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Deviation and Waiver Request Guide

The document is a Request for Deviation/Waiver form used to obtain customer approval for deviations or waivers related to products or services. It includes sections for originator and contact information, product details, request type, description of the deviation or waiver, and client approval results. The form emphasizes the importance of client feedback for improvement and provides contact information for replies.

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Aaron perezg
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24 views2 pages

Deviation and Waiver Request Guide

The document is a Request for Deviation/Waiver form used to obtain customer approval for deviations or waivers related to products or services. It includes sections for originator and contact information, product details, request type, description of the deviation or waiver, and client approval results. The form emphasizes the importance of client feedback for improvement and provides contact information for replies.

Uploaded by

Aaron perezg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Request for Deviation / Waiver

Used to document requests for deviation or waiver for products/services and/or other requirements requiring customer approval.

1. Originator Information: Complete necessary contact and date information when requesting deviation/waiver.
Requested By: Date Requested: Tracking No:

Phone: Fax: E-Mail:

2. Contact Information: Complete the necessary contact information to send request.


Customer Name: Contact Name:

Phone: Fax: E-Mail:

3. Product Information: Complete the product or specification information this request applies to.
Client Item No: Drawing or Spec No: Revision Level: (When Applicable)
MB237001

4. Request Type: For deviations, include length of time or amount affected with product or specifications in this section.
Deviation (Temporary) Waiver (Life of Product)
5. Description of Deviation/Waiver: Describe the nature of departure from requirements and/or specifications. May
include drawings, photos, sketches when necessary to provide better understanding for clients’ needs with their review and
approval.

Document Name: Request for Deviation / Waiver Report Date:


File ID: Page No: 1 of 2
Request for Deviation / Waiver
6. Client Approval Results: Please provide approval or rejection of this request. You may complete section below or reply
via e-mail to contact listed below with your response directly. Thank you for your cooperation and support with this request.

Accepted Rejected (Specify below)


Comments: Your feedback is highly appreciated to help with our improvement efforts.

Completed By: Date:

Reply Contacts: Please send your replies to the originator when completed.

Larsen Manufacturing Corporate


1201 Allanson Road Mundelein IL 60060
Phone: 847.970.9600 Fax: 847.970.9733
Thank you for the business and opportunity to improve product quality to better suit your needs.

Document Name: Request for Deviation / Waiver Report Date:


File ID: Page No: 2 of 2

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