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

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Rosemount Warranty Support

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Kidde Warranty Support

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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

情報

I have multiple SNs removed from 9 different aircraft and adding these into this form individually would be very painful. Do you have another way I can submit all of them on one form under one UPS claim# at one time? Some tails have had more than one removal, which would double or triple the SNs removed.

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