Form

Kidde 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.

Customer Name Required
Customer Number
City
State
Country
Submitter Name Required
Email Required
Phone
Claim Number Non-Collins Claim ID Required
Purchase Order/Repair Order Required
Contract Applied Contract Name: PSAA, SSC,... Required
Letter of Delegation on File
Letter of Delegation on File
Removal: A/C Type Required
Removal: A/C Serial #
Removal: A/C Tail # Required
Original Fit: A/C Type or Spares PO Required
Original Fit: Serial #
Original Fit: Tail # Type N/A for Spares PO Required
Manufacturer's Part # One Collins Part per claim Required
Old/Removed Serial # One Collins Part Number per claim Required
New /Installed Serial # One Collins Part Number per claim Required
Parts: Part Number 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 Required
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Date of Repair
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

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Email Avionics Warranty

 

Rosemount Warranty Support

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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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Warranty

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Arthur Gray
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