Form

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 Required
Dealer Number/Customer Number Required
City Required
State
Country Required
Submitter Name Required
Email Required
Phone
Reference Claim Number (Non Collins ID) Required
Work Order / Invoice Reference
CASP Contract #
Customer Name
City
State
Country
A/C Type Required
A/C Serial Required
A/C Tail
Manufacturer's Part # One Collins Part Number per claim Required
Old/Removed Serial # One Equipment Serial Number per claim Required
New/Installed Serial # One Equipment Serial Number per claim Required
Labor Hours Required
Labor Rate Required
Freight (CASP Only)
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Date of Failure Required
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Date of Repair Required
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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Templates

Folder

# of Items
2
Created By
Arthur Gray
Location
Warranty
There are no documents or media files in this folder.
Documents
Claim Form Template.xlsx
5 Years ago by Arthur Gray
Approved
Collins Registration Template.xlsx
5 Years ago by Arthur Gray
Approved
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