Baggage Protection
Claim Form
Claims Department:
Red Sky Claims, C/O Arch Insurance Company
Executive Plaza IV, 11350 McCormick Road, Suite 102, Hunt Valley, MD 21031 United States
Toll Free Phone: (844) 800-2486 | Fax: (443) 279-2901 | E-mail: redsky@archinsurance.com
Any person who knowingly presents a false or fraudulent claim for payment of loss or benet or
knowingly presents false information in an application for insurance is guilty of a crime and may be
subject to nes and connement in prison.
Proof of Loss - To be Completed by Insured / Guest
Baggage Delay Loss Theft Damage Loss / Theft / Damage while handled by a common carrier
Name of Insured / Guest Reservation #
Address Work Phone # Home Phone #
Date of Birth (mm/dd/yy) E-mail Address
Departure Date (mm/dd/yy) Return Date (mm/dd/yy)
Name and Address of Property Management Company Phone # Fax #
Name of leaseholder on the rental property and list all guests occupying the property.
Date of baggage delay / loss / theft /
damage (mm/dd/yy)
Time Occurred If baggage was delivered, please indicated where.
Did you purchase essential items because of a baggage delay / loss / theft / damage? If yes, attach receipts or bills.
Describe in detail how the delay / loss / theft / damage occurred
Did the delay / loss / theft / damage occur while the items were checked as luggage or under the care of a common carrier?
If yes, please provide the name of the carrier and attach your passenger ticket, copy or report led with common
carrier, and the carrier’s response to your loss (letter and/or check with explanation).
Name of carrier:
Is there any other insurance that provides coverage for this loss (homeowners, renters, credit card, other travel insurance)?
If yes, please provide name of insurance company, policy number and address.
Please supply the following:
3
Written statement from common carrier regarding baggage delay and length of delay.
3 Receipts for necessary purchase and proof of payment.
3 Copy of passenger ticket from the common carrier.
3 Copy of report from common carrier and their response conrming any amount reimbursed for loss, theft, damage or
delay.
3 Copy of report led with police, hotel, tour operator, etc., if your loss did not occur on a common carrier.
3 Completed and signed claim form.
3 If claimant is other than leaseholder, please provide a signed written statement from leaseholder listing all guests
occupying the rental property.
Arch-2014
Yes No
Yes No
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