OWNER /OPERATOR INFORMATION FORM

Rev. 007_Customer Support Services 28th May 2020

THE PURPOSE OF THIS FORM IS TO GATHER UPDATED OWNER / OPERATOR INFORMATION TO ENSURE TIMELY
DISTRIBUTION OF IMPORTANT SAFETY AND SERVICE INFORMATION TO OWNERS AND OPERATOR OF PILATUS.
PLEASE USE THIS FORM TO REPORT ANY STATUS CHANGES OF OWNER, OPERATOR OR AIRCRAFT TO:

PILATUS AIRCRAFT LTD, 6371 STANS, SWITZERLAND

PHONE: +41 41 619 33 33 / FAX: +41 41 619 73 11
EMAIL: warranty.ch@pilatus-aircraft.com

1 SUBJECT
Delivery of new aircraft:
Activate Pilatus- and Vendor-Warranty
Change of ownership:
Transfer of all remaining warranties
Change of address for documents:
Assure shipment of documents to correct address
Lifetime Revision Service:
Renew lifetime revision service for
PC-6 AFM, PC-12 AFM/POH or PC-24 AFM+FCOM

2 AIRCRAFT DETAILS (PLEASE TICK APPLICABLE BOXES)

Type of Operation: Commercial Fractional Fleet Cargo

Non-Commercial Medivac Airline Government/Special Mission

Type of Aircraft: PC-6 PC-12 PC-24

Manufacturer Flight Hours: Flight Cycles/

Serial No (MSN): Landings:

Engine #1 SN: Engine #1 TSN: Engine #1 CSN:

Engine #2 SN: Engine #2 TSN: Engine #2 CSN:

Propeller SN: Propeller TSN:

Sales Center: Service Center:

Delivery/Retails Date: Registration No:

3 CUSTOMER DETAILS
LEGAL OWNER OF RECORD ONLY

Customer is: Registered Owner Aircraft Interest Holder

Name/Company:
Contact Name: Title:
Address:
City: State/Province:
Country: Postal Code:
Phone/Mobile phone: Email:

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OWNER/OPERATOR INFORMATION FORM_Rev.007

4 AUTHORISED DESIGNEE DETAILS (IF DIFFERENT FROM CUSTOMER)

RESPONSIBLE FOR OPERATIONS, MAINTENANCE & AIRWORTHINESS OF THIS AIRCRAFT

Designee is: Operator CAMO

Name/Company:
Contact Name: Title:
Address:
City: State/Province:
Country: Postal Code:

Phone/Mobile phone: Email:

5 MANUAL REVISION DETAILS (IF DIFFERENT FROM CUSTOMER OR DESIGNEE))

APPLICABLE ADDRESS TO SEND DOCUMENT REVISIONS FOR THIS AIRCRAFT

Recipient is: Customer Designee Other (specified below)

Name/Company:
Contact Name: Title:

Address:
City: State/Province:

Country: Postal Code:

Phone: Email:
Mobile phone: MOBILE PHONE NO. FOR PC-24 CUSTOMER REQUIRED

BY SIGNING THIS FORM, I CONFIRM AND ACCEPT THE CONTENT OF THE RELATED
"PILATUS PC-6/PC-12/PC-24 NEW AIRCRAFT LIMITED WARRANTY POLICY"

Place: Signature:

Date: Name of originator:

Function:

PRINT FORM

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