Aircraft Warranty Claim - Sirius Satellite Radio TL-3000 Pilot Operating Handbook

Pilot Operating Handbook
TL-3000 Sirius
Notice! The information contained in this document is for reference and information only.
The pilot is the final and only responsible party for the safe operation of this aircraft.
Aircraft Warranty Claim Form
(Claim No will be added by TL)
TL Valid Claim Number
Date:
Aircraft Make / Model:
Serial Number / FAA N Number:
Aircraft time in service:
Owner:
Location / Phone:
Problem Description, system affected, include photos
Solution to problem, parts list, cost/time estimate, include photos
Related reports, documents, recommendations
Warranty claim report made by:
Street:
City:
Area Code and Phone Number:
Email Address:
Accepted by TL Ultralight as valid claim:
1 Feb 11, Chg 4
Copyright © 2011
_______
US-XX-XX-XX
Warranty Claim Report
Here insert a description of the problem
Please use a separate from for each claim.
You may order an electronic version of this form to increase any area needed.
Submit faulty parts for return to the factory.
Here add email notification of problem to distributor and date
Add also photos of problem before and after solution.
Please state how this problem can be prevented in the future.
Copyright © 2010 TL-Ultralight, sro / Reproduction of this document in any part is forbidden.
Example of completed TL form 1004
Reproduction of this document or any of its parts is forbidden.
Handling, Service, & Maintenance
Day /
TL2000 or TL 3000
Insert SN
Insert Total Flight Hours
Insert Owner Address
Here describe the solution.
Include a list of parts as necessary.
Name
Street Address
City
( )
Section 9
Month / Year
/ Sting or Sirius
/ Insert N number
Insert Owner's Name
/ Insert Owner Phone
Title Phone
State Zip
@
TL form 1004 30 June 10
9-20