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.

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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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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: 2004-027M Airshow Network-Genesys Discontinuance.pdf
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; 2006-038M AHC-85 Discontinuance Bulletin
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; 2006-047M Tailwind 100 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; 2008-033M HF-9000 Discontinuance Bulletin
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; 2008-057M Airshow TV MRDU End of Support Notice
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2008-058M ALAN CMS End of Support Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2009-067M TSU7500 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2011-090M LPV FMS upgrade Gulfstream G-150 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2011-092M LPV FMS upgrade Gulfstream G-200 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2011-102M VHF-4000 Replacement Part Numbers Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2011-103M GPS-4000A Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-095M ACMS Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-097M IGA 2000 Intermediate Gain Antenna Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-098M Portable Dataloader PDL-5001 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-099M and 2014-111M TTR-921 and TTR-4000 End of Life Notification Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-099M TTR-4000 TCAS II Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2012-101M PCD-3000 and DBU-4001 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2013-104M AMS-850 Product Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2013-105M Pro Line 4 to Pro Line 21 Upgrade Beechjet 400A Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2013-106M AHC-85, AHC-85D and AHC-85E Product Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2013-107M VHF-22 and VHF-422 Product Discontinuance Bulletin
Suzanne Baxa, modified 6 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; 2013-109M RTU-4000-4010-4020 Product Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-094M Legacy FCMS-1 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-111M TTR-921 TCAS II Production Support Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-113M RTU-870 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-114M CPAS Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-117M DME Indicator 339F-12x Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-118M DME Indicator IND-4x Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-119M DME-40 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-126M SAT-2000 (SAT-6000) Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-127M Altitude Indicator 850x Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-128M Air Speed Indicator 85x Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-129M Electronic Flight Display 4077 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-130M Electronic Flight Display 74 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-131M Electronic Flight Display 84 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-132M Electronic Flight Display 85 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-133M Electronic Flight Display 86 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-134M Electronic Flight Display 87 Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2014-137M Mach Speed Indicator (MSI) 850T Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-139M TVI 920 Production Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-140M GPS-4000S Production Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-141M CDU-4100 and CDU-6000 Production Discontinuance Bulletin
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; 2016-143M Navigation Indicators IND-351, RMI-30, RMI-36, 332C-10, 332D-11A, BDI-36, IND-31C Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved; 2016-144M Direction Finding Equipment DCE-400 DME-40 DME-40A Discontinuance Bulletin
Suzanne Baxa, modified 6 Years ago. Home > Product Discontinuance Basic Document Approved