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Supplier Responsibility Reversal Form

 

This form is designed to document communication from supplier to KMI regarding reversal of quality or delivery rating responsibility.

 

Fill out form, Fax to 316-777-9007 or send attachment through email to quality@kmiusa.com

 

P/N:

Date:

Lot #:

PO #:

Line/Release:

Dwg:

Sht:

Rev:

Zone:

View:

PO Qty:

Accepted:

Rejected:

Description of Discrepancy:

Reason for Reversal:

Supplier Contact:

Title:

Date:

               

To be filled in by KMI.

Reviewed By:

Request Accepted:

Request Rejected:

Reason Why Request Was Rejected: