TAF Claim Form for Consumers

Please insure you confirm by reviewing your cheque or credit card statement to determine who received your payment.

Under the Travel Industry Regulation, the Director may defer payment until the director is satisfied that the claimant has made reasonable effort to obtain compensation from other sources, including the travel agent, credit card issuer and/or insurance (if applicable). For your claim to be considered, you must provide proof that you have made reasonable efforts to obtain compensation from other available sources before applying to the TAF. Please indicate below from which sources you have requested a refund.

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CLAIMANT INFORMATION - (PERSON WHO PAID FOR TRAVEL SERVICES)

NAME OF FAILED TRAVEL SUPPLIER

ORIGINAL TRAVEL SERVICE PURCHASED

PAYMENT INFORMATION

COMPENSATION REQUESTED FROM OTHER SOURCES

SUPPORTING DOCUMENTATION

Each person who signs this application, or on whose behalf this application is signed, is referred to below as a "Claimant". The words "they and" and "their" as used below apply to each Claimant and are deemed to include the feminine and masculine forms. The loss which gave rise to the claim under this application is referred to the "Claim". The "Fund" refers to the Travel Assurance Fund continued under the BC Business Practices and Consumer Protection Act. By signing this application, the Claimant confirms and agrees that:

• they have not received any money or other thing from another source on account of the Claim;
• if they receive any money or other thing from another source on account of the Claim, they will immediately advise the Business Practices and Consumer Protection Authority (the "BPCPA") as to the amount of money or the value of the other thing;
• they have not released any person from the Claim or any part of the Claim; they will, on request, provide to the BPCPA all records and information in their possession or control in respect of the Claim;
• if the Claimant is an individual, they will, on request, deliver to the BPCPA a statutory declaration, in a form acceptable to the BPCPA, in respect of the statements of fact in this application;
• if the Claimant is a corporation, they will, on request, deliver to the BPCPA a statutory declaration of a senior officer or director of the Claimant, in a form acceptable to the BPCPA, in respect of the statements of fact in this application.

If the Claimant is paid any money from the Fund in respect of the Claim, the Claimant agrees that:

• their receipt of the payment releases the BPCPA and the Fund from all further claims and demands in respect of the Claim;
• if they subsequently receive any money or other thing from another source on account of the Claim, they will pay the money or the value of the other thing to the BPCPA, as trustee of the Fund, up to the amount paid to it from the Fund.

Thank you for submitting a claim to the Travel Assurance Fund. You may wish to make a copy of this claim for your records before submitting. After submitting your claim you should receive an e-mail to your above noted e-mail confirming that your claim has been received. Please contact our office at 1 888 564 9963 should you not receive an e-mail within 24 hours.