表单

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 必需的
Customer Number
City 必需的
State
Country 必需的
Submitter Name 必需的
Email 必需的
Phone
Claim Number 必需的
Work Order / Invoice Reference
A/C Type 必需的
A/C Serial
A/C Tail
Manufacturer's Part # One Collins Part Number per claim 必需的
Old/Removed Serial # One Equipment Serial Number per claim 必需的
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.
Date of Failure 必需的
Date of Repair 必需的
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

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Claim Form Template.xlsx
5 年之前被Arthur Gray
已批准
Collins Registration Template.xlsx
5 年之前被Arthur Gray
已批准
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