表单

Kidde 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.

Customer Name 必需的
Customer Number
City
State
Country
Submitter Name 必需的
Email 必需的
Phone
Claim Number Non-Collins Claim ID 必需的
Purchase Order/Repair Order 必需的
Contract Applied Contract Name: PSAA, SSC,... 必需的
Letter of Delegation on File
Letter of Delegation on File
Removal: A/C Type 必需的
Removal: A/C Serial #
Removal: A/C Tail # 必需的
Original Fit: A/C Type or Spares PO 必需的
Original Fit: Serial #
Original Fit: Tail # Type N/A for Spares PO 必需的
Manufacturer's Part # One Collins Part per claim 必需的
Old/Removed Serial # One Collins Part Number per claim 必需的
New /Installed Serial # One Collins Part Number per claim 必需的
Parts: Part Number 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 必需的
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Date of Repair
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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