Create New : Customer Complaint Action Report
CCAR Details
CCAR #
:
< Autogen on Save >
CCAR Date *
:
< Autogen on Save >
Response Due Date
:
Initiated By *
:
SE - John Terry
SE Return Req #
:
Assigned to *
:
Customer Details
Company Name
:
Customer Code *
:
AutoPull
Contact
:
Phone *
:
Email *
:
Part Details
Customer PO # *
:
Sales Order #
:
AutoPull
Part # *
:
Quantity NC *
:
Non-Conformance
:
Customer Notes
Supporting Documents
File Name File Notes  
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CORRECTIVE AND PREVENTATIVE ACTION RESPONSE
Assignee is to complete all three elements of this section (ROOT CAUSE, CORRECTIVE ACTION and PREVENTIVE ACTION) then sign and date it. Return to Quality Manager.
Root Cause
Corrective Action Taken
Preventative Action Taken : (and other activities/product affected, if applicable)
Response Completed by
:
Implementation Date
:
Response Completed by
Insert Signature and Date
Dev Notes
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