Application for travel guarantee

All fields marked with * must be filled in.

Your information will be sent encrypted to Midttrafik.

You can see how we process your personal information in Midttrafik's privacy policy

Travel details

Date *

Route number *

From (station/bus stop) *

Depature time *

To (station/bus stop) *

Arrival time *

Describe what happened in connection with your planned journey

Description *

Information about your travel by taxi

Taxi from

Taxi to

Price in DKK

Taxi receipt (pdf or jpg)

Remember to attach a copy of the original taxi receipt. The refund is up to maximum 75 km.

Information about your travel by car

Car from

Car to

Km in total

It is the driver who needs to apply. The refund is up to maximum 75 km in total for both ways.

Fill in if you have expenses for catering for train / light rail delays of more than 60 minutes*

Amount to refund *You can NOT cover expenses for spirits, cigarettes, tobacco, magazines, newspapers, games etc.

Receipt Remember to attach a copy of the original receipt (max. DKK 50).

Personal information

Name *

Street *

Postal code

City *

Phone number

E-mail *

E-mail ok

Payment through your NemKonto

CPR number Fill in your CPR number WITHOUT hyphen

*Your CPR number will only be uses to identify your NemKonto

Payment through your bank account

IBAN

SWIFT code

Confirm *