For Ease of Use with the forms, you could enter all relevant information here and then

avoid having to retype it.

2 3 4 5 6 7 8 9
Part Number Cust Part No Part Name Drawing Number Rev Level Rev Date Part Weight (kg) Application Org Name
Enter Your Part Number Enter Customer Part # Part Description Drg Number Enter Rev Level Enter Rev Date Enter Weight What Vehicles is this used on? Your Company Name
For Ease of Use with the forms, you could enter all relevant information here and then avoid having to retype it.
10 11 12 13 14 15 16 17 18 19 20 21
Org Street Address City Region Country Zip Supplier Code Auth. Rep Ph Number Fax Number Customer Name Buyer Buyer Code
Company Street Address City State Country ZIP Your Supplier Code Name of the Rep Contact Ph Number Contact Fax Number Name of the Customer Enter Your Buyer's Name Buyer Code
22
Lab/Insp Facility
Lab/Insp Facility Used
PART DRAWING APPLICATION
NUMBER NUMBER
PART BUYER E/C LEVEL DATE
NAME CODE
SUPPLIER MANUFACTURING SUPPLIER
NAME LOCATION CODE
REASON FOR PART SUBMISSION WARRANT SPECIAL SAMPLE RE-SUBMISSION OTHER
SUBMISSION PRE TEXTURE FIRST PRODUCTION SHIPMENT ENGINEERING CHANGE
DL* Da* Db* DE* CMC RED YEL GRN BLU LIGHT DARK GRAY CLEAN HIGH LOW HIGH LOW
COMMENTS
SUPPLIER PHONE NUMBER DATE DATE
SIGNATURE
CFG-1002
AUTHORIZED CUSTOMER
REPRESENTATIVE SIGNATURE
March 2006
Pre-Texture Evaluation
Your Company Name
Organization Sourcing & Texture Information
APPEARANCE EVALUATION
Company Street Address City State Country
ZIP
Your Supplier Code
Authorized Customer
Representative Signature & Date
APPEARANCE APPROVAL REPORT
Enter Your Part Number
Part Description
Drg Number Enter Rev Date
Buyer Code Drg Number
(VEHICLES)
Approved to Texture
COLOR
SHIPPIN
G SUFFIX
PART
DISPOSITION
Correct & Proceed
CHROMA GLOSS
METALLIC
BRILLIANCE
COLOR
SUFFIX
TRISTIMULUS DATA HUE VALUE
MASTER
DATE
MATERIAL
TYPE
MATERIAL
SOURCE
Correct & Resubmit
Enter Weight
COLOR EVALUATION
MASTER
NUMBER
Part Number:
Part Name:
Test Date
Qty.
Tested
Ok
Not
Ok
March 2006 CFG-1005 Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE
Test Specification / Rev / Date
Specification /
Limits
Supplier Test Results (Data) / Test Conditions
Engineering Change Documents: *Customer Specified Supplier/Vendor Code:
* If source approval is req'd, include the Supplier (Source) & Customer assigned code.
Name of Laboratory: Your Supplier Code Enter Rev Level
Supplier/Vendor Code:
Design Record Level Change:
Your Company Name Enter Your Part Number
Production Part Approval
PERFORMANCE TEST RESULTS
Organization:
Your Supplier Code Part Description
Organization: Part Number:
Supplier/Vendor Code: Part Name:
*Customer Specified Supplier/Vendor Code:
* If source approval is req'd, include the Supplier (Source) & Customer assigned code. Name of Laboratory:
Test Date
Qty.
Tested
Ok
Not
Ok
March 2006 CFG-1004
Your Supplier Code
Design Record Change Level:
Engineering Change Documents:
MATERIAL TEST RESULTS
Production Part Approval
Material Supplier: Enter Rev Level
Your Company Name Enter Your Part Number
Your Supplier Code Part Description
Material Specification Specification Limits Test Results
TITLE DATE
Blanket statements of conformance are unacceptable for any test results.
SIGNATURE
Organization: Part Number:
Supplier/Vendor Code: Part Name:
Design Record Change Level:
Engineering Change Documents:
Item Test Date
Qty.
Tested
Ok
Not
Ok
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
March 2006 CFG-1003
Lab/Insp Facility Used
Enter Rev Level
Production Part Approval
DIMENSIONAL TEST RESULTS
Your Company Name Enter Your Part Number
Dimension/Specification
Specification /
Limits
Organization Measurement Results (Data)
Your Supplier Code Part Description
INSPECTION FACILITY:
Blanket statements of conformance are unacceptable for any test results.
SIGNATURE TITLE DATE
Dated
Dated
City Region Country
MATERIALS REPORTING
Has customer-required Substances of Concern information been reported?
Are polymeric parts identified with appropriate ISO marking codes?
REASON FOR SUBMISSION (Check at least one)
REQUESTED SUBMISSION LEVEL (Check one)
SUBMISSION RESULTS
The results for
These results meet all drawing and specification requirements: (If "NO" - Explanation Required)
Mold / Cavity / Production Process
DECLARATION
Approval Process Manual 4th Edition Requirements. I further affirm that these samples were produced at the production rate of / hours.
Is each Customer Tool properly tagged and numbered?
Organization Authorized Signature
Print Name Fax No.
Title
Part Warrant Disposition:
Customer Signature Date
Print Name
March 2006 CFG-1001
Name of the Customer
Date
Additional Engineering Changes
CUSTOMER SUBMITTAL INFORMATION
Organization Name & Supplier/Vendor Code
Street Address
Customer Name/Division
Buyer/Buyer Code
Enter Your Buyer's Name
Phone No.
I hereby affirm that the samples represented by this warrant are representative of our parts which were made by a process that meets all Production Part
I also certify that documented evidence of such compliance is on file and available for review. I have noted any deviations from this declaration below.
EXPLANATION / COMMENTS:
Submitted by IMDS or other customer format:
Application
Checking Aid Engineering Change Level
What Vehicles is this used on?
Your Company Name
Company Street Address
ZIP State
Checking Aid No.
Postal Code
Customer Part Number
Organization Part # Enter Your Part Number
Enter Rev Level
Weight (kg)
Dated
Part Description
Part Submission Warrant
Purchase Order No.
Enter Rev Date
Safety and/or Government Regulation
Enter Customer Part #
Drg Number
ORGANIZATION MANUFACTURING INFORMATION
City Country
Engineering Change Level
Shown on Drawing No.
Part Name
Customer Tracking Number (optional)
FOR CUSTOMER USE ONLY (IF APPLICABLE)
E-mail
Yes No
Yes No n/a
Initial Submission
Tooling: Transfer, Replacement, Refurbishment, or additional
Tooling Inactive > than 1 year
Change to Optional Construction or Material
Engineering Change(s)
Correction of Discrepancy
Supplier or Material Source Change
Change in Part Processing
Other - please specify below
Parts Produced at Additional Location
Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer.
Level 4 - Warrant and other requirements as defined by 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 5 - Warrant with product samples and complete supporting data reviewed at organization's manufacturing location.
dimensional measurements material and functional tests appearance criteria statistical process package
Yes NO
Yes No n/a
Approved Rejected Other
Yes No n/a