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TripSecure Claim Form
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* Indicates required question
Booking Number: HELIO FORMAT; 1234567 / SOFTRIP FORMAT; ST123456
*
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Travel Agent Full Name:
*
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Agent Email Address
*
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Agency ARC/IATA (8 DIGIT ARC# NO ET IN FRONT)
*
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Cancellation Date
MM
/
DD
/
YYYY
List full name of all passengers filing a claim
*
* Please separate each name with a backslash "/"
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Additional Claim Notes
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Contact Information
Please contact
TripSecureclaims@us.flightcentre.com for any questions
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