Supplier Approval and Removal Form - Logic PD

Supplier Approval and Removal Form
To Be Completed By LOGIC PD:
Buyer: Choose Buyer Name Vendor ID: V
Vendor Category: Choose Category Date: Choose Date.
Vendor Terms:
FOB / Ex Works:
To Be Completed By SUPPLIER:
Company Name:
MAILING Address:
Phone:
Main Email:
REMIT TO Address:
Federal Tax ID:
SALES Contact:
Email:
QUALITY Contact:
Email:
RoHS/REACH
Contact:
Email:
(1099 Vendors Only)
Fax:
Website:
Phone:
Fax:
Phone:
Fax:
Phone:
Fax:
SUPPLIER Please answer all questions below. If necessary, you may attach additional documentation.
1. Does the Supplier have an established Quality Program? Yes No
a. Is the Quality Program supported by a manual? Yes No If Yes, provide revision date:
2. How does the Supplier assure quality level of outgoing products?
a. ISO certified? Yes No
If Yes, indicate ISO version: ISO and expiration date and provide copy of current ISO Certificate.
If No, please explain:
3. How is non-conforming product handled?
4. Does the Supplier have an internal Corrective Action Program? Yes No
If no, please explain:
COMMENTS:
FCD-0332 Rev 18
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To Be Completed By LOGIC PD:
Reason(s) for APPROVAL:
(check all that apply)
Customer Specified / Approved (Customer Name: )
Authorized/Franchised Distributor
Logic PD Approved (Criteria Applied for Approval: )
Audited / Surveyed
Other (Explain: )
Vendor Type
Authorized/Franchised Distributor
Non-Franchised/Independent Distributor (Broker)
Manufacturer / Custom Fabricated Items
Services
Capital Equipment
Other (Explain: )
Identify any Special Qualifications for this Vendor:
Does the supplier have a non-disclosure agreement (NDA) on file?
Yes
No
If no, reason for not providing NDA:
Export Restricted / ITAR This encompasses any supplier with a foreign address.
Customer approved for Special Processes Special Processes are any value-added service that cannot be inspected without destructive
testing (Explain: )
Other (Explain: )
COMMENTS:
VENDOR APPROVAL
If “Customer Specified/Approved” – Director of Supply Chain signature required
All other reasons require signature from Materials Manager and a Quality Department representative
Director of Supply Chain Signature Printed Name Date
Quality Signature Printed Name Date
VENDOR REMOVAL
Reason(s) for REMOVAL: (check all that apply)
Performance
No longer required for company products
No longer in business Other (Explain: )
Signature Printed Name Date
FCD-0332 Rev 18
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