Time Study Request Form Time Study Request Form Customer Information Company Name * Contact Name * Street Address * City * State * - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone Number * Fax Number Email Address * Okay To Contact Customer Directly? Yes No End Section Distributor Information Distributor Name * Salesman * Salesman Phone Number Date RSM DATE REQUIRED * End Section Next Part Engineering Requested Time Study (Check if Applicable) Turn Key (Check if Applicable) Model Suggestion Stand Alone (Check if Applicable) Auto Load / Unload (Check if Applicable) Multi Cell (Check if Applicable) End Section Production Requirements Parts / Year Run Hours / Year Changeover? End Section Workpiece Information Part Number Part Name Raw Material Hardness Part Is Presented As: Bar Slug Cast Forged OtherOther Stock Amount / Dim Weight Runoff Required?: Yes No Acceptance Req: (Check if Applicable) Describe (CPK, PPK, etc.) End Section Project Information Industry Code Industrial Code Index: (1) Automotive | (2) Hydraulic / Air Component | (3) Medical | (4) Electrical | (5) Computer | (6) Optical | (7) Military | (8) Aerospace | (9) Tool | (10) Bearing | (11) Other This Project Is: Preliminary Pending Approval Funds Approved Budget Available? Reason for Project: New Product Productivity Quoting Job Accuracy Design Change Production Increase Is The Part Being Produced at Present?: Yes No Current Equipment / Process Furnish Machining Feed / Speed? Approximate Order Date For Delivery Competitors End Section Item Enclosed Checkboxes Finished Part Drawings Machining / Process Drawings Blank / Forging Drawing Sample Blank Part Sample Finish Part Comments End Section If you are human, leave this field blank.
