Formulaire

Commercial 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 they will cause the form to error.

Airline / OEM Name Requis
Customer Number
City Requis
State
Country Requis
Submitter Name Requis
Email Requis
Phone
Claim Number Requis
Work Order / Invoice Reference
A/C Type Requis
A/C Serial
A/C Tail
Manufacturer's Part # One Collins Part Number per claim Requis
Old/Removed Serial # One Equipment Serial Number per claim Requis
New / Installed Serial # One Equipment Serial Number per claim
Labor Hours
Labor Rate
Freight
Parts: Part Numbers Hit ENTER to add more than one part.
Parts: Quantity Hit ENTER to add more than one part.
Parts: Price per Unit Hit ENTER to add more than one part.
Parts: Total Amount Hit ENTER to add more than one part.
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Date of Failure Requis
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Date of Repair Requis
Complaint Please avoid using special characters as they will cause the form to error.
Corrective Action 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

Retour

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Version 1.0 Approuvé
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Arthur Gray
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31/07/19 14:01 par Arthur Gray
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31/07/19 14:01 par Arthur Gray
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