Formulário

Commercial 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.

Airline / OEM Name Obrigatório
Customer Number
City Obrigatório
State
Country Obrigatório
Submitter Name Obrigatório
Email Obrigatório
Phone
Claim Number Obrigatório
Work Order / Invoice Reference
A/C Type Obrigatório
A/C Serial
A/C Tail
Manufacturer's Part # One Collins Part Number per claim Obrigatório
Old/Removed Serial # One Equipment Serial Number per claim Obrigatório
New / Installed Serial # One Equipment Serial Number per claim
Labor Hours
Labor Rate
Freight
Parts: Part Numbers 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 Obrigatório
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Date of Repair Obrigatório
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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