Form

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 null
Dealer Number/Customer Number null
City null
State
Country null
Submitter Name null
Email null
Phone
Reference Claim Number (Non Collins ID) null
Work Order / Invoice Reference
CASP Contract #
Customer Name
City
State
Country
A/C Type null
A/C Serial null
A/C Tail
Manufacturer's Part # One Collins Part Number per claim null
Old/Removed Serial # One Equipment Serial Number per claim null
New/Installed Serial # One Equipment Serial Number per claim null
Labor Hours null
Labor Rate null
Freight (CASP Only)
S
M
T
W
T
F
S
Date of Failure null
S
M
T
W
T
F
S
Date of Repair null
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.

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Commercial Transport & Business Aviation Warranty Support

PH: 319-295-5000

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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

Claim Form Template.xlsx

Version 1.0 Approved
Arthur Gray
Owner
Document Type
Basic Document
Extension
xlsx
Size
25 KB
Modified
8/9/19, 6:21 PM by Arthur Gray
Created
8/9/19, 6:21 PM by Arthur Gray
Location
Templates
Ratings
Average (0 Votes)
application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
  • Version 1.0
    By Arthur Gray, on 8/9/19, 6:21 PM
    No Change Log
Info
Shaun Feeney
1 Year Ago

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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