Formular

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

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