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Supplier Deviation Form
Please take a few minutes to fill out the following information.
Date:
Sep 26, 2023
Type of Request
Temporary
Permanent
Vendor
P.O. #
Part #
Rev #
Due Date
Part Description
Qty. Ordered
Deviation Qty.
Reason for request:
*If requesting a Material Deviation, a copy of the material cert must be attached showing the characteristic the request is being written for.
*If requesting a Tolerance Deviation, a copy of the print must be attached showing the dimension the request is being written for.
Contact
Phone
Fax
Affects:
Material
Dimension/Tolerance
Finish
Performance
Request:
Deviation
Engineering Change
All of the above information must be completed for deviation consideration. Deviations must not affect the function of a part or the ability to retrofit the part. A signed copy of this deviation must accompany parts at delivery. An approved deviation is for this part (batch) and does not cover future orders with similar defects unless otherwise stated. If deviation significantly reduces production costs or shortens lifespan of a given part, a price review may be requested by D.L.Martin Co. I understand all terms of this concession.
Name
Title
Attach a File:
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