ROTALK

Customer Service Information Report (CSIR)

	You have reached the official online Customer Service Information Report Form that you may use to report any potential service difficulty with regard to your Rotax Aircraft engine that you believe might affect its safe operation. Have your engine, aircraft, propeller, and subject part's serial numbers and information ready before you start the process which involves 7 brief sections. It will take a few minutes to complete this report. A number of fields are required for submission of your report. When the form is complete push SUBMIT. After submission you will receive an email confirmation containing all of the information you have submitted. You may be contacted after the CSIR has been reviewed if further information is required.
	Aircraft Owner Information * indicates a required field
Last name *	Please add your owner last name.
First name *	Please add your owner first name.
Company name
Address *	Please add your owner address
City *	Please add your owner city
State/Province *	Please add your owner state / province
ZIP/Postal Code *	Please add your ZIP / Postal code
Country *	Please add your owner contry
Preferred Language
Telephone *	Please add your Telephone
E-mail *	Invalid email address.
Re-type above E-mail *	Invalid email address.
	Page 1 of 7

	Submitter Information
Same as Owner?	YesNo Invalid Input
Last name *	Please add your last name.
First name *	Please add your first name.
Company name
Address *	Please add your address
City *	Please add your city
State/Province *	Please add your state / province
ZIP/Postal Code *	Please add your ZIP / Postal code
Country *	Please add your contry
Preferred Language
Telephone *	Please add your Telephone
E-mail *	Invalid email address.
Re-type above E-mail *	Invalid email address.
	Page 2 of 7

	Aircraft Information
Registration *	Please add your Aircraft Registration
Aircraft Manufacturer *	Please add your Aircraft Manufacturer
Aircraft Model *	Please Add your Aircraft Model
Aircraft Serial Number *	Please add your Aircraft Serial Number
Aircraft Category *	Invalid Input	Airplane, rotary-wing, glider... commercial, commuter, acrobatic, etc (category classifications vary with country)
Aircraft TTSN *	Invalid Input
	Page 3 of 7

	Engine Information
Serial Number *	Please add the Serial Number
Date of Last Overhaul	Invalid Input	Enter date of last engine overhaul, if applicable.
Date of Last Inspection / Maintenance *	Invalid Input	When was last maintenance or inspection of ENGINE?
Engine Model *	Add the Engine Model
Engine Version	Please choose a Version.
Gearbox
Engine TTSN *	Please add Engine TTSN.
Engine TTSOH	Invalid Input
Oil brand	Invalid Input
Oil viscosity	Invalid Input
Oil change intervals	Invalid Input
2-stroke gear oil brand	Invalid Input
2-stroke gear oil viscosity	Invalid Input
Coolant type	Invalid Input
Coolant brand name	Invalid Input
Coolant mix ratio	Invalid Input
Fuel type	Invalid Input
	Page 4 of 7

	Propeller Information
Prop Manufacturer *	Please add Prop manufacturer.
Prop Model *	Please add Model.
Prop serial number *	Please add Prop serial number.
Propeller Position *	Invalid Input	Pusher? Tractor?
	Page 5 of 7

	Event Information
----------	Not Applicable (ignore)
Date of Event *	Please add a date
Time of Event *	Invalid Input	Please use the 24 hour format eg. 13:50"
Location of Occurence *	Invalid Input	Where the incident happened
Subject Part Name *	Please add your Subject part Name
Subject Part Number	Invalid Input Subject
Subject Part Serial Number	Invalid Input
Assembly / Component *	Please Add Assembly/Component
	Page 6 of 7

	Comments Please be accurate in the following fields. Factual information in point form is most helpful
Flight Phase *	Invalid Input	During which phase of the flight did the incident occur?
Last Departure point *	Invalid Input	Where was the last departure point?
Operator *	Invalid Input	Who was operating the aircraft?
Planned Destination *	Invalid Input	Where was the planned destination?
Event Description *	Please add Event Description
Previous Maintenance *	Please add Previous Maintenance
First Investigation Findings *	Please add first investigation findings
Supposed Cause *	Please Add supposed Cause
Action Taken *	Please add Actions Taken
Suggestions *	Please add suggestions
Who is your current service provider?	Invalid Input
Upload your files here	Please wrap any files into a ZIP file or alternatively use a PDF and upload them here. Max file size is 1900KB	Please wrap any files you might have into a ZIP file or alternatively use a PDF and upload them here. Max file size is 1900KB
Anti Spam *	Refresh Invalid Anti Spam
	Page 7 of 7

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