Please fill out this form as complete as possible.
Full Name
Company Name
email Address
Phone Number
- -
Street Address
   
City
State
Zip

Customer
Program Manager
Part # / Rev. Level
Program
Annual Volume
Part Name
Outside Processing
Program Life
Customer PO
Outside Sources
Customer Contacts
Ship to Address
Tooling Engineer
Quality Engineer

(Please Select Yes or No where applicable)
Die Type
Number of Stations
Length
Width
Punch & Total Weight
Tonnage Required
Pass line Height
Spare Part Exist?
If yes, send w/ tooling
Die Print Exist?
If yes, send w/ tooling
Math Data Available?
If yes, send w/ tooling
Maintenance History Available
If yes, send w/ tooling
Built by
Progression
Shut Height
Changeovers Required?
   If yes, list  
Press Set-up Sheets**
Required- Send w/ tooling
Die Number
Last Strip**
Required- Send w/ tooling
Pieces/Hit
Key Contacts
Die Protection Provided

(Please Select Yes or No where applicable)
Material Specs
Thickness
Width
Current Supplier
Amount in Inventory: Raw
Amount on Order
Amount in Inventory: Finished
Part Net Weight
If yes send w/ tooling
Part Gross Weight
Thinning Analysis Performed?
Key Contacts
 

Returnable or Expendable
Dimensions
Amount Available
Pieces / Container
Packaging Plan
Required - Send
Key Contacts

100% Layout
Required - Send
Part Print
Required - Send
Master Sample
Required - Send
Boundary Samples
Required - Send
Process FMEA
Required - Send
Process Flow Diagram
Required - Send
Material Certifications
Required - Send
Operator Instructions
Required - Send
Control Plan
Required - Send
Capability Studies
Required - Send
Gage R&R Study
Required - Send, if gagging exist
Math Data
Required - Send , if data exist
Gage Calibration Status
Open QR's
Required - Send
Key Contacts
Thinning Limit
Burr Limit
12 Month Closed QR's
Surface Requirements
Welding Requirements

By initialing this form you are stating that the information you are providing it accurate to the best of your knowledge.
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