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Supplier Responsibility Reversal Form

 

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: