0706 Product Change Request Form
0706 Product Change Request Form
Request/Change Notification
(After completion, the initiator should forward this form to the PCR Coordinator.)
Section 1. All items in this section must be completed by the initiator.
Date Initiated Initiated by
Change Requested by Customer QP Customer
QP P/N Mold #
Section 2. If the change results in any change to the routing, mark up a routing, scan it and drag or copy and
paste the scanned copy of a marked up routing into this section.
Section 3. Must be completed for any customer requested changes or changes to the part or raw materials.
Part Description
Describe requested change
Reason for the change
Other parts affected by this change?
Effective date of the change
Disposition of current stock (ship, scrap, running
change or immediate change?)
Section 4. The initiator must check (X) each task to be completed and note any special instructions in the
comments field.
Task Assigned To Name Comments Date
Completed
Update Routing/Tiny Term Office
Change Label Operations
Update QC Docs/Mold Book QC
Update Quote Business Group Mgr
Submit Cust Approval Docs Business Group Mgr
FMEA Update Business Group Mgr
Process Print Engineering
Update Project Status Quality
Section 5. The following approvals must be granted before the actual changes are made.
Department Name Approved Comments
Business Group Mgr Yes No
Quality Mgr or Eng. Yes No
Operations or Plant Mgr Yes No
Tooling Eng. Yes No
Buyer Yes No
Customer Service Yes No
Yes No