Supplier Waiver Request - AVOX Systems, Inc.
Supplier Waiver Request - AVOX Systems, Inc.
Supplier Waiver Request - AVOX Systems, Inc.
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<strong>Supplier</strong> Name:Address:<strong>AVOX</strong> Part No.<strong>AVOX</strong> PO Nbr.Mfg Date:Lot/Batch Nbr.Serial Numbers:SUPPLIER WAIVER REQUESTPlease complete and return to the appropriate <strong>AVOX</strong> <strong>Systems</strong> representative as soon as possible.<strong>AVOX</strong> Drawing Nbr.<strong>Supplier</strong> Part Nbr.Qty of Lot:Cavity(s) Nbr.Date:Rev.12345<strong>AVOX</strong> Drawing Requirement with Tolerance:Actual MeasurementReason for waiver request:Corrective action for future lots:Comments:<strong>Supplier</strong> Rep: Title: Signature:Phone: Fax: eMail:FOR <strong>AVOX</strong> USE ONLY:SWR#:MRB DISPOSITIONITEMENGR. REP.DATEQUALITY REP.DATEUSE AS ISUNACCEPTABLEACCEPTABLE TOSALVAGE UNITSREPAIRDISPOSITION INSTRUCTIONS:COMMENTS:F_0250W_QARevised Date: 5-20-13
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