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Delay Repay compensation form

Please use the form below to claim compensation for your journey.

Please ensure that you've scanned in your tickets before using this form and that your scanned images are no more than 1 megabyte each.

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All fields marked * are mandatory.

Delay repay online form

Title:*
First name: *
Surname: *
Email: *
Confirm Email: *
Telephone number: *
Address line 1:*
Address line 2:
Town/City:*
County:
Postcode: *

Claim Details

Claim 1

Ticket Type*

Cost of Ticket*

£ :

Date of journey*

Scheduled departure time:

Departing station:*

Arriving station:*

Length of delay:

Upload a scanned copy of your ticket here:*

Claim 2

Ticket Type*

Cost of Ticket*

£ :

Date of journey*

Scheduled departure time:

Departing station:*

Arriving station:*

Length of delay:

Upload a scanned copy of your ticket here:*

Claim 3

Ticket Type*

Cost of Ticket*

£ :

Date of journey*

Scheduled departure time:

Departing station:*

Arriving station:*

Length of delay:

Upload a scanned copy of your ticket here:*

Claim 4

Ticket Type*

Cost of Ticket*

£ :

Date of journey*

Scheduled departure time:

Departing station:*

Arriving station:*

Length of delay:

Upload a scanned copy of your ticket here:*

Claim 5

Ticket Type*

Cost of Ticket*

£ :

Date of journey*

Scheduled departure time:

Departing station:*

Arriving station:*

Length of delay:

Upload a scanned copy of your ticket here:*

Add another claim here

Please select how you would like to receive your compensation:
I have an online account; please apply an e-Voucher *
Please send me National Rail Vouchers
Please send me a cheque

* Register with Southern to receive your e-Voucher online. If you have not registered online with Southern we will send you National Rail Vouchers.

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Please note all claims are validated against our train running information records.