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This form shall be completed by the Part Supplier for authorization prior to approval testing. An electronic copy
is available from GM Materials Engineering upon request.
Procedure to complete approval form:
1. Contact responsible GM Material Engineer on the proposed change and for the required GM
stakeholders to be contacted.
2. List the GM stakeholders (as required by Material Engineer) in Table C2.
3. Complete the form below (Appendix C, Table C1). If any process steps do not apply, write
Not applicable (N/A).
4. Send the completed form to GM stakeholders listed in Table C2. Have each GM stakeholder listed in
Table C2 indicate support and sign.
5. Send the completed/signed document to GM Materials Engineering for approval. An identification (ID)
number will be generated for each approval. Notify stakeholders in the event of any process changes.
Requestor Name: Job Title (tech. position req'd):
Phone #: E-mail:
Vehicle Program: Company Name:
Part #(less finish): Part Name:
Date supplier plans to implement proposed system into production:
The proposed Supplier Process Approval Form was reviewed by the respons ible GM Materials Engineer , ____________________________ , authorizing
the supplier to conduct testing for GMW14669 approval. A s igned Supplier Proces s Reques t Form is required with the submiss ion package.
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