WestJet Airlines Limited Consumer Litigation

SECTION 1 – CLAIMANT INFORMATION

Individual Claimant Name: *

Authorized Representative (If Applicable):

Street Address: *

Country: *

City: *

State: *

Zip: *

Mobile Phone Number:

Email Address: *

WestJet Rewards Id: *

If you have one, you must provide a current, valid email address or mobile phone number with your claim submission. If the email address or mobile phone number you include with your submission becomes invalid for any reason, it is your responsibility to provide accurate contact information to the claims administrator.

SECTION 2 - FLIGHT INFORMATION

Booking Confirmation Date *

Booking Confirmation Id *

Please select Required File Below: *

Must Click Add To Submit Your Info.

Booking Date

Booking Confirmation Id

Proof of Payment

Action

SECTION 3 - PROOF OF CLASS MEMBERSHIP

• For each of the claims in section 3 (above), you must attach proof of class membership. • Proof of class membership include the following: (1) WestJet booking confirmation number, or copy of the WestJet booking confirmation; and (2) Proof of payment of the first checked baggage including the receipt or credit card statement showing payment.

SECTION 4 - CLAIMANT SIGNATURE AND CERTIFICATION

By signing this claim submission, I certify that the information included with this claim submission is accurate and complete to the best of my knowledge, information, and belief. If I am submitting this claim submission on behalf of a claimant, I certify that I am authorized to submit this claim submission on the claimant’s behalf. I am, or the claimant on whose behalf I am submitting this claim submission is, a member of the class, and not subject to any of the exceptions to being included in the class. I agree and consent to be communicated with electronically via email and/or mobile phone text (message & data rates may apply). I agree to furnish additional information regarding this claim submission if requested to do so by the Claims Administrator.

Signature: *