PCR Request - Gulfstream.com

Publications Change Request

* Indicates Required Fields

Note - If ODA / Certification project is selected below please provide a project number.

1. Submission Type: *This question is required.

Note: For Safety option please contact the PCR admin at 912.965.5427 after approval by STM.

3. Contact Information:

First Name *This question is required.

Middle Initial

Last Name *This question is required.

Company Name *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip

Country

Email Address *This question is required.

Phone Number *This question is required.

Employee ID

Department Number

URL

Employee information:

Employee ID
Department Number

5. Aircraft S/N:

Model:

6. Change supported by:

Please enter an 'other' value for this selection.

7. Disposition required? *This question is required.

Disposition information *This question is required. Note: If a disposition document is required by your group identify the required document name or number below and attach the document to this submission.

Disposition document

Other, please list Manual Name

Publication

9. Is this a new procedure? *This question is required.

Please enter either the CMP code or ATA.

10. CMP Code: *This question is required. (i.e. 123456 - If no code enter N/A)

11. Figure: FIGURE - Please enter the page number of the page where the correction needs to be made. This is for one titled task or one figure at a time.

(if not applicable put N/A in field)

12. ATA/Section: *This question is required. ATA - Please enter the ATA of the page or pages where the correction needs to be made. This is for one titled task or one figure at a time.

(i.e.12-34-56 - If no ATA enter N/A)

13. Task Code/Title:(at, ri, it, ic, etc.)

Code
Title

ASC / CB / SB #: *This question is required.

14. Page Date: *This question is required. (If new procedure, enter N/A)

15. Page Number(s) PAGE - Please enter the page or pages where the correction needs to be made. This is for one titled task or one figure at a time.

(If new procedure, enter N/A)

16. Supporting documents:

17. Description of Change: (clearly identify the discrepancy)

18. Email a copy of this request to: (other than yourself) This question requires a valid email address.

19. Attachments? *This question is required.

Documents to attach:(only documents with gif,jpg,doc,docx,xls,xlsx,pdf,tiff,tif,cgm,png and bmp are allowed - 20MB limit)

Up to six uploads are permitted.

File: {{filename}} delete

PCR Request - Gulfstream.com

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