"Air Comm strives ceaselessly to design and produce products that
provide optimal comfort, safety, reliability and value for our customers." - Keith Steiner

Customer Malfunction Report

Date Discrepancy Occured:

Submitted By: (All fields required.)

Submitted For:

All warranty parts claims must be accompanied by the following information. Failure to provide complete and accurate information will result in the warranty claim being disapproved.

Aircraft Data: (All fields required.)

Discrepant Parts Data: (All fields required.)

Is this original equipment? (If no, complete the following blocks.)

Discrepancy (Describe in detail how the part failed or give reason for its return. Give any information that may be helpful in the evaluation of this part.)

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