(TO BE COMPLETED BY THE CONTRACTOR)
PART I / REFERENCE NUMBER TO CUSTOMER:
(TO BE FILLED IN BY NSPA)
CONTRACT
NUMBER: / DATE
PREPARED: / RFD NUMBER: / NSPA:
CONTRACTOR: / OFFICE ADMINISTRATING CONTRACT:
PART NUMBER: / NOUN: / SERIAL NUMBER: / WSSL-STOCK LIST PRICE:
COUNTRY: / MAINTENANCE REQUIREMENT NUMBER: / PURCHASE ORDER NUMBER: / PRODUCTION NUMBER:
1. / TECHNICALLY ITEM IS REPAIRABLE AT THIS FACILITY; HOWEVER:
1.1 / REPAIR/OVERHAUL COST EXCEEDING 90% OF WSSL-STOCK LIST PRICE (SEE 5 BELOW)
1.2 / REPAIR/OVERHAUL COST EXCEEDING CEILING SHOWN ON WORK ORDER (SEE 5 BELOW)
1.1 / REPAIR/OVERHAUL COST WITHIN STOCK LIST PRICE UNCERTAIN, RECOMMEND THE WORK BE DISCONTINUED
2. / ITEM IS NOT REPAIRABLE AT THIS FACILITY BECAUSE
2.1 / PARTS ARE NOT AVAILABLE (LISTED IN REMARKS WITH PREFIX “N”)
2.2 / DAMAGED BEYOND REPAIR CAPABILITY OF THIS FACILITY UPON ARRIVAL HERE, PACKING WAS / WAS NOT / DAMAGED
3. / APPROXIMATE COST FOR GUIDANCE TO CUSTOMER:
3.1 / LABOR TO BE BILLED IF WORK IS DISCONTINUED ......
3.2 / PARTS TO BE BILLED IF WORK IS DISCONTINUED ......
.
3.3 / PACKAGING TO BE BILLED IN CASE OF RETURN SHIPMENT ......
3.4 / IF WORK IS CONTINUED, REPAIR/OVERHAUL COST WILL NOT EXCEED . .
3.5 / PROBABLY REPAIRABLE WITHIN THE CEILING OF ......
4. / REMARKS REGARDING DESCRIPTION OF FAILURE AND POSSIBILITIES OF REPAIRING IT, ETC.
OTHER REMARKS:
REPAIR & RETURN PROGRAM MANAGER / (original signed and on file)
NAME AND TITLE (PRINT OR TYPE) / SIGNATURE: / DATE:
BUSINESS MANAGER, REPAIR & RETURN / (original signed and on file)
NAME AND TITLE (PRINT OR TYPE) / SIGNATURE: / DATE:
FORM NSPA 575 MAY 97 (SEE REVERSE SIDE FOR PARTS II, III, AND IV)
REQUEST FOR DISPOSITION
PART II: NSPA COMMENTS:1. ABOVE, ITEM AS A / WSSL ITEM / DX
ITEM / BUY-OUT
ITEM / WITH A QUANTITY OF ON ORDER / OTHER
(SEE REMARKS) / 11. QUANTITY ON HAND AT NSPA
2. / OVERHAUL/REPAIR IS RECOMMENDED AS ITEM IS NOT CURRENTLY AVAILABLE IN SUPPLY CHANNELS
3. / NORMALLY, PROCUREMENT/STOCKAGE OF ITEM IS AVAILABLE THRU NSPA / 12. QUANTITY ON HAND IN NATO
4. NSPA CAN / CAN NOT / OBTAIN THIS ITEM THRU PROCUREMENT/MANUFACTURE / PATRIOT COMMUNITY
5. RECOMMEND ITEM BE HELD IN / COUNTRY STORES / NSPA STORES FOR FUTURE
OVERHAUL/REPAIR AS ITEM MAY BE
6. REMARKS: / REQUIRED LATER DUE TO POSSIBLE
SHORT SUPPLY
NAME AND TITLE (PRINT OR TYPE) / SIGNATURE / DATE
PART III. CUSTOMER’S REPLY:
1. / COMPLETE THE OVERHAUL/REPAIR AUTHORIZED CEILING FOR EXPENDITURES / DM
2. / DISCONTINUE THE WORK AND RETURN THE DEFECTIVE ITEM TO
2.1 / CUSTOMER COUNTRY
2.2 / NSPA STORES
3. / DISPOSAL AUTHORIZED
4. REMARKS (IF ANY ARE REQUIRED)
NAME AND TITLE (PRINT OR TYPE) / SIGNATURE / DATE
PART IV. NSPA INSTRUCTIONS TO THE CONTRACTOR:
NSPA REFERENCE NUMBER FO CONTRACTOR (TO BE FILLED IN BY NSPA)
NAME AND TITLE (PRINT OR TYPE / SIGNATURE / DATE
FORM NSPA 575 MAY 97 / (SEE REVERSE SIDE FOR PART I)