表单

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 必需的
Dealer Number/Customer Number 必需的
City 必需的
State
Country 必需的
Submitter Name 必需的
Email 必需的
Phone
Reference Claim Number (Non Collins ID) 必需的
Work Order / Invoice Reference
CASP Contract #
Customer Name
City
State
Country
A/C Type 必需的
A/C Serial 必需的
A/C Tail
Manufacturer's Part # One Collins Part Number per claim 必需的
Old/Removed Serial # One Equipment Serial Number per claim 必需的
New/Installed Serial # One Equipment Serial Number per claim 必需的
Labor Hours 必需的
Labor Rate 必需的
Freight (CASP Only)
日
一
二
三
四
五
六
30
31
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2
3
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30
1
2
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Date of Failure 必需的
日
一
二
三
四
五
六
30
31
1
2
3
4
5
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Date of Repair 必需的
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.

Contact Us

Commercial Transport & Business Aviation Warranty Support

PH: 319-295-5000

Phone Tree Menu

Email Avionics Warranty

 

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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