Hotel Delay Pay Form

Compensation for Hotel Delay

Use this form to report issues with compensation for hotel delays

"*" indicates required fields

Name*

First Last

Personal Email (Do Not Use AA Email)*

Employee Number*

Phone

Base*

Sequence Number*

Date of Sequence Origination*

Sequence Position*

Flight Number to Layover/RON (4-digit flight number)*

Layover/RON Station (3-letter city code)*

Approximate Time of Reschedule/Disruption*

Please include time zone (CT, MT, ET, ect.)

Direct Connect Information

If you have not already filled out a Direct Connect please file on here first. You will need a Direct Connect ticket number to complete your Hotel Delay form.

Direct Connect Ticket Number*

Direct Connect Status*

Direct Connect file upload*

Drop files here or

Max. file size: 100 MB.

Please provide additional information about the situation

Crew Information

Please list all crew members on the flight and their employee number. Leave the field blank if you do not know their employee number.

Crew Member Name

Employee Number

Crew Member Name

Employee Number

Crew Member Name

Employee Number

Crew Member Name

Employee Number

Compensation for Hotel Delay

Use this form to report issues with compensation for hotel delays

Direct Connect Information

Crew Information

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