Fill out the following fields with the appropriate information from Tier II PTC Form. Insert the Tier II PTC Form by following the directions on the second page of this document. Only one Tier II PTC Form can be attached to this form. If you are submitting multiple workbooks, submit a separate PTC/WD Submission Form for each Tier II PTC Form. Save this file and use to send an email with this file attached. If your default email is not set-up, send this document as an attachment to with PTC/WD Submission” as “New the subject. Contact Information Date Submitted Supplier Name Supplier Code Supplier Contact Supplier Email Nav. SQE Name Nav. SQE Email Part Information Tier I Part Number Tier I Part Description # of Tier II Components # of PTC/WD Discovered # of Countermeasures Implemented # of Countermeasures Waived (Ppk 1.67) ≥ # of Outstanding Actions Ships to Springfield Assembly Plant (SAP)? Ships to Escobedo Assembly Plant (EAP)? Ships to Tulsa Bus Plant (TBP)? Ships to Huntsville Assembly Plant (HEP)? Ships to Melrose Park Assembly Plant (MEP)? Attach the Tier II PTC Form on Page Two Insert the Tier II PTC Form using the following steps:
Fill out the following fields with the appropriate information from Tier II PTC Form. Insert the Tier II PTC Form by following the directions on the second page of this document. Only one Tier II PTC Form can be attached to this form. If you are submitting multiple workbooks, submit a separate PTC/WD Submission Form for each Tier II PTC Form. Save this file and use to send an email with this file attached. If your default email is not set-up, send this document as an attachment to with “New PTC/WD Submission” as the subject. Contact Information Date Submitted Supplier Name Supplier Code Supplier Contact Supplier Email Nav. SQE Name Nav. SQE Email Part Information Tier I Part Number Tier I Part Description # of Tier II Components # of PTC/WD Discovered # of Countermeasures Implemented # of Countermeasures Waived (Ppk ≥ 1.67) # of Outstanding Actions Ships to Springfield Assembly Plant (SAP)? Ships to Escobedo Assembly Plant (EAP)? Ships to Tulsa Bus Plant (TBP)? Ships to Huntsville Assembly Plant (HEP)? Ships to Melrose Park Assembly Plant (MEP)? Attach the Tier II PTC Form on Page Two Insert the Tier II PTC Form using the following steps:
ISQ-017-FO_TierIIPTCSubmissionForm.docx