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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