Supplier Repair Information
* Indicates Required Field
Supplier Information
L3Harris PO Number *    PO Item Number *
Note # *
Part Quantity *
Entered By: Name *
Entered By: Email Address *
Supplier Part Number *
Supplier Serial Number *
Under Warranty? *
Certificate Of Compliance *
Return Type *
Failure Information
Failure Verification *
Failure Type *
 Please explain *
Failure Description *
Possible Cause
All repair reports require detailed descriptions of actions taken to bring repairs back to conformance.
Each specific comment or request made in the Failure Description of the PO must be addressed
clearly and concisely without room for interpretation.
Failure to do so may result in the issuance of a SCAR.
* Acknowledgement of instructions required.
Repair Action *
Repair Date *
  Email me a copy of this Repair Information.