TicketPlan Limited Leigh House, Broadway West, Leigh-on-Sea, Essex, SS9 2DD

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Reimbursement Application Form – Instant online submission

Please complete the online reimbursement application form ensuring that you have uploaded all of the relevant documentation in support of your reimbursement application, before submitting.

Alternatively, if you would prefer to apply for a reimbursement by post, please download the application form, print it out and return it (along with all of the relevant supporting documentation) to: TicketPlan, Leigh House, Broadway West, Leigh-on-Sea, Essex, SS9 2DD.

Online applications are received immediately and are our preferred method of submission.






Download Medical FormDOWNLOAD

Please ensure that you enclose the following documentation (copies may be acceptable) in support of your reimbursement application (where appropriate only).

  • Original unused tickets where applicable
  • Confirmation of your payment for Cancellation Protection (your booking confirmation)
  • Confirmation of re-booking (where applicable) - A print out from Loco2.com detailing the re-booked journey details on to which Cancellation Protection was transferred. To be submitted along with your original booking confirmation
  • A completed medical confirmation form. Submission of our own medical confirmation form is preferred. We will consider other medical documents but these may not be adequate for our needs. (Download medical form template)
  • Death certificate (please do not post original documents)
  • Evidence of the Emergency Services attending your residence in the event of burglary or fire
  • Original witness summons instructing you to appear in court
  • Original invitation to attend jury service
  • Original advice of cancellation of leave/advice to travel at short notice in relation to military service
  • Confirmation from the transport operating company of the non-running of one or more legs of the booked journey necessitating the cancellation of the entire booked journey prior to initial departure.

Any other reasonable documentary evidence that might be required


The ticketholder (the person who has purchased Cancellation Protection) must answer all questions below. Please answer all questions clearly and concisely to avoid misunderstanding or delay.


1. Your details

Country of Residence
Post/Zip code
Telephone (home)
Telephone (daytime)
Telephone (mobile/cell)
Email Address
Confirm Email Address

2. Details of booking

Date of purchase
Booking reference No.
New Booking reference No.
(if original journey was re-booked and Cancellation Protection transferred)
Date of travel
Cost of tickets that are the subject of this reimbursement application
Currency used to make purchase
Cost of booking fee
Cost of Cancellation Protection
Number of ALL persons due to travel
Names of ALL persons due to travel
Number of ALL persons unable to travel
Names of ALL persons unable to travel
When did you become aware that you/they were unable to travel

3. Refund application details

Please complete the section which is relevant to your application.

If your situation does not fit within the options available, please select the 'other' option and provide full details in the box provided.

A. Injury/Illness - Please be advised we will require the completion of the Medical confirmation form. Download the Medical form

Identity of the person who suffered the injury/illness
If this person was not a member of the travelling party please indicate their relationship to the person(s) who is/are unable to travel
Nature of injury/illness
How injury occurred
Date on which medical attention was first sought for illness/injury?
Why did the injury prevent this person from travelling?

B. Bereavement - Please be advised we will require a copy of the death certificate to be attached

Identity of the deceased
If not a member of the travelling party please indicate their relationship to the person(s) who is/are unable to travel
Date and cause of death
When was medical advice/treatment first sought for the medical condition causing death

C. The non-running of one or more legs of the booked journey necessitating the cancellation of the entire booked journey. (Please note we will require written confirmation from the transport operating company of the non-running of the affected leg of the journey)

Details of the booked journey including the leg of the journey which was affected.
Date and time you became aware of the non-running of the affected leg of the journey.
Has a refund been received from the transport operating company in relation to the affected leg of the journey?
Please provide details in the box below and attach supporting documentation as appropriate

PLEASE NOTE: The Cancellation Protection service only provides a refund following a cancellation that results from specific/listed circumstances and is subject to the Terms and Conditions provided at the time of purchase. If you are applying as a result of a circumstance that is not listed, it is likely that your application will fall outside the scope of the Cancellation Protection service.


Attach your files

Please note that only one file can be attached per upload box. The file name selected will appear within the box and can be changed if incorrect.

Supporting documents are preferred in English.

If you are having difficulty in attaching documents or are unable to attach all the evidence needed, please email additional items to refunds@ticketplangroup.com providing your TicketPlan reference number. (The reference number will be emailed to you immediately following submission of the online form).

Supporting Documentation
e.g. a completed medical confirmation form or other medical document where your reimbursement request is for injury or illness. Scanned copies or photos may be acceptable.
Booking Confirmation/Confirmation of
Cancellation Protection Purchase
Un-used Tickets if available
scanned copies or photos of un-used tickets may be acceptable
Any additional documents

Please provide appropriate documentary evidence (copies may be acceptable) detailing the nature, date and time of the circumstance(s) necessitating the cancellation of your journey

If necessary/appropriate, please provide additional details in relation to the documentary evidence attached


Reimbursement Payment

Ideally we would like to credit funds directly into your Bank Account. Please note we are unable to refund using credit/debit card details. Could the ticket holder please provide the following details:

Please select one of the payment options below.

Payment to an account within the United Kingdom
Payment to an account outside of the United Kingdom
Bank name
Account Number or IBAN (as applicable)
Account held in the name of


TicketPlan cannot be held responsible if incorrect banking details are provided.

Please note: The account holder is liable for bank charges levied by the receiving bank.



In submitting this form I declare that the information I have provided above is true to the best of my knowledge. Any reimbursement made as a result of any knowingly incorrect statement made by me or on my behalf shall be invalid and may result in subsequent action being taken against me.

I agree that any copy made of this form shall have the validity of the original. I agree to the use of my data (including any sensitive personal data) submitted as part of this reimbursement application form being used in accordance with the Privacy Policy I confirm that I have the consent of any applicable travelling party members whose data I am submitting as part of this reimbursement application form in regards to the same.

For verification purposes, please slide the blue arrow all the way to the right.


If you are experiencing difficulties in submitting your application or have a technical query in relation to your application please see the FAQs section above which will hopefully answer any queries you may have. Alternatively, if your query is of a more specific nature please click the Need Help button below.




To find out more about our services & how we can help you.

Please get in touch

Leigh House, Broadway West, Leigh-on-Sea, Essex, SS9 2DD

TicketPlan Limited are Appointed Representatives of Essex Financial Management Limited ("EFM").
EFM are authorised and regulated by the Financial Conduct Authority.

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