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Travel Consumer Restitution Fund Claim Form

IF YOU ARE HAVING TROUBLE FILING A CLAIM ONLINE, YOU MAY DOWNLOAD A CLAIM PACKET BY VISITING THE DOWNLOAD PAGE IN THE 'FILE A CLAIM' MENU. COMPLETE AND SIGN THE FORM, THEN MAIL IT TO THE ADDRESS ON THE CLAIM FORM ALONG WITH YOUR CHECK FOR $35.00 PAYABLE TO TCRC.

Special Notice to Consumers Affected by Cruise Line Closures & Reorganizations

The Seller of Travel Law provides that the only losses recoverable through the Travel Consumer Restitution Fund are those incurred in a transaction with a registered seller of travel that is also a TCRC participant. Ocean carriers, however, are not sellers of travel as defined by Business and Professions Code section 17550.1.

For more information on filing a claim against an ocean carrier, please visit the Federal Maritime Commission’s website: http://www.fmc.gov The following Steps will guide you through the File a Claim process. By California statue, Section 17550.47, your claim must meet the following criteria:

1. The seller of travel you have a claim against must have been a participant in the Travel Consumer Restitution Corporations (TCRC) Fund at the time of sale, and the seller of travel must have been registered with the State of California, Seller of Travel Program.

2. Your loss must have been more than $50.00.

3. Your claim must be filed within one year after the scheduled date of completion of travel.

If you paid any part of your claim with a credit card, TCRC requires that you submit proof that you have requested a charge back for all payments made from the financial institution(s). Please refer to our Frequently Asked Questions (FAQ) titled "INFORMATION ABOUT CREDIT CARD CHARGEBACKS" found on the Home page of the TCRC web site.

When you complete your claim, you will need to provide (i.e. upload online) or mail in supporting documentation for your claim.

Do not use your browser's Back button while completing the form. To navigate, use the Previous and Next links at the bottom of each step.

Step 1 of 11

* Required

In order for your claim to be reviewed, you must provide the information requested below to the Travel Consumer Restitution Corporation (TCRC). If any of the requested information is unavailable, please state that the information is unavailable to you, and explain why.

Add Another Passenger





Step 2 of 11

* Required

Input the dollar amount of as many payments as you have made to the travel seller for the transportation and travel services you are claiming. Use the "Add Another Payment" if you have more than three. Be sure to indicate whether you have Proof of Payment such as a copy of your credit card statement(s), showing your name and address; a copy of your money order(s) or the front and back of your canceled check(s), or the front of your check(s) and your account statement(s) showing the check(s) were paid; evidence of a cash withdrawal for cash payments, and a copy of any receipts; and any travel documents that show the amount paid. If such proof of payment is not provided, please explain why later. ONLY LIST PAYMENTS WHICH WERE MADE WHEN EITHER THE PURCHASER OR THE PASSENGER WAS IN THE STATE OF CALIFORNIA AT THE TIME THE PAYMENT WAS MADE.*

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Yes (**Paid while in CA)
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Yes (**Paid while in CA)
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Yes (**Paid while in CA)
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Yes (**Paid while in CA)
Add Another Payment
Step 3 of 11

* Required

Describe the transportation and/or travel services you purchased, followed by your Scheduled Date of Departure and Scheduled Return Date. Then state specifically and in detail which of those services were not provided as promised.*




Specifically and in detail, describe any payment, refund, or alternative transportation or travel services that were provided to you in place of the transportation or travel services described in your response above. If applicable, include here the proof that you requested a credit card charge back from your financial institution and that it was denied.

Step 4 of 11

* Required

Search and then select the travel agency against whom you intend to file the claim.*







Search Results:

Step 5 of 11

* Required

STATE THE DOLLAR AMOUNT OF YOUR CLAIM AND THE BASIS FOR IT. You must state the amount of your claim in dollars and specifically describe why you believe you are owed a refund in that amount by the travel seller against whom your claim is made. If you are seeking reimbursement for only part of the travel services you purchased, please list the specific services you did not receive and the amount of reimbursement you seek for each.

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Step 6 of 11

* Required

You must provide a copy of those documents that set forth the travel services purchased, such as airline tickets, itinerary, invoice or other agreements that support your claim. Input the title of the document and a description of its contents.

Add Another Document


If any of the required documents are not provided, please state why below.

Step 7 of 11

* Required

Did you purchase any trip cancellation or interruption insurance for this trip? Please check - Yes - if you did. If you did, please provide the following information and ATTACH LATER A COPY OF THE POLICY OR CERTIFICATE OF INSURANCE OR OTHER EVIDENCE OF COVERAGE. Yes

If so, describe.

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Step 8 of 11

* Required

Do you have any other potential sources of reimbursement for your loss (such as homeowner’s or renter’s insurance) other than the seller of travel or trip cancellation or interruption insurance identified above? Please check – Yes- if you do. If so, also provide the identifying and explanatory information about that source of reimbursement, and ENCLOSE A COPY OF THE POLICY OR CERTIFICATE OF INSURANCE OR OTHER INFORMATION describing it. Yes




Step 9 of 11

This is a summary of the entire claim so far. Please look it over, verify the information you are providing, and make any changes required.

Step 1 - Passengers and Address (edit)

Step 2 - Proof of Payment (edit)
Date of Payment
Amount of Payment
Form of Payment
Proof will be included


Step 3 - Travel Seller (edit)
Step 4 - Scheduled Services Purchased (edit)
Transportation and/or travel services you purchased:



Scheduled Departure Date:
Scheduled Return Date:


Specifically, and in detail, describe any payment, refund, or alternative transportation or travel services that were provided to you in place of the transportation or travel services described in your response above:

Step 5 - Amount and Basis for Claim (edit)
Total Amount of Claim:


Explanation of Basis:

Step 6 - Documents to be Provided (edit)
Document Name
Description




If any of the required documentation is not provided, please state why below:

Step 7 - Trip Cancellation or Interruption Service (edit)
Step 8 - Reimbursements (edit)
Step 10 of 11

* Required

NOTICE OF WAIVER: BY FILING A CLAIM WITH THE TCRC, YOU WAIVE THE RIGHT TO BRING ANY ACTION AT LAW OR EQUITY, INCLUDING A SMALL CLAIMS COURT ACTION, THAT IS AGAINST THE SAME SELLER OF TRAVEL AND THAT ARISES FROM THE TRANSACTION THAT IS THE SUBJECT OF THIS CLAIM. See the enclosed instructions and waiver form for further details. I/WE DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE INFORMATION PROVIDED IN THIS CLAIM IS TRUE AND CORRECT.
Accept Terms*

Processing Error

There was an issue processing your claim.

Please review and correct any issues listed below.

Step 11 of 11

* Required

When you have completed uploading all supporting documents please click Process Payment.
Your claim WILL NOT be accepted until payment has been made.



Browse on your computer system and attach .doc or .pdf files that support your claim. If you checked the "Documents will be mailed" box and provided an email address, instructions will be emailed for you to print off and attach to the documents you noted in Step 6. If no email provide please send documents to the following address: Travel Consumer Restitution Corporation P.O. Box 6001 Larkspur, CA 94977-6001

Once all documents have been uploaded, proceed by clicking "PROCESS PAYMENT" to pay your $35 processing fee.


Add Another File







Collateral Documents:

Payment

Please select either online payment (credit card only) or payment by mail (check only) and complete the respective area to pay the fee.

• Your accepted online payment will be posted immediately. Please note, we only accept Visa or MasterCard.

• For payment by mail, you will be asked to input the check information. However, you will need to mail the actual check along with a transmittal letter, which will be emailed to you, identifying the check for processing. Your application will be processed when we receive notification that your check has cleared your bank, which can take up to 10 working days. If your check is returned from the bank for non-sufficient funds, your claim will be rejected for filing and may only be resubmitted upon payment of a processing fee of fifty dollars ($50).

If your claim is granted in whole or in part, this processing fee will be refunded to you. Note that a copy of your claim will be sent to the seller of travel against whom the claim is made in order to request their response. The claim will then be reviewed.

Claim Processing Fee: $35

Payment Information:

Credit Card Check
(mm/yyyy)
$


Only click the Process Payment button once.
Claim Submission Confirmation

This communication is confirmation of your claim filing application. If you paid by check and your check is returned from the bank for non-sufficient funds, your claim will be rejected for filing and may only be resubmitted upon payment of a processing fee of fifty dollars ($50). Note that claims must be filed within one year from the scheduled date of completion of travel. TCRC will contact you if we require further information or support for your claim. Claims are to be decided within 45 days of receipt unless (1) the designated representative of the office of the Attorney General’s Office of the State of California requests a continuance to obtain and submit information, or (2) the Travel Consumer Restitution Corporation determines that additional information or documentation is required to decide the claim. In either case, the claim shall be decided within 45 days of receipt of all additional information or documentation requested. Please contact the TCRC Administrator at Info@TCRCinfo.org if you have any further questions regarding this claim.