Additional Comments (if applicable) Client PSP #: Client Name: When item RC has been Comments by Supervisor/Reviewer Follow up Comments Item# corrected, initial here Supervisor/Reviewer: Date: CQRT Reviewer: __________________________________________________________________ Date:
RC Item# Comments by Supervisor/Reviewer Follow up Comments When item has been corrected, initial here Additional Comments (if applicable) Client Name: Client PSP #: Supervisor/Reviewer: Date: CQRT Reviewer: __________________________________________________________________ Date: