Affidavit of Traffic Document andor Airline Identification Plate

Document Sample
scope of work template
							                                                                ARC FAX SERVICE DOCUMENT #116


                                Affidavit of Traffic Document and/or
                       Airline Identification Plate Destruction instructions
                                              (Form 116)
If you have Accountable Ticket Stock or Airline Identification Plates which need to be destroyed, please
follow the enclosed instructions and fax the completed form page 2 (for Ticket Stock) or completed form
pages 2&3 (for Airline ID Plates) to ARC @ +1 703.341.1228.

Preparing the “Affidavit of Traffic Document and Airline Identification Plate Destruction”

      Download Form 116 (Affidavit of Traffic Document and Airline Identification Plate Destruction)

      Use Form 116 for both Traffic Documents and Airline Identification Plates that need to be destroyed

      Complete the form electronically, prepare the affidavit and proofread the stock control numbers to
       ensure accuracy. If you are destroying large quantities of stock and the inventory will not fit on one page,
       use additional forms as necessary

      Fax the completed form to ARC @ +1 703.341.1228

      Once the completed Affidavit for Accountable Traffic Document Destruction has been faxed to ARC, you
       need to destroy the documents and plates listed on the form per the ARC destruction guidelines below:
Methods for Destroying Ticket Stock
Due to chemical emissions into the environment it is illegal to burn carbonized documents (manuals) or ATBs with a
magnetic stripe in many municipalities. Shredding is the most common means of ticket destruction. Please note that
ATB documents can dull the cutting blades of inexpensive paper shredders. There are document destruction
companies throughout the US which will destroy documents for a fee. Documents can also be hand-torn and should
be torn into thirds.

Methods for Destroying Airline Identification Plate
The plates must be cut in half which can be done using heavy duty scissors or any other means which the plates are
cut in half. There are document destruction companies throughout the US which will destroy the plates for a fee.

       Please Do Not Send Any Ticket Stock or Airline Identification Plates to ARC




                                                  Page 1 of 3
                                                                                ARC FAX SERVICE DOCUMENT #116
      Affidavit for Accountable Traffic Documents and Airline Identification Plate Destruction
      AFFIDAVIT OF __________________________________________________________ (Name)

      I, _______________________________________________(Name), hereby assert, under the penalties of perjury, I
      represent and warrant that the following

      information is known to me personally, and is true and correct to the best of my knowledge and information.

(1)   That my name is___________________________________, and that I am currently employed and/or associated

      with _____________________________________________,
                      (Legal Name of Travel Agency)

      a travel agency doing business under the name of __________________________________________,
                                                                 (Name of Travel Agency)
      in the capacity of _______________________________.
                                         (Title)

      Agency Code Number: __________________________

(2)    That the following Airline Identification Plates, identified on page 2 by the each airline’s carrier code, and shipped to the
      above named travel agency by the carrier appearing on the Airline Identification Plates, to be held in trust for the carrier in
      question by the above named travel agency, have been destroyed:


      Date of destruction: ________________________
                                 (DD/MM/YYYY)


(3)    That the following traffic documents, identified below by stock control number or serial number, and shipped to the above
      named travel agency by the Airlines Reporting Corporation (ARC) to be held in trust for ARC by the above named travel
      agency, have been destroyed:


      Date of destruction: ________________________
                                 (DD/MM/YYYY)


                           Stock Control Number or Serial Number Range of ATB Documents Destroyed:

 Beginning Stock Control/Serial Number                              Ending Stock Control/Serial Number
 From:                                                              To:

 From:                                                              To:

 From:                                                              To:


(4) I recognize that this affidavit shall in no manner affect the rights or liabilities of ARC, myself, or the travel agency listed
    above, and is intended solely as a sworn statement of fact regarding the issues stated herein.

(5) I hereby agree to indemnify and hold harmless ARC and/or the carriers, which have or hereafter execute the ARC Carrier
Services Agreement against all costs, suits, damages, and liability to third parties, including payment of reasonable attorneys'
fees (including costs for in-house counsel) and all other legal costs, expenses, and fees, arising from or in connection with ATB
Documents identified in item (2) above that were used after the date in which I have represented and warranted the ATB
Documents were destroyed

      _______________________________________
                      (Print Name)

      _______________________________________                 _______________
                      (Signature)                                     (Date)


                                           Fax completed form to 703-341-1228


                                                              Page 2 of 3
                                                                              ARC FAX SERVICE DOCUMENT #116


                                                  AIRLINE ID PLATE INVENTORY
Indicate destroyed Airline plates by marking line at left of carrier name.


   137 VX Aces Airlines                               355 5C Conquest Airlines              496 KN Morris Air
   053 EI Aer Lingus                                  005 CO Continental Airlines           930 6Y NICA, S.A.
   078 JR Aero California                             230 CM COPA                           087 WT Nigeria Airways
   802 ML Aero Costa Rica                             064 OK Czechoslovak Airlines (CSA)    012 NW Northwest Airlines
   555 SU Aeroflot Soviet Airlines                    006 DL Delta Air Lines                050 OA Olympic Airways
   044 AR Aerolineas Argentinas                       113 DO Dominicana Airlines            561 PQ Pacific Coast Airlines
   139 AM AeroMexico                                  007 EA Eastern Airlines               214 PK Pakistan Int'l. Airlines
   210 PL AeroPeru                                    341 EU Ecuatoriana Airlines           522 BK Paradise Island Airlines
   046 LV Aeropostal                                  077 MS Egyptair                       339 KS PENAIR
   014 AC Air Canada                                  114 LY El Al Israel Airlines          079 PR Philippine Airlines
   057 AF Air France                                  176 EK Emirates                       162 PH Polynesian Airlines
   086 NZ Air New Zealand                             464 EM Empire Airlines                081 QF Qantas Airways
   092 RK Air Afrique                                 808 7H Era Aviation                   338 RV Reeve Aleutian Airways
   098 AI Air India                                   695 BR EVA Airways                    384 QQ Reno Air
   130 UK Air UK                                      163 CF Faucett Peruvian Airlines      147 AT Royal Air Maroc
   201 JM Air Jamaica                                 105 AY Finnair OY                     512 RJ Royal Jordanian Airlines
   276 FQ Air Aruba                                   126 GA Garuda Indonesian Airways      082 SN Sabena Belgian World Airlines
   396 UE Air L.A.                                    825 8G GP Express Airlines            156 EH Saeta Airlines
   444 WU Air West Airlines                           846 ZK Great Lakes Aviation           274 SH SAHSA Honduras Airlines
   778 CW Air Marshall Islands                        072 GF Gulf Air                       894 UF SARO Airlines
   937 OG Air Guadeloupe                              206 GY Guyana Airways                 065 SV Saudi Arabian Airlines
   372 HO Airways International                       362 TV Haiti Trans Air                117 SK Scandinavian Airlines
   027 AS Alaska Airlines                             173 HA Hawaiian Airlines              618 SQ Singapore Airlines
   055 AZ Alitalia                                    075 IB Iberia                         083 SA South African Airways
   205 NH All Nippon Airways                          108 FI Icelandair                     526 WN Southwest Airlines
   119 ALM Antillean Airlines                         131 JL Japan Airlines                 085 SR Swissair
   327 AQ Aloha Airlines                              538 KP Kiwi International Air Lines   202 TA TACA International Airlines
   895 7V Alpha Air                                   074 KL KLM Royal Dutch Airlines       838 GD TAESA
   401 HP America West Airlines                       180 KE Korean Air                     047 TP TAP-Air Portugal
   001 AA American Airlines                           229 KU Kuwait Airways                 217 TG Thai Airways International
   366 TZ American Trans Air                          133 LR LACSA Airlines                 305 FF Tower Air
   554 A3 AMTRAK                                      145 UC LADECO, S.A.                   015 TW Trans World airlines
   646 IW AOM French Airlines                         569 7Z Laker Airways                  414 9N Trans State Airlines
   503 OQ Arizona Pacific Airways                     045 LA Lan Chile Airlines             653 TR TransBrasil S/A Linhas Aereas
   988 OZ Asiana Airlines                             705 PZ Lineas Aereas Paraguayas       696 VR Transpor. Aereos de Cabo
   257 OS Austrian Airlines                           051 LB Lloyd Aereo Boliviano          Ver
   128 VE Avensa Airlines                             504 AD Lone Star Airlines             106 BW Trinidad & Tobago
   134 AV AVIANCA                                     080 LO Lot Polish Airlines            235 TK Turkish Airlines
   240 GU AVIATECA                                    266 LT LTU International AIRWAYS      432 RL Ultrair
   111 UP Bahamasair                                  220 LH Lufthansa German Airlines      016 UA United Airlines
   125 BA British Airways                             232 MH Malaysian Airlines System      037 US USAir
   236 BD British Midland Airways                     182 MA Malev Hungarian Airlines       042 RG Varig Airlines
   524 A4 British Rail International                  478 BF Markair                        343 VP VASP Brazilian Airlines
   018 CP Canadian Airlines Int'l.                    129 MP Martinair Holland              830 A6 Via Rail Canada
   521 KW Carnival Air Lines                          533 YV Mesa Air Lines                 164 VA VIASA
   160 CX Cathay Pacific Airways                      132 MX Mexicana Airlines              932 VS Virgin Atlantic Airways
   378 KX Cayman Airways                              558 MG MGM Grand Air                  573 WS Westates Airlines
   370 OP Chalk's International Airlines              453 YX Midwest Express Airlines       822 OD Zuliana de Aviacion
   297 CI China Airlines                              390 ZO Mohawk Airlines




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