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Kidde Claim -

Formulário

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

Letter of Delegation on File

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

D

S

T

Q

Q

S

Sáb.

Date of Failure null

Date of Repair

D

S

T

Q

Q

S

Sáb.

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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Email Avionics Warranty

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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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Nº de Itens: 46
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