⇨

Blank Delta Property PDF Form

The Delta Property Form is a document designed for passengers to report lost luggage and initiate a property loss claim with Delta Air Lines. It provides a structured way to submit necessary details and supporting documentation to facilitate the recovery process. If you have experienced a luggage loss, please fill out the form by clicking the button below.

Article Guide

The Delta Property form is an essential document for passengers who experience luggage loss while traveling with Delta Air Lines. This form facilitates the process of filing a claim for lost baggage and is designed to gather all necessary information to assist in the recovery of your belongings. When completing the form, you will need to provide details such as your personal information, contact numbers, and specifics about your travel itinerary. It is important to document the loss accurately, including the description of the luggage and its contents. You must submit the form only after five days have passed without receiving your luggage. Along with the completed form, you will need to include supporting documents, such as passenger ticket receipts, claim checks, and purchase receipts for valuable items. Delta emphasizes the importance of timely submission, as claims must be postmarked within 21 days from the date of loss. By following the guidelines outlined in the form, you can help ensure a smoother claims process and increase the likelihood of recovering your lost property.

Document Preview

PIR# ____________________________________

Mailing Date _____________________________

FOR OFFICIAL USE ONLY

Property Loss Claim Form

5-1078 Rev 12.09

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.

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

Name Mr Mrs Miss/Ms		Home Phone	(	)	Business Phone	(	)
		Area Code	(	)	Area Code	(	)

Home Address		Employed By

City	State	Business Address (City, State, Zip, Country)

Zip /Postal Code	Country	Your Email Address

Claim Check Number(s)		Baggage File Reference number (ex. ABCDL12345)

Are You a SkyMiles Member? SkyMiles #	SkyMiles Status	Passenger Ticket Number(s)

Yes No

YOUR COMPLETE ITINERARY

From

Airline

Flight Number

Date

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.

DESCRIPTION OF LUGGAGE

Type	Brand	Color	Material	Pockets Zipper Wheels Straps	Combo Lock Purchase		Original
				Yes No Yes No Yes No Yes No	Yes No	Date	Cost

(Continued On Next Page)

FORM NO. 5-1078 12/2009

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:______________

Qty

Article

Color

Size

Material

Label Or Brand

Gender*

Store & City

Date

Original Cost

Other Currency

Purchased

USD

Type Amount

Shirt

Blue

Cotton

ABC

ACME/Chicago

3/1/1995

If additional space is needed, please attach separate paper with same data as above.

Total Value of Bag & Contents

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.

➤ PDF File

Form Specifications

Fact Name	Details
Form Title	Property Loss Claim Form 5-1078 Rev 12.09
Mailing Instructions	Submit the form and supporting documents to Delta Air Lines, Inc. Customer Care Baggage, P.O. Box 20598 Atlanta, GA 30320-2598.
Waiting Period	Do not fill out and mail the form until after 5 days have elapsed without receiving your luggage.
Required Documentation	Passenger ticket receipts, claim checks, and proof of ownership for items valued at $250 or more are necessary.
Liability Disclaimer	Delta Air Lines reserves the right to deny liability if the form is not received within 21 days from the date of loss.
Contact Information	For inquiries, you can contact Delta at the provided fax number: (888) 880-3412.
International Travel	Itineraries traveled internationally are governed by the Montreal Convention and are not subject to domestic tariffs.
Exclusions	Delta is not liable for loss of money, jewelry, electronics, heirlooms, and similar valuables.

Delta Property: Usage Guidelines

To complete the Delta Property form, follow these steps carefully. Ensure that all required information is filled out accurately. This will help expedite the processing of your claim.

Obtain the Delta Property form and ensure you have all necessary documents ready.
Fill in your PIR# and Mailing Date at the top of the form.
Provide your personal information, including your name, home phone number, business phone number, and email address.
Enter your home address and business address, including city, state, zip code, and country.
Indicate whether you are a SkyMiles member and provide your SkyMiles number if applicable.
Complete your travel itinerary, listing the From and To locations, airline, flight number, and date of travel.
Specify the number of pieces checked and the number of missing pieces.
Describe where you checked your luggage (curbside, airport counter, departure gate, etc.).
Answer whether the bag was checked under another name and provide that name if applicable.
Detail where you last saw your luggage.
Indicate if Delta was notified of the loss immediately and specify the office, date, and time of notification.
State if the loss was reported to any other airlines, and provide the name of that airline if applicable.
Explain any delay in reporting the loss if it was not immediate.
Indicate if you saw your luggage in customs and if a claim was filed.
Provide details about excess valuation and any charges for extra pieces or excess weight at check-in.
Describe your luggage in detail, including type, brand, color, material, and any additional features.
List all articles contained in the luggage, regardless of their monetary value. Be as detailed as possible.
Provide the total value of the bag and its contents.
Include any additional comments or details about previous baggage property loss claims.
Sign and date the form, ensuring that both the claimant and a witness sign where indicated.
Retain a copy of all documents for your records.
Mail the original documents to Delta Air Lines within 21 days from the date of loss.

Your Questions, Answered

What is the Delta Property form used for?

The Delta Property form is specifically designed for passengers who have lost their luggage during travel with Delta Air Lines. This form allows you to formally report the loss and provide necessary details to help Delta locate and return your luggage to you.

How long do I have to wait before filling out the form?

You should wait at least 5 days after your luggage has been declared missing before filling out and submitting the Delta Property form. This allows Delta time to locate your luggage, which often happens within 24 hours.

What documents do I need to submit with the form?

When you submit the Delta Property form, you must include several supporting documents. These include your passenger ticket receipt, claim check or receipt for the missing luggage, and purchase receipts or proof of ownership for items valued at $250 or more. Providing these documents is crucial for a successful claim.

Where do I send the completed form?

Once you have completed the Delta Property form and gathered all necessary documents, send them to Delta Air Lines, Inc. Customer Care Baggage at P.O. Box 20598, Atlanta, GA 30320-2598. You may also fax your documents to (888) 880-3412.

What happens if I don’t receive my luggage after filing the claim?

If your luggage is not located after you file your claim, you can expect to receive updates from Delta regarding the status of your claim. Please allow 6-8 weeks from the mailing date for processing. Delta will contact you if they find your property.

Can I claim items that are lost if they are considered valuable?

Delta Air Lines is not liable for certain items, including money, jewelry, electronics, and other valuables. If your lost items fall into these categories, you may not be able to claim them through this process. It’s always best to check Delta's specific policies regarding lost property.

What if I am a SkyMiles member?

If you are a SkyMiles member, make sure to include your SkyMiles number on the form. This can help Delta track your claim more efficiently and may provide additional benefits or support during the process.

What should I do if I have a previous claim with Delta or another airline?

If you or a family member has previously filed a baggage claim with Delta or any other airline, you should disclose this information on the form. Providing details about past claims can help Delta better understand your situation and expedite the resolution process.

What if I receive my luggage after submitting the claim?

If your luggage is returned to you after you have submitted the Delta Property form, you must inform Delta in writing immediately. This helps prevent any confusion and ensures that your claim is processed accurately.

Common mistakes

Not waiting the required 5 days: Some individuals fill out and submit the form before the 5-day waiting period has elapsed, which can delay the claim process.
Incorrectly filling out personal information: Errors in names, phone numbers, or addresses can lead to communication issues and delays in processing the claim.
Failing to provide supporting documents: Omitting necessary documents like passenger tickets or claim check receipts can result in a denied claim.
Not listing all missing items: Some people forget to include every item in their luggage, which can affect the claim's outcome.
Inaccurate descriptions of luggage: Providing vague or incomplete descriptions of luggage can hinder the recovery process.
Not reporting the loss immediately: Delaying the report to Delta can complicate the claim process and may lead to denial.
Ignoring additional comments section: Not using the comments section to provide extra details can leave important information unaddressed.
Not retaining copies of submitted documents: Failing to keep copies of the claim form and receipts can create issues if follow-up is necessary.
Submitting the claim after 21 days: Sending the form after the 21-day deadline can result in automatic denial of the claim.
Not checking for accuracy: Some individuals submit forms without reviewing them for errors, leading to potential complications in processing.

Documents used along the form

The Delta Property form is a crucial document for filing a claim regarding lost luggage with Delta Air Lines. Along with this form, several other documents and forms may be required to support the claim. Below is a list of commonly used forms and documents that accompany the Delta Property form.

Passenger Ticket Receipt: This document serves as proof of the traveler's purchase of a ticket for the flight. It is essential for verifying the identity of the claimant and the details of the flight.
Claim Check: The claim check is provided at the time of luggage check-in. It is necessary for identifying the specific baggage that is missing and for tracking its status.
Purchase Receipts: For items valued at $250 or more, purchase receipts are required to demonstrate ownership and the value of the lost items.
Proof of Ownership: This can include warranties or original packaging for high-value items. It helps to establish that the claimant owned the items listed in the claim.
Previous Claim Documentation: If the claimant has filed previous claims with Delta or other airlines, this documentation may be requested for reference and validation purposes.
Excess Valuation Receipt: If the traveler purchased excess valuation coverage at check-in, the receipt for this transaction must be included to support any claims for additional compensation.

Each of these documents plays a significant role in the claims process, ensuring that the claim is processed efficiently and accurately. It is advisable for claimants to retain copies of all submitted documents for their records.

Similar forms

The Delta Property form serves as a crucial document for travelers who experience luggage loss. Several other documents share similarities with this form, primarily in their purpose of facilitating claims for lost or damaged property. Below are five documents that are comparable to the Delta Property form, along with explanations of their similarities:

Insurance Claim Form: Like the Delta Property form, an insurance claim form is used to report a loss and request compensation. Both require detailed information about the incident, including dates, descriptions of the lost items, and supporting documentation to substantiate the claim.
Lost Item Report: A lost item report, often filed with local authorities or organizations, serves a similar purpose. It documents the loss of personal property and may require details about the item, circumstances of the loss, and contact information, akin to what is needed on the Delta Property form.
Damage Report Form: This form is used when property has been damaged rather than lost. Both the damage report and the Delta Property form necessitate a description of the property, the nature of the loss or damage, and evidence such as receipts or photographs to support the claim.
Property Loss Statement: A property loss statement is often required in legal or insurance contexts. It details the items lost and their value, similar to the Delta Property form, which also asks for a comprehensive list of contents and their estimated worth.
Travel Insurance Claim Form: This document is specifically designed for travelers who have purchased insurance. It allows them to claim for lost luggage or personal items. Much like the Delta Property form, it requires the traveler to provide personal information, travel details, and documentation proving ownership and loss.

Understanding these documents can enhance your ability to navigate the claims process effectively, ensuring that you have the best chance of recovering your lost belongings.

Dos and Don'ts

When filling out the Delta Property form, it is important to follow certain guidelines to ensure a smooth claims process. Below are five recommendations on what to do and what to avoid:

Do ensure that you have waited at least 5 days before submitting the form if your luggage has not been returned.
Do provide accurate and complete information regarding your luggage and its contents.
Do include all required documentation, such as passenger ticket receipts and proof of ownership for valuable items.
Do keep a copy of all documents for your records before mailing the original form.
Do submit the form within 21 days from the date of loss to avoid denial of your claim.

Don't fill out the form if you have not waited the required 5 days after your luggage was reported missing.
Don't omit any details regarding the contents of your luggage, even if some items seem of little value.
Don't forget to check for any additional requirements that may apply to your specific situation.
Don't assume that verbal communication with Delta is sufficient; always provide written documentation.
Don't neglect to inform Delta in writing if your lost property is recovered from another source.

Misconceptions

Understanding the Delta Property form is crucial for anyone who has experienced a luggage loss. However, several misconceptions often arise. Here are four common misunderstandings:

Claim Submission Can Be Done Immediately: Many people believe they can fill out and send the claim form as soon as they notice their luggage is missing. In reality, Delta advises waiting at least five days after the loss before submitting the form. This allows time for the luggage to be located and returned.
All Items Are Covered: Another misconception is that all items lost in luggage can be claimed. However, Delta specifically states that they are not liable for certain valuables, such as money, jewelry, and electronics. Understanding these exclusions is essential to set realistic expectations.
Proof of Ownership Isn’t Necessary: Some individuals think they can claim items without providing proof of ownership. This is not true. For items valued at $250 or more, receipts or other proof of ownership must be submitted with the claim. Failing to provide this documentation can lead to denial of the claim.
Claims Are Processed Quickly: Lastly, many assume that once they submit their claim, it will be processed immediately. In fact, Delta advises that it can take 6-8 weeks from the mailing date for processing. Patience is key during this period.

By clarifying these misconceptions, travelers can better navigate the claims process and ensure they are prepared should they face a luggage loss.

Key takeaways

Filing a claim for lost luggage can be stressful, but following the right steps can help streamline the process. Here are some key takeaways about filling out and using the Delta Property form:

Wait for 5 Days: Do not fill out and mail the form until at least 5 days have passed since your luggage was lost.
Submit All Required Documents: Include your passenger ticket receipt, claim check, and purchase receipts for items valued at $250 or more.
Timeliness Matters: Ensure that the form is postmarked within 21 days of the loss to avoid denial of your claim.
Be Thorough: Provide detailed descriptions of your luggage and its contents to assist in recovery.
Keep Copies: Retain copies of all documents, including the claim form and receipts, for your records.
Contact Information: Include accurate contact details, such as your email and phone numbers, to facilitate communication.
Notify Delta Promptly: If your luggage is found after filing the claim, inform Delta in writing immediately.
Understand Limitations: Be aware that Delta is not liable for certain high-value items, such as electronics or jewelry.

Act quickly and carefully to ensure your claim is processed smoothly. Your attention to detail can make a significant difference in the outcome.