Affidavit of Traffic Document andor Airline Identification Plate
Document Sample


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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