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ABC COMPANY DOCUMENT CHANGE NOTICE

Title of Change: Document/Part Number Affected: Package/Assembly Affected: Justification for change: DCN#: New Revision Status: Implementation date/details:

Change Category Does the changed affects BOM? Customer approval required? Is training required? Change From Yes

Major Yes Yes No

Minor No No Individual Training Change/Add to: Group Training

Issued by Originator Checked by: Document Control Approvals


(indicate N/A if not applicable)

Printed Name

Title

Signature

Date (mm/dd/yy)

Quality Assurance Production Line Materials Department Engineering Department Customer


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FORM2012

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