Part 1 – Supplier Application Part 2 – WAS Authorization Complete Block 1-17 below and email the completed form to the buyer. Customer Order: MR #: Include the SRMR number on the C of C. A copy of the approved & signed SRMR must accompany the shipment. Program: Block 1: Block 2: Unit #: Buyer: P/N P/N Rev Block 3: Block 4: Disposition Qty Comments Part Name Supplier Block 5: Block 6: Block7: Use-As-Is PO # PO Lot Qty Defective Qty Block 8: Block 9: Block 10: Repair Item B/P Zone Describe Issue(s) Rejected Info./Clarification Drawing Change Required? No Yes ECP #: Block 11: Responsibility: WAS Supplier Root Causes of Non-Conformance(s) - Additional Comments: Block 12: MRB Approval Corrective Action(s) - Change Type: Class 1 Class 2 Block 13: Block 14: Engineering Approval: Date: Requestor - Requestor Title - Block 15: QA Approval: Date: Requestor Email - Block 16: Block 17: Government Rep.: Date: Phone # Date Submitted -
Part 1 – Supplier Application Part 2 – WAS Authorization Complete Block 1-17 below and email the completed form to the buyer. Include the SRMR number on the C of C. A copy of the approved & signed SRMR must accompany the shipment. Customer Order: MR #: Block 1: P/N Block 2: P/N Rev Unit #: Program: Buyer: Block 3: Part Name Block 4: Supplier Disposition Qty Comments Block 5: PO # Block 6: PO Lot Qty Block7: Defective Qty Use-As-Is Block 8: Item Block 9: B/P Zone Block 10: Describe Issue(s) Repair Rejected Info./Clarification Drawing Change Required? No Yes ECP #: Block 11: Root Causes of Non-Conformance(s) - Responsibility: WAS Supplier Additional Comments: Block 12: Corrective Action(s) - MRB Approval Change Type: Class 1 Class 2 Block 13: Requestor - Block 14: Requestor Title - Engineering Approval: Date: Block 15: Requestor Email - QA Approval: Date: Block 16: Phone # Block 17: Date Submitted - Government Rep.: Date:
was_srmr.docx