ASSIGNMENT FORM

2025-04-24

[Client Name]

[Client Address]

[Client Name], [Date Of Birth], [Address] ("Client")

Assignment details:

Claim ID:
[Claim ID]
Air Carrier:
[Airline]
Flight No:
[Flight Number]
Flight Date:
[Flight Date]

In accordance with the Privacy Policy and General Terms & Conditions provided in UAB Skycop.com, legal entity code 304423851, registered address at Dariaus ir Gireno St. 21A, Vilnius, the Republic of Lithuania (“Skycop”), webpage www.skycop.com, which were confirmed by the Client after he/she got acquainted with them, by this assignment form (“Assignment Form”) the Client assigns to Skycop and Skycop accepts from the Client full ownership and legal title to monetary claim pursuant to Regulation (EC) No 261/2004 of the European Parliament and of the Council of 11 February 2004 or under any other international or national regulation applicable in respect of the Client in another country establishing common rules on compensation and assistance to passengers in the event of denied boarding and of cancellation or long delay of flights, including all the amounts in relation to the above specified flight as well as taxes and other amounts, when passengers are not able to fly or their flight was disrupted and, any other monetary compensation for lost or damaged baggage (“Assignment”).

The Client understands that by concluding this Assignment Form he cannot engage into any direct contact or receive payment from the flight operating carrier.

If this Assignment Form cannot be considered valid in the particular country (jurisdiction) or when the parties agree on the provision of services by a separate agreement, this agreement shall be considered as a contract for services according to which Skycop administers Client’s Assignment and undertakes to organize and finance the collection of the Assignment and to carry out all actions related thereto including but not limited to:

  • Organizing and financing legal representation of the Client before all third parties and institutions in relation to the Assignment, conducting communication with the flight operating carrier on all issues regarding the Assignment and carrying out all other related actions;
  • Collecting and receiving payments in relation to the Assignment on the Client's behalf and settling with the Client in accordance with the agreed terms and conditions provided in Skycop’s webpage www.skycop.com

This agreement is terminated immediately if within 14 days since the conclusion of the agreement, the Client submits a withdrawal notice by email. The right to terminate the agreement on this ground ends prematurely if the agreement is fully performed until the expiration of the above-mentioned time limit.

The Client confirms that he is aware that Skycop will commence respective works with the Assignment right after the conclusion of the agreement and that may impact termination of the agreement.

Privacy Policy and General Terms & Conditions provided in Skycop’s webpage www.skycop.com apply when signing this Assignment Form.

Client:
[Client Name]

Signature

Head of Operations Department of Skycop:
Sigitas Kaciušis

Signature