Attachment 4: First Article Waiver Worksheet

FIRST ARTICLE - WAIVER WORKSHEET

Request for Information and Supporting Documentation
This is a Sample of a Contractor's Request for First Article Waiver Worksheet. If waivers will be considered by the Government, this form or memorandum similar to this should be an attachment in Section J of the solicitation.

This information/supporting documentation is part of your request. It must be submitted on company letterhead and signed by an agent of the company. Contact the Contracting Officer if you have any questions about the acquisition offer/quote requirements.

1. CURRENT ACQUISITION INFORMATION:

Contracting Officer's Name

SOLICITATION/CONTRACT #

CONTRACTOR NAME

CONTRACTOR CAGE

NSN

NOUN

PART #

TOP DRAWING #

REVISION LEVEL

2. TYPE OF REQUEST:

Partial Waiver: Includes waiver of only a specific test(s) of the First Article Test requirement as required by the Technical Data Package (TDP), contract and/or solicitation.

Full Waiver: Includes waiver of all First Article Testing as required by the TDP, contract and/or solicitation. TDP Reference(s) of test(s) to be waived: (Please be specific and reference specification paragraph and/or drawing note as appropriate).

3. JUSTIFICATION TO SUPPORT WAIVER REQUEST: (Check and complete all that apply) A)

Successful completion of a First Article Test on a recent contract for the same item(s). Complete the following & attach supporting documentation*.

CONTRACT #

DATE OF FIRST ARTICLE TEST APPROVAL

ISSUING GOVERNMENT AGENCY

Was the above contract manufactured at the same facilities using the same equipment, processes, procedures, and subcontractors in which the current item will be produced? If NO, please describe the differences in detail below and include any considerations these changes will require for the First Article Test waiver request

Reset Form

Version - September 2015

B)

Successful completion of a First Article Test on a similar item on a recent contract and the item has been tested per the same requirements as those referenced in the solicitation and/or contract. Complete the following for the similar item & attach supporting documentation*:

CONTRACT #

NOMENCLATURE

NSN

PART NUMBER

DATE OF FIRST ARTICLE TEST APPROVAL

Briefly describe the major differences between the similar item and the item being procured.

Was the similar item manufactured at the same facilities using similar equipment, processes, and procedures in which the current item will be produced?
If NO, please describe the differences in detail below and include any considerations these changes will require for the First Article Test waiver request