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Kidde Claim Form

Preferred method for submitting BULK claims is to use the claims template on the main warranty page.

Customer Information
Product Information

Customer Information

Please avoid using special characters as they will cause the form to error.

Customer Name

Customer Number

City

State

Country

Submitter Name

Phone

Claim Number

Purchase Order/Repair Order

Contract Applied

Letter of Delegation on File

Removal: A/C Type

Removal: A/C Serial #

Removal: A/C Tail #

Original Fit: A/C Type

Original Fit: Serial #

Original Fit: Tail #

Manufacturer's Part #

Old/Removed Serial #

New /Installed Serial #

Parts: Part Number

Parts: Quantity

Parts: Price per Unit

Parts: Total Amount

Date of Failure

Date of Repair

Complaint

Corrective Action

Notes

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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Kidde Claim -

フォーム

Kidde Claim Form

Customer Information

Please avoid using special characters as they will cause the form to error.

Contact Us

Template Language

Templates for Batch Claims/Registrations

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