Form for irregularities with baggage

Please, enter your information if you had any problems with your baggage. We will contact you to offer you a personalized solution.



Personal information

Contact information

Complete flight itinerary

Origin Destination Airline Flight Date

Description of affected baggage

Number on the label Brand Color Material Closures Wheels Code Pockets Straps Retractable handle

List of Items

Quantity Description of items Brand Condition Original cost in USD



Based on the above, I certify that the claim submitted to Avianca is for total amount of
due to the irregularity in my luggage on