
Ase Order/Contract Data 1. PO No.: 2. PO Rev No.: 4. Contract No.: 5. Contract Amendment No.: B. Supplier/Source Information 6. Supplier: 7. Supplier Address (Street/City/State): 8. Source of Origin: CAUTION: Street: The suppliers shall take all necessary actions and precautions City: to assure that this Certificate of Conformance(C of C) is accurate, State: complete, and true, regardless of the actual source of origin. 3. PO Line Item: Country: C. Applicable Requirements .
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How to fill out the Form 540.04 online
This guide provides clear, step-by-step instructions for completing the Form 540.04 online. Whether you are a user with little legal experience or an experienced professional, you will find helpful information on each section of the form.
Follow the steps to complete the form effectively.
- Click 'Get Form' button to obtain the form and open it in your editor.
- In Section A, enter relevant Purchase Order (PO) and Contract Data. Fill in each entry: include the complete INL Purchase Order number, any applicable revision number, PO Line Item Number, INL Contract Number if necessary, and the latest Contract Amendment Number if applicable.
- In Section B, provide Supplier and Source Information. Enter the legal Supplier company name, Supplier business address, and the point of shipping origin. Ensure accuracy to avoid discrepancies.
- In Section C, fill out the Applicable Requirements. Specify the design code or consensus standard, applicable specifications, technical drawings or diagrams, and any other relevant requirements.
- In Section D, list any approved changes, deviations, waivers, substitutions, or nonconformances. Reference any applicable documentation control numbers and attach additional pages if necessary.
- In Section E, if there are any nonconformance(s), provide details in this section. This section is self-explanatory and requires careful attention.
- Complete Section F, Certification Statement. Print or type the authorized certifying official's name, title, and date. Ensure to affix the certifying official's signature in indelible ink, as stamps are not valid.
- After filling out all sections, review the form for accuracy. Save your changes, then download, print, or share the completed form as necessary.
Start completing your Form 540.04 online today to ensure compliance and efficiency.
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