Physical Injury Claim Form | United Airlines

Report an injury

If you’ve been hurt while traveling on a United flight, give us the details and we’ll do everything we can to help. If you need help with something else, go to customer care.

Are you the injured party?(Required)

1. Trip information

Did this happen during a trip?(Required)

Don’t see your flight?

2. Incident details

Enter the details about your experience.

Please describe what happened
1000 characters remaining
Were there witnesses?(Required)
Was EMS called?(Required)
Did you seek medical treatment for the injury?(Required)
Did you receive any compensation from United related to this incident?(Required)

Attach files

You can attach up to three files to your case. By submitting these documents you agree to share these files with us. Total size cannot exceed 2 MB and files must be one of the following types: .doc, .jpeg, .png, .xls, .pdf, .txt, and .csv.

3. Customer information

Please enter your information exactly as it appears on your reservation.

Date of birth*
State/province/region field. Populated with state code