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Cópia de PSW Truck Industry

This document is a truck industry part submission warrant template. It contains fields to provide information about the part being submitted such as the part name, customer part number, engineering drawings, and production information. The warrant allows the supplier to declare that samples submitted represent production parts and meet all applicable specifications and requirements. The supplier must select a submission level and provides an authorized signature to complete the warrant. The customer will then review and approve or reject the warrant.

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PaulaMagalhães
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98 views1 page

Cópia de PSW Truck Industry

This document is a truck industry part submission warrant template. It contains fields to provide information about the part being submitted such as the part name, customer part number, engineering drawings, and production information. The warrant allows the supplier to declare that samples submitted represent production parts and meet all applicable specifications and requirements. The supplier must select a submission level and provides an authorized signature to complete the warrant. The customer will then review and approve or reject the warrant.

Uploaded by

PaulaMagalhães
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Truck Industry Part Submission Warrant

Part Name Customer Part Number Rev.


If applicable
Tool PO Number Engineering Drawing Change Level Dated

Additional Engineering Changes Dated

Shown on Drawing Number Purchase Order No. Weight (kg)

Checking Aid Number Engineering Change Level Dated

ORGANIZATION MANUFACTURING INFORMATION SUBMISSION INFORMATION

Organization Name and Code Customer Name/Division

Street Address Customer Contact

City State Zip Application

Note: Does this part contain any restricted or reportable substances? Yes No

Are plastic parts identified with appropriate ISO marking codes? Yes No

REASON FOR SUBMISSION


Initial submission Change to Optional Construction or Material
Engineering Change(s) Sub-Supplier or Material Source Change
Tooling: Transfer, Replacement, Refurbishment, or Additional Change in Part Processing
Correction of Discrepancy Parts produced at Additional Location
Tooling inactive > than 1 year Other - please specify

REQUESTED SUBMISSION LEVEL (Check one)


Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer.
Level 4 - Warrant and other requirements as defined by customer.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
(check)
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.

DECLARATION
I affirm that the samples represented by this warrant are representative of our parts and have been made to the applicable customer
drawings and specifications and are made from specified materials on regular production tooling with no operations other than the regular
production process. I also certify that documented evidence of such compliance is on file and available for review.

EXPLANATION/COMMENTS:

List Molds / Cavities / Production Processes

Organization Authorized Signature Date

Print Name Phone No. Fax No.

Title E-Mail

FOR CUSTOMER USE ONLY


PPAP Warrant Disposition: Approved Rejected
Interim Approval Comment:

Customer Signature Date

Print Name

March THE-1001
2006

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