The Cfg 1001 Form is a key form used in the management of Tenant Establishments. It is used to document all aspects of the establishment, from its initial creation through to any changes or updates made during its operation. The form must be completed in full and submitted to the Department of Buildings for approval before a tenant can commence business. Completion of this form is critical for ensuring that both the tenant and the department have a clear understanding of the establishment's particulars. For more information on what is required on this form, please visit our website at nyc.gov/buildings, or call 311 and ask for Building Information Services. We are happy to help!
| Question | Answer |
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| Form Name | Cfg 1001 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | part submission warrant pdf, part submission warrant, cfg warrant edit, part submission warrant form |
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PART SUBMISSION WARRANT |
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Part Name |
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Cust. Part Number |
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Shown on Drawing No. |
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Org. Part Number |
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Engineering Change Level |
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Dated |
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Additional Engineering Changes |
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Dated |
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Safety and/or Government Regulation |
Yes |
No |
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Purchase Order No. |
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Weight (kg) |
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Checking Aid No. |
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Checking Aid Engineering Change Level |
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Dated |
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ORGANIZATION MANUFACTURING INFORMATION |
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CUSTOMER SUBMITTAL INFORMATION |
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Supplier Name & Supplier Code |
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Customer Name/Division |
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Buyer/Buyer Code |
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Street Address |
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Application |
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City |
State |
Zip |
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MATERIALS REPORTING
Has
Are polymeric parts identified with appropriate ISO marking codes?
REASON FOR SUBMISSION
YES |
NO |
n/a |
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YES |
NO |
n/a |
Initial Submission
Engineering Change(s)
Tooling: Transfer, Replacement, Refurbishment or additional Correction of Discrepancy
Tooling Inactive > 1 year
REQUESTED SUBMISSION LEVEL (CHECK ONE)
Change to Optional Construction or Material
Part Produced at Additional Location Other - Please specify below
Level 1 - Warrant only (and for designated appearance items, an Appearance Approval Report) submitted to customer. Level 2 - Warrant with product samples and limited supporting data submitted to customer.
Level 3 - Warrant with product samples and complete supporting data submitted to customer. Level 4 - Warrant and other requirements as defined by customer.
Level 5 - Warrant with product samples and complete supporting data reviewed at supplier's manufacturing location.
SUBMISSION RESULTS
The results for
dimensional measurements
material and functional tests
appearance criteria
statistical process package
These results meet all drawing and specification requirements:
Mold / Cavity / Production Process
DECLARATION
YES
NO |
(If "NO" - Explanation Required) |
I hereby affirm that the samples represented by this warrant are representative of our parts, have been made to the applicable
Production Part Approval Process Manual 4th Edition Requirements. I further affirm that these samples were produced at the production rate of / hours. I also certify that documented evidence of such compliance is on file and available for review. I have noted any deviations from this declaration below.
EXPLANATION/COMMENTS:
Is each Customer Tool Properly tagged and numbered? |
YES |
NO |
n/a |
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Organization Authorized Signature |
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Date |
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Print Name |
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Phone No. |
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Fax No. |
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Title |
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FOR CUSTOMER USE ONLY (IF APPLICABLE)
Part Warrant Disposition: |
Approved |
Rejected |
Customer Signature |
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Other
Date
Print Name |
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Customer Tracking Number (optional) |
March2006