Form

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 Name null

Customer Number Customer Number

City City

State State

Country Country

Submitter Name Submitter Name null

Email Email null

Phone Phone

Claim Number Claim Number Non-Collins Claim ID nullNon-Collins Claim ID

Purchase Order/Repair Order Purchase Order/Repair Order null

Contract Applied Contract Applied Contract Name: PSAA, SSC,... nullContract Name: PSAA, SSC,...

Letter of Delegation on File

Removal: A/C Type Removal: A/C Type null

Removal: A/C Serial # Removal: A/C Serial #

Removal: A/C Tail # Removal: A/C Tail # null

Original Fit: A/C Type Original Fit: A/C Type or Spares PO nullor Spares PO

Original Fit: Serial # Original Fit: Serial #

Original Fit: Tail # Original Fit: Tail # Type N/A for Spares PO nullType N/A for Spares PO

Manufacturer's Part # Manufacturer's Part # One Collins Part per claim nullOne Collins Part per claim

Old/Removed Serial # Old/Removed Serial # One Collins Part Number per claim nullOne Collins Part Number per claim

New /Installed Serial # New /Installed Serial # One Collins Part Number per claim nullOne Collins Part Number per claim

Parts: Part Number

Parts: Part Number Hit ENTER to add more than one part.Hit ENTER to add more than one part.

Parts: Quantity

Parts: Quantity Hit ENTER to add more than one part.Hit ENTER to add more than one part.

Parts: Price per Unit

Parts: Price per Unit Hit ENTER to add more than one part.Hit ENTER to add more than one part.

Parts: Total Amount

Parts: Total Amount Hit ENTER to add more than one part.Hit ENTER to add more than one part.

Date of Failure

Date of Failure null

Date of Repair

Complaint

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

Corrective Action

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

Notes

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

Contact Us

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PH: 319-295-5000

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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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Product Discontinuance

Folder

Details

# of Items: 78
Created By: Suzanne Baxa
Location: Home

Home
Product Discontinuance

There are no documents or media files in this folder.

Documents: 2018-165M Direction Finding Equipment DME-42-DME-442 Discontinuance Bulletin
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2019-167M EFD-4077 Field Support Discontinuance Bulletin
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2019-168M CANALSAT AND ORBIT Discontinuance Bulletin
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2019-169M Airhsow Network Production and Field Support Discontinuance
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2020-170M - AHC-85x Field Support Discontinuance Bulleti
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2020-171M ACP-4100, and CPE-4100 Field Support Discontinuance Bulletin
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2020-172M ADF-462 and VIR-432 Discontinuance Bulletin
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2018-166M CTL Field Support Discontinuance.pdf
Suzanne Baxa, modified 3 Years ago. Home > Product Discontinuance Basic Document Approved; 2013-108M Tailwind 300 Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2006-047M Tailwind 100 Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-142M AS400-410 Genesys Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2008-057M Airshow TV MRDU End of Support Notice
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2004-027M Airshow Network-Genesys Discontinuance.pdf
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2008-040M Airshow Micronet Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2006-039M Airshow DVD Player Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2004-032M Airshow 400 Moving Map Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2006-048M Airshow 100 and 200 Discontinuance.pdf
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; BRS Marketing Bulletin Index
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2017-164M TDR-94D Production Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2017-163M Aerocom 3000 Production Discontinuance
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-161 ERT-100 and ERT-120 eRouter Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-160 Former ICG Products Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-158M Federated Parts Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-159M IMS-6000 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-156M Equipment Mount UMT-10 11 12 13 16 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-157M Navigation Receivers VIR-32, VIR-33 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-155M Navigation Radio Controllers CTL-XX XXX Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-154M Navigation Antenna Coupler CMA-764XX Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-153M Navigation Radio Altimeter ALI-55B, ANT-50ANT-51, DRI-55, RAC-875 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-152M Area Navigation System ANS-351 ANS-351 C Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved