Formulaire

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 Requis
Dealer Number/Customer Number Requis
City Requis
State
Country Requis
Submitter Name Requis
Email Requis
Phone
Reference Claim Number (Non Collins ID) Requis
Work Order / Invoice Reference
CASP Contract #
Customer Name
City
State
Country
A/C Type Requis
A/C Serial Requis
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 Requis
Labor Hours Requis
Labor Rate Requis
Freight (CASP Only)
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Date of Failure Requis
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30
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Date of Repair Requis
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

Retour

Rosemount.jpg

Rosemount.jpg

Version 1.0 Approuvé
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20/08/19 15:14 par Arthur Gray
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20/08/19 15:14 par Arthur Gray
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