IATA LIST OF TICKET AND AIRPORT TAXES AND FEES

Reporting form for:
IATA LIST OF TICKET AND AIRPORT TAXES AND FEES and
Application Form for assigning a code for ticket tax, charge or fee
(Please use one copy of this form for each tax, charge or fee)
Name of reporting/requesting carrier:
Name of person: SITA:
Country Name: ISO Country Code: State:
Name of tax, charge or fee:
Effective Date of the tax: ____________________________________
(To be shown on: ❏ Tickets issued on/after ______________For travel on/after )
Explanation:
Existing Code: _ ❏ None Purpose of the tax:
12-Mar-2002
Description of application: Departure Arrival Currency Code Amount % *
International: or
Domestic: or
* Explain type of fare on which the percentage is based:
Other Application: ❏ Day ❏ Time
Explanation:
Collection at point of: ❏ Sale ❏ Departure ❏ Arrival
Explanation of collection:
Remitted to the responsible
authority by: ❏ Selling Airline ❏ Lifting Airline ❏ Other (explain)
Explanation of remittance:
The tax, charge or fee is Interlineable: ❏ YES ❏ NO
Exemptions: ❏ Yes ❏ None If yes, please tick the boxes below:
❏ Infants (children under 2) ❏ Children under 12 ❏ Government officials
❏ Diplomats ❏ Airline crew on duty ❏ ID-tickets....................
❏ Free tickets (for personal travel) ❏ Free tickets (for company business travel)
❏ AD tickets................................... ❏ Military flights
❏ Transit/transfer passengers ➪ (❏ 24 hrs, ❏ 12 hrs, ❏ 6 hrs, ❏ next possible connection)
❏ Involuntary reroutings, e.g. due to technical problems or weather conditions
❏ Others:
Explanation of exemptions:
Authority responsible for the administration of the tax (Ministry, CAA, Airport authority, etc.):
Name:
Address:
Tel: Fax:
Additional comments:
❏ Correction/amendment of existing tax, charge or fee ❏ New tax, charge or fee
--- Kindly attach a copy (English version if possible) of the legislation/notice imposing this tax, charge or fee ---