Lycoming Warranty Information Worksheet
Work Order
Ly-Con Point of Contact:
Please Select
Chris Davis
Dan Loflin
John Card
Ken Tunnell
Internal
SR Number:
Occurrence Date:
-
Month
-
Day
Year
Category:
Please Select
New Engine
Rebuilt Engine
Overhauled Engine
Part
Customer & Billing Information
Customer Name
*
Customer Address
Phone Number
*
Please enter a valid phone number.
Email Address
*
Shop Information
Shop Name:
Shop Address
Phone Number:
Please enter a valid phone number.
Email Address:
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About the Aircraft & Engine
Aircraft Make:
*
Aircraft Model:
*
Aircraft Registration:
*
Aircraft Serial Number:
*
Engine/Part In-Service Date:
*
-
Month
-
Day
Year
Date
Engine Model:
Engine / Part Serial Number:
Part Lot Number: (if applicable)
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About the Problem:
Symptoms:
Description of the Problem:
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Shop Labor Rate:
Shop Labor Hours Billed:
Freight Charges:
Outside Repair Charges:
Outside Purchases:
Receipt Uploads:
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