Schadenformular Thomas Cook

Schäden eingereicht über Bitte hier Firmenname eingeben

Schaden-Nr. Datum Schadenmeldung Reisestatus Vorname Nachname Adresse PLZ Ort E-Mail Telefonnummer

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Bitte reichen Sie folgende Unterlagen zu Ihrer Schadenmeldung ein und vermerken Sie die

Schadennummer lt. dieser Liste auf jedem Dokument:

- Reise-Buchungsbestätigung

- Zahlungsbeleg zu den geleisteten Reiskosten

- sämtliche Rechnungen für zusätzlich eingereichte Kosten

Reisender (bitte geben Sie hier den Namen an, der auf der Buchungsbestätigung aufgeführt ist)

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Destination Buchungsnummer (RA-Nr.) Reiseveranstalter Reisebeginn Reiseende Gesamt-Reisepreis davon bereits bezahlt Betrag Beschreibung Betrag Beschreibung Betrag Beschreibung

Zusatzkosten HotelFalls Ihnen durch die Insolvenz zusätzliche Kosten bzgl. Ihrer Beherbergung

im Hotel im Urlaubsort entstanden sind, bitte geben Sie diese hier an.

Hinweis: nur auszufüllen, wenn bei Reisestatus "Reise wurde angetreten"

angegeben wurde.

Daten zur Reise Zusatzkosten FlugFalls Ihnen durch die Insolvenz zusätzliche Kosten bzgl. Ihres

Rückfluges vom Urlaubsort entstanden sind, bitte geben Sie

diese hier an.

Hinweis: nur auszufüllen, wenn bei Reisestatus "Reise wurde

angetreten" angegeben wurde.

Zusatzkosten sonstigeFalls Ihnen durch die Insolvenz zusätzliche sonstige Kosten

(z.B. notwendiger Transfer) entstanden sind, bitte geben Sie

diese hier an.

Hinweis: nur auszufüllen, wenn bei Reisestatus "Reise wurde

angetreten" angegeben wurde.

IBAN BIC (falls Kd. Im Ausland)

Kontodaten für RückerstattungBitte geben Sie hier die Bankverbindung des Kunden an.