care Baggage, P.O. Box 20598 Atlanta, GA 30320-2598

    Alternatively, you can fax the documents to (888) 880-3412.

Common mistakes

Filling out the Delta Property form can be a straightforward process, but several common mistakes can lead to delays or complications in your claim. Awareness of these errors can help ensure your claim is processed smoothly.

One frequent mistake is not waiting the required five days before submitting the form. Delta specifies that you should only fill out and mail the form after five days have passed without receiving your luggage. Ignoring this guideline can result in your claim being denied or delayed.

Another common error involves incomplete information. Failing to provide all requested details, such as the Claim Check Number or the Baggage File Reference number, can hinder the processing of your claim. Ensure that every section of the form is filled out accurately and thoroughly.

Some individuals overlook the importance of attaching supporting documentation. Delta requires specific documents, including passenger ticket receipts and proof of ownership for items valued at $250 or more. Not including these documents can lead to denial of liability.

Additionally, people often forget to describe their luggage and its contents in detail. The form requests a thorough description, including type, brand, color, and any distinguishing features. Inaccurate or vague descriptions can make it difficult for Delta to locate your luggage.

Another mistake is neglecting to retain copies of all submitted documents. Keeping a copy of the claim form and receipts is crucial for your records. This practice not only helps track your claim but also provides proof of submission if needed in the future.

Lastly, failing to inform Delta of any updates regarding the recovery of your luggage can complicate matters. If your luggage is found by another source, it is essential to notify Delta immediately in writing. This transparency helps maintain clear communication and can prevent potential issues with your claim.

Documents used along the form

The Delta Property form is a critical document for passengers who have experienced luggage loss while traveling with Delta Air Lines. Along with this form, several other documents are commonly required to support the claim process. Below is a list of those documents, each accompanied by a brief description.

  • Passenger Ticket Receipt(s): This document serves as proof of the traveler's purchase of the airline ticket. It is essential for verifying the identity of the passenger and confirming the details of the flight.
  • Claim Check(s): The claim check is issued at the time of baggage check-in. It is crucial for identifying the specific luggage that has been lost and is needed to support the claim.
  • Proof of Ownership Receipts: For items valued at $250 or more, receipts or other documentation proving ownership are necessary. This helps establish the value of the contents that were lost.
  • Excess Valuation Receipt: If additional coverage was purchased for checked baggage, a receipt for this excess valuation must be included. This documentation is important for claims involving higher-value items.
  • Previous Claim Documentation: If there have been prior claims with Delta or other airlines, providing details about these previous incidents can be relevant. This helps the airline assess the claim's context.
  • Correspondence with Other Airlines: If the loss was reported to other airlines, documentation of this communication may be required. This ensures that all relevant information is considered during the claims process.

Gathering these documents promptly can facilitate a smoother claims process. It is important to ensure that all information is accurate and submitted within the required timeframe to avoid delays or denials in the claim. Keeping copies of all submitted documents is also advisable for personal records.

Similar forms

  • Claim Form for Lost Luggage: Similar to the Delta Property form, this document is used to report lost luggage to airlines. It requires details about the flight, luggage description, and supporting documents like receipts and claim checks.
  • Property Damage Claim Form: This form is utilized for claims related to damaged property. Like the Delta Property form, it asks for a description of the property, supporting documentation, and a clear statement of the claim amount.
  • Homeowners Insurance Claim Form: This document serves to report losses under a homeowners insurance policy. It shares similarities with the Delta Property form by requiring details about the loss, supporting evidence, and a claim amount.
  • Travel Insurance Claim Form: This form is submitted to claim losses covered by travel insurance. It mirrors the Delta Property form in that it requests a detailed account of the incident, documentation of expenses, and proof of the claim.

Dos and Don'ts

When filling out the Delta Property form, it’s essential to follow specific guidelines to ensure your claim is processed smoothly. Here’s a list of what to do and what to avoid:

  • Do fill out the form completely and accurately.
  • Do include all required documentation, such as receipts and claim checks.
  • Do submit the form within 21 days from the date of loss.
  • Do keep a copy of all documents for your records.
  • Don’t fill out and mail the form until after 5 days have passed without your luggage.
  • Don’t omit any details about the missing luggage or its contents.
  • Don’t forget to sign and date the form before submission.

Misconceptions

Misconceptions about the Delta Property form can lead to confusion during the claims process. Here are four common misunderstandings:

  • Claim Submission Can Be Made Immediately: Many people believe they can submit the claim form as soon as they realize their luggage is missing. In reality, Delta requires that you wait at least five days after your luggage is reported missing before submitting the form.
  • All Items Are Covered: Some assume that all lost items will be compensated. However, Delta specifically excludes certain valuables from coverage, including money, jewelry, and electronics. Understanding these exclusions is crucial for setting realistic expectations.
  • Filing the Claim Is Optional: A misconception exists that submitting the claim form is optional. In fact, if you do not submit the form within 21 days of the loss, Delta reserves the right to deny liability. Timely submission is essential for processing your claim.
  • Proof of Ownership Is Not Necessary: Some individuals think they can claim compensation without providing proof of ownership. For items valued at $250 or more, Delta requires purchase receipts or other proof of ownership. This documentation is necessary to support your claim.

Key takeaways

Here are key takeaways for filling out and using the Delta Property form:

  • Wait 5 Days: Do not fill out and mail the form until 5 days have passed without receiving your luggage.
  • Submit Promptly: Complete and return the form as soon as possible to ensure your claim is processed.
  • Required Documentation: Include passenger ticket receipts, claim check receipts, and purchase receipts for items valued at $250 or more.
  • Deadline Awareness: Submit the form within 21 days from the date of loss to avoid denial of liability.
  • Accurate Information: Be as detailed as possible when describing your luggage and its contents.
  • Multiple Bags: List the contents of each missing piece of luggage separately if more than one bag is missing.
  • Contact Information: Provide accurate contact details, including phone numbers and email address, for timely communication.
  • Claim Amount: Clearly state the amount you are claiming for the loss to avoid confusion.
  • Signature Required: Ensure both the claimant and a witness sign the form before submission.
  • Keep Copies: Retain copies of all documents, including the claim form and receipts, for your records.