CLAIM APPLICATION FORM-EN

If you were booked to travel on a Ryanair flight which was cancelled and you incurred expenses whilst waiting for the next available flight, you are requested to complete the below and then print, sign and send by fax to us on +353 1 812 1663. About You Title First Name Last Name Address

Home Telephone Work Telephone Mobile Telephone Email Address No of Passengers

Cancellation and Expense Details Flight Booking Reference Cancelled Flight Number and Date New Flight Number and Date Total Hotel Expenses Total Meals Expenses Total Public Transport Expenses (Only applicable for transport to and from airport)

PLEASE PRINT THIS DOCUMENT SIGN AND FAX TO +353 1 812 1663

I ______________________________ confirm that all expenses incurred can be verified by VAT registered company receipts/invoices Upon receipt of your Claim Application Form, you will be contacted via the email address supplied above to confirm whether your claim is valid. Passengers with valid claims will then be requested to send their receipted expenses to a dedicated email address for assessment and processing.