Attachment 7 - TRADOC_928-R_Submittal_Form.pdf
PDF 136 KB Posted
- Solicitation number
- W91QF4-26-R-A010
About this file
This is a TRADOC Form 928-R, a Material Approval Submittal form used for federal contracting under TRADOC Regulation 715-3. The form serves as a template for contractors to submit materials for government approval and for government personnel to evaluate and approve or disapprove submitted materials.
The form is divided into two primary sections: contractor completion and government use only. Contractors must complete the header information including the contracting officer recipient, contractor name, contract number, submission number, project number, and previous submission number (if applicable). The contractor then lists items requiring approval by item number, specification/paragraph/drawing number, and provides a detailed description of the material including type, model number, catalog number, and manufacturer. The contractor certifies compliance with all contract specifications by providing a signature, printed name, title, and date. The government evaluation section includes checkboxes for approval, disapproval with comments on the reverse side, or recommendation for approval or disapproval. Multiple government personnel sign off in sequence, including an initial evaluator, a recommending official, and a final approval authority. The final approval block indicates whether items are approved or disapproved, with disapproved items requiring resubmittal within a specified number of days. This template facilitates the material approval process for military contracting activities.
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Text version
[ ] NEW [ ] RESUBMIT
ITEM SPECIFICATION SECJ AP- DISAP- SEE INITIAL
No PARA. NO./DWG. NO. PROVED PROVED REVERSE
TYPE OR PRINT NAME TITLE
TYPE OR PRINT NAME AND GRADE
TYPE OR PRINT NAME AND GRADE
TYPE OR PRINT NAME AND GRADE
TRADOC FORM 928-R, Nov 91
TO:
[ ] Approved [ ] Disapprove as indicated Above and Subject to Any Applicable Comments on the Reverse Side. Request Resubmittal on Disapproved.
items Within _______________ Days of Date Shown Below.
DATE SIGNATURE
TO:
DATE SIGNATURE
Recommend [ ] Approval [ ] Disapproval as indicated Above and Subject to Any Applicable Comments on the Reverse
TO:
FOR GOVERNMENT USE ONLY
For Evaluation and Action
DATE SIGNATURE
MATERIAL APPROVAL SUBMITTAL
TRADOC Reg 715-3
BY COMPLETEING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT
THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.
DATE
PREVIOUS SUBMISSION NUMBER PROJECT NUMBER
SUBMITTALSUBMISSION NUMBER
DESCRIPTION OF MATERIAL
DATE SIGNATURE
TO: (Contracting Officer) FROM: (Contractor)
TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY
(Include Type, Model Number, Catalog Number, Mfg., etc.)
CONTRACT NUMBER
(for Digital Signature)
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