Warranty Claim Request Form, Aerospace Group

1. Contact Information
Your Name*:
Your email*:
Company*:
Location:
Telephone*:
Facsimile:
2. Warranty Claim Part Information
Claim Number*:
PO Number	Part Number*	Description	Serial Number*	Man Hours	U.S. Dollars Claimed






			Totals *

Customer's average direct hourly labor rate (see Reimbursement)			Aircraft registration number (from which unit was removed)
Total flight time			Time since last overhaul
Position on aircraft			Removal date
Unit manufacturing date (and/or aircraft delivery date or purchase order, if received as spare.)
Inspection details and action taken, including failure analysis*
Reason for removal*
Materials required to repair defect (part number, serial number, quantity, unit price and total price)*
3. Additional Information

Omission of any of the above information may delay reimbursement. We will promptly review all claims. Disposition of claim will be made within 90 days.

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See the Contact Us section for the Warranty and Repair Service Claims administrator information.

Warranty Claim Request

1. Contact Information

2. Warranty Claim Part Information

3. Additional Information

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