Attachment 0007_Form 1379.pdf
PDF 265 KB Posted
- Attached to
- Overhaul of the UH-60 Modulating Valve
- Solicitation number
- W58RGZ-25-B-0008
About this file
This is Form 1379, a Request for Depot Engineering Support form dated April 27, 2021, used to submit engineering support requests related to aircraft maintenance and repair work. The three-page form is associated with a Department of the Army solicitation (W58RGZ-25-B-0008) for UH-60 Modulating Valve overhaul services.
The form contains fields for contractor information, aircraft system details, part information, and publication references. Key sections include spaces for describing discrepancies or suggested corrections, government disposition of the request, and reference numbers for tracking systems (TTS, MEO, PAID). The form specifies that any government disposition provided cannot be interpreted as direction to perform billable work or modify existing contracts without contracting officer approval. The form includes checkboxes for priority (Urgent/Routine) and Critical Safety Item (CSI) status, along with detailed instructions for completing each field.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 0003_Document Summary List.pdf | ||
| Exhibit A.pdf | ||
| W58RGZ25B0008.pdf | ||
| Attachment 0005_Government Furnished Property Spreadsheet.xlsx | XLSX spreadsheet | |
| Attachment 0004_TDPL.pdf | ||
| Attachment 0002_MO Packaging Requirments.pdf | ||
| Attachment 0001_Contractor Overhaul TAV-C Requirements - Copy.pdf | ||
| Attachment 0006_Sealed Bidding Pricing Template.xlsx | XLSX spreadsheet |
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Text version
REQUEST FOR DEPOT ENGINEERING SUPPORT
FCDD-AMR-AM FORM 1379, Page 1 of 3
Contractor Tracking No. Contract No. Priority of Request
Urgent Routine
Date of Request
Contractor Address State, Zip
AC System AC Type NSN CSI
Yes No
Part No. Nomenclature Serial No.
Publication No. Publication Title Change No. Pub Date
Page/WP No. Paragraph/Section Figure No. Table No.
Discrepancy/suggested corrections or solutions:
Submitted by Signature Date
Email Address Phone No.
27 Apr 2021
FCDD-AMR-AM FORM 1379, Page 2 of 3
Contractor Tracking No. Contract No.
Government Disposition:
Authorized by Authorization Signature Date
Reference TTS Reference MEO(s) Reference PAID
**The Government Disposition contained on this FCDD-AMR-AM FORM 1379 is not to be construed or interpreted as direction to perform tasks, work, or labor which could result in a monetary charge to the U.S. Government. Additionally, the contents of this Government Disposition shall not be used as direction to modify any existing contract between vendors and the U.S. Government. For questions regarding contracts and changes to contracts, consult your contracting officer. The contracting officer is the approving authority for all matters related to contracts.**
FCDD-AMR-AM FORM 1379, Page 3 of 3
INSTRUCTIONS
Contractor Tracking No. The contractor’s internal 1379 tracking number.
Contract No. The contract number issued to the contactor (required field).
Priority of Request. Request urgency.
Date of Request. Engineering support request date.
Contactor. Contractor company name.
Address. Contractor company address.
State, Zip. Contractor company state and zip code.
AC System. Aircraft system.
AC Type. Aircraft type.
NSN. National Stock Number.
CSI. Critical Safety Item.
Part No. Part number if applicable.
Nomenclature. Name of part.
Serial No. Serial number if applicable.
Publication No. Depot Maintenance Work Requirements (DMWR) or Technical Manual (TM) number.
Publication title. Depot Maintenance Work Requirements (DMWR) or Technical Manual (TM) title.
Change No. Depot Maintenance Work Requirements (DMWR) or Technical Manual (TM) change number.
Pub Date. Depot Maintenance Work Requirements (DMWR) or Technical Manual (TM) date.
Page/WP No. The page/work package the discrepancy/suggestion correction location.
Paragraph/Section. The paragraph/section the discrepancy/suggestion correction is location.
Figure No. The figure number of the discrepancy/suggestion correction.
Table No. The table number of the discrepancy/suggestion correction.
Discrepancy/suggested corrections or solutions. Detailed explanation of the issue/problem.
Submitted by. Contractor submitting form.
Signature. Contractor’s signature.
Date. Date signed.
Email Address. Contractor’s email address.
Phone No. Contractor’s phone number.
Government Disposition. Government’s recommend correction/solution to the issue/problem.
Authorized by. Government disposition approver.
Authorizing Signature. Government disposition approver signature.
Date. Government approval date.
Reference TTS. Task Tracking System number.
Reference MEO(s). MEOs pertaining to problem.
Reference PAID. PAID system number.
File details come from the government source that posted it. Updated .