Authorization-To-Ship

Authorization-to-Ship Form

Instructions:  Supplier shall use this Authorization-to-Ship form to obtain approval to ship product on this order.  The supplier will complete the upper portion of this form and submit it along with all the required documentation to the specified e-mail address: – For ABL: E-mail to [email protected] and “CC” the respective buyer. – For Elkton: E-mail to [email protected] and “CC” the respective buyer.  Orbital ATK’s buyer will return the approved form to the supplier. – The supplier shall include a copy of the Orbital ATK–approved Authorization-to-Ship form with the shipment to the destination identified in the purchase order (PO). Purchase Order No. Change Line Item

Part No. Rev Serial/Lot No(s).

Part Name Qty

Supplier Name Phone No.

Attention E-mail: (Person to Whom Authorization Will Be Returned)

Check all that apply per purchase order and attach supporting certifications: Special Process Certifications: if subcontracted, include Orbital ATK authorization to use the selected supplier(s) NDT – Magnetic Particle NDT – Penetrant NDT – X Ray NDT – Ultrasonic Heat Treat Plating Passivation Cleaning Welding Soldering Other Documentation: Certification of Conformance Dimensional Inspection Report Material Certifications (chemical/physical properties, DOM/DOAT, shelf life, storage requirements) Additional Documentation per PO (material review records, traceability, configuration, acceptance test data) 98030-Supplied Material Used (including Orbital ATK material lot or serial number) Orbital ATK Use Only – Supplier Do Not Write Below This Line Shipment Authorized: Yes No (see reasons below) Orbital ATK–Assigned Lot No.:

Project No. Authorized Signature Date

Errors or Omissions:

Please Resubmit Corrected Certifications for Authorization to Ship

F98030 [275] 2/18/15