Delay Repay Claim Form

In order for us to settle your claim please fill out your contact details below

Title

Other Title

Full Name (First and Surname)

Confirm email

Contact number (Optional)

Post Code

Select country

Remember my details

Continue

When were you delayed?

Date of journey

Scheduled time of departure

Hour(s)

Minute(s)

Back Continue

Please enter the start and end stations of your journey, if your planned journey involved changing to different trains at various stations, please enter the station where you started your journey and the station where you ended your planned journey.

Departure Date & Time:

Journey Start and End Stations

From

Back Continue

Did you use more than 1 ticket to complete this journey.

Yes

Remember my choice

If you used more than 1 ticket to complete your journey, you can now provide details of all the tickets you used to support your Delay Repay claim. To do this, click 'Yes' above and follow the steps to provide the details of each ticket.

If you only used 1 ticket for your journey, please click 'No' above and follow the steps to provide details of your ticket.

If you travelled with more than 1 person, a separate claim should be submitted for each person that travelled.

Back

Continue

How many tickets did you use for the journey ?

Select(2-6)

Back

Continue

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Please upload a photo of your ticket. This should be your ticket for travel and not your seat reservation or receipt. Please cut your ticket in half or deface it, unless it is still in use (i.e season ticket).

Upload Image of ticket Upload Image of ticket

File size must be smaller than 10MB, we allow JPG, PNG and PDF file types

Smartcard Number

(as displayed on your card)

Enter Unique Ticket Reference

How to find UTN

Enter 8 digit collection reference

How to find CTR

Number

HOW TO FIND THE TICKET REFERENCE

Enter Oyster Card

Ticket Price £

How to find ticket price

Please enter the exact cost of your ticket

How did you pay for your ticket?

My ticket doesn't have a barcode My ticket has a barcode Continue

Sorry, we could not find your ticket and could see that your travel date is not today.

Please click continue to complete additional ticket details

Select another option Continue

Sorry, we could not find your ticket

Did you purchase your ticket today?

Yes No

Select another option

Sorry, but on this occasion we will need some more information from you, please complete the following details:

Type

Format

Ticket Time

Enter Unique Ticket Reference

Smartcard Number

Class

Date From

Date Until

Validity of a monthly season ticket must be one month

From*

To*

Photocard ID*

Card Number*

Cost £

Number

Reference

Swift Card Number

Upload Image of ticket Upload Image of ticket

File size must be smaller than 10MB, we allow JPG, PNG and PDF file types

Select another option Continue

Sorry, but on this occasion we will need some more information from you, please complete the following details:

Select another option Continue

Thank you, we should get your ticket details overnight, but in the event we don't we will get back in touch with you to request further information.

Select another option Continue

Your ticket with the details below was found and has not been used for a claim previously

Cost of ticket :

Method of Payment :

Ticket type :

Ticket Class :

Origin :

Valid From :

Destination :

Valid To :

Travel Date :

Ticket Duration :

Is this your ticket?

No, I will provide additional ticket details Yes, continue

Your ticket with the details below was found and has been used for a claim previously.

Cost of ticket :

Method of Payment :

Ticket type :

Ticket Class :

Origin :

Valid From :

Destination :

Valid To :

Travel Date :

Ticket Duration :

Is this your ticket?

Select another option

Gift Aid Option

Sort code

Account number

Bank Name :

Bank account able to accept payments :

IBAN

Swift Code

Valid IBAN :

Back Continue

Confirm your claim

Your Details

Ticket details

Compensation Details

View our privacy policy and read our terms & conditions

By clicking the submit button, you are agreeing to the terms and conditions of the Delay Repay scheme. Click the links above to read the details.

Knowingly submitting a fraudulent Delay Repay claim for a journey you have not made could constitute an offence under the Fraud Act 2006, and if found guilty can lead to a criminal conviction.

When were you delayed?

Scheduled time of departure

Select your journey

Length of delay

Type of delay

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Does your ticket have a barcode?

My Ticket DOES have a Barcode

NonBarcode

Select Ticket format

If you are looking to make a claim for additional costs (e.g. taxi/bus), please visit www.chilternrailways.co.uk to contact our Customer Relations department. You will still need to complete this form to claim Delay Repay first.

Did you purchase your ticket today?

Your Details

Ticket details

Compensation Details