Flight Disruption Compensation Request
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Please submit your claim for a delayed or cancelled flight in writing immediately. Claim resolution could take up to 30 days. Once your report is opened, you will receive an automated message which will include the Reference Number. Please store this number and use it during all communications. You will receive progress updates about the status of your claim through the contact information provided. One passenger per form is permitted, even if they are listed on the same reservation. Incorrect information will result in processing delays. If you have not received a response within 30 days, please contact us.
Reference Number
Are you contacting us on behalf of another person?
No
Yes
Relationship
Family member
Other
Claimant Section
Claimant Information
Claimant full name
*
First Name
Last Name
Claimant phone number
*
Format: (000) 000-0000.
Claimant email address
*
Claimant address
*
Address
Street Address Line 2
City
Province
Postal Code
Passenger Concerns
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This concerns a person with a disability
This concerns a service for an unaccompanied minor (12-17)
Passenger Section
Passenger Information
Passenger full name
*
First Name
Last Name
Passenger phone number
*
Passenger email address
*
Passenger address
*
Address
Street Address Line 2
City
Province
Postal Code
Flight Information
Reservation number
*
Flight number (ex. JVXXX)
*
Flight date
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/
Month
/
Day
Year
Departure airport
*
Please Select
Brochet MB
Cross Lake MB
Deer Lake ON
Island Lake MB
God's Lake Narrows MB
God's River MB
Lac Brochet MB
Norway House MB
North Bay ON
North Spirit Lake ON
Oxford House MB
Pikangikum ON
Red Sucker Lake MB
Red Lake ON
Sachigo Lake ON
Sandy Lake ON
Sault Ste. Marie ON
Sioux Lookout ON
Shamattawa MB
South Indian Lake MB
St. Theresa Point MB
Sudbury ON
Tadoule Lake MB
Thompson MB
Timmins ON
York Landing MB
Wasagamack MB
Winnipeg MB
Thunder Bay ON
Arrival airport
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Please Select
Brochet MB
Cross Lake MB
Deer Lake ON
Island Lake MB
God's Lake Narrows MB
God's River MB
Lac Brochet MB
Norway House MB
North Bay ON
North Spirit Lake ON
Oxford House MB
Pikangikum ON
Red Sucker Lake MB
Red Lake ON
Sachigo Lake ON
Sandy Lake ON
Sault Ste. Marie ON
Sioux Lookout ON
Shamattawa MB
South Indian Lake MB
St. Theresa Point MB
Sudbury ON
Tadoule Lake MB
Thompson MB
Timmins ON
York Landing MB
Wasagamack MB
Winnipeg MB
Thunder Bay ON
Delay Information
Scheduled arrival time
*
Actual arrival time
*
Arrival delay length
*
Delay reason (you were given)
*
Additional comments
*
Disclaimer and Acknowledgement
Please review the following information and accept to proceed.
Acknowledgement
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By submitting this form, I hereby certify that the information provided, is complete, true and accurate, to the best of my knowledge. I understand that the information provided may be subject to review and investigation and that Perimeter Aviation and Bearskin Airlines may disallow any claim which contains insufficient information, misrepresentation or false statements concerning whether or not previous claims have been made with Perimeter Aviation LP, an insurance company or any other party. I hereby give Perimeter Aviation LP the authority to request any documents or statements in relation to this claim to any relevant third parties such as Insurance Companies, other Airlines, Financial Institutions, or any relevant third party.
Submit
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