Formulari

Business and Regional Claim Form

Preferred method for submitting BULK claims is to use the claims template on the main warranty page.

  1. Customer Information
  2. Product Information

Customer Information

Please avoid using special characters as the will cause the form to error. (", ', :)

Dealer Name/OEM Name Obligatori
Dealer Number/Customer Number Obligatori
City Obligatori
State
Country Obligatori
Submitter Name Obligatori
Email Obligatori
Phone
Reference Claim Number (Non Collins ID) Obligatori
Work Order / Invoice Reference
CASP Contract #
Customer Name
City
State
Country
A/C Type Obligatori
A/C Serial Obligatori
A/C Tail
Manufacturer's Part # One Collins Part Number per claim Obligatori
Old/Removed Serial # One Equipment Serial Number per claim Obligatori
New/Installed Serial # One Equipment Serial Number per claim Obligatori
Labor Hours Obligatori
Labor Rate Obligatori
Freight (CASP Only)
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Date of Failure Obligatori
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Date of Repair Obligatori
Complaint Please avoid using special characters as they will cause the form to error.
Corrective Action / Parts Used Please avoid using special characters as they will cause the form to error.
Notes Please avoid using special characters as they will cause the form to error.

Contact Us

Commercial Transport & Business Aviation Warranty Support

PH: 319-295-5000

Phone Tree Menu

Email Avionics Warranty

 

Rosemount Warranty Support

Email Rosemount Warranty

 

Kidde Warranty Support

Email Kidde Warranty

Template Language

Note: Templates are best used when submitting batch claims of registration\retrofits that involved multiple equipment types.

Templates for Batch Claims/Registrations

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Warranty

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