REQUEST FOR DEVIATION / WAIVER (RFD/RFW)
1.    DATE (yyyymmdd)
     
2.    PROCURING ACTIVITY    NUMBER
       
3.    DODAAC
         
4.    ORIGINATOR
b.    ADDRESS (Street, City, State, Zip Code)
5.    (Check One)
a.    TYPED NAME (First, Middle Initial, Last)
     
DEVIATION
WAIVER
     
     
6.    (Check One)
MINOR
     
     
MAJOR
CRITICAL
7.    DESIGNATION FOR DEVIation / waiver
8.    baseline affected
9. other system/configu-
a.    MODEL/TYPE
b.  CAGE CODE
c.  SYS. DESIG.
d.  DEV/WAIVER NO.
FUNCTIONAL
ALLOCATED
    RATION ITEMS AFFECTED
     
     
     
     
PRODUCT
YES
NO
10. TITLE OF DEVIATION / WAIVER
         
11.    CONTRACT NO. AND LINE ITEM
12.    PROCURING CONTRACTING OFFICER
     
  a.    NAME (First, Middle Initial, Last)        
     
  b.    CODE       
c. TELEPHONE NO.      
13.    CONFIGURATION ITEM NOMENCLATURE
14.    CLASSIFICATION OF DEFECT
     
  a.    CD NO.
b. DEFECT NO.
c. DEFECT CLASSIFICATION           
     
     
MINOR
MAJOR
CRITICAL
15.    NAME OF LOWEST PART / ASSEMBLY AFFECTED
         
16.    PART NO. OR TYPE DESIGNATION
         
17.    EFFECTIVITY
18.    RECURRING DEVIATION / WAIVER
         
submitting
YES
NO
19.    EFFECT ON COST / PRICE
         
20.    EFFECT ON DELIVERY SCHEDULE
         
21.    EFFECT ON INTEGRATED LOGISTICS SUPPORT, INTERFACE OR SOFTWARE
         
22. DESCRIPTION OF DEVIATION / WAIVER
         
23.    need for DEVIATION / WAIVER
         
24.    corrective action taken
         
25.    submitting activity
a. TYPED NAME  (First, Middle Initial, Last)
b.  TITLE
c.  SIGNATURE
     
     
     
26. APPROVAL/DISAPPROVAL
a.  RECOMMEND
APPROVAL
DISAPPROVAL
b.    APPROVAL
c.  GOVERNMENT ACTIVITY
APPROVED
DISAPPROVED
         
d.  TYPED NAME  (First, Middle Initial, Last)
     
e. SIGNATURE
     
f.    DATE SIGNED
    (YYYYMMDD)
     
g.    APPROVAL
h.  GOVERNMENT ACTIVITY
APPROVED
DISAPPROVED
         
i.  TYPED NAME  (First, Middle Initial, Last)
     
j. SIGNATURE
     
k.    DATE SIGNED
    (YYYYMMDD)
     

These instructions do not need to be included when submitting the form.
The SA1410 form and its instructions are replications of DD Form 1694 titled Request for Deviation/Waiver and the Mil-Std-973 Appendix E’s instructions. This content is used directly from the DD1694 and the Mil-Std-973 to ensure consistency with the original DD1694 form’s format. The DD1694 instructions include the following statement:
See MIL-STD-973, Appendix E, which establishes uniform requirements for the preparation of the DD Form 1694, "Request for Deviation/Waiver." information contained herein is intended for compliance. The provisions of the Appendix apply whenever DD Form 1694 is utilized to request a deviation or a waiver.”
“DD FORM 1694, REQUEST FOR DEVIATION/WAIVER (RFD/RFW) - INSTRUCTIONS (AUG 1996)
MIL-STD-973 APPENDIX E
INSTRUCTIONS FOR THE PREPARATION OF REQUEST FOR DEVIATION/WAIVER
E.1 GENERAL
E.1.1 Scope. This Appendix establishes uniform requirements for the preparation of the "Request for Deviation/Waiver." This Appendix is a mandatory part of the standard. The information contained herein is intended for compliance.
E.1.2 Application. The provisions of this Appendix apply whenever a request for deviation or request for waiver is prepared.
E.2 APPLICABLE DOCUMENTS
This section is not applicable to this Appendix.
E.3 DEFINITIONS
E.3.1 Definitions used in this Appendix. For purposes of this
Appendix, the definitions contained in Section 3 of this standard shall
apply.
E.4 GENERAL REQUIREMENTS
E.4.1 DD Form 1694. DD Form 1694, Figure 10, is not a requirement of this standard, and is provided for reference only. RFDs/RFWs shall be prepared in contractor format, containing the information required by this Appendix in Block Number sequence.
E.4.2 Request for deviation. The contractor shall request a deviation when, prior to manufacture, it is necessary to depart temporarily from the applicable approved configuration documentation for a specific quantity of deliverable units. Normally, for the unit(s) affected, the different configuration will be permanent. (See 5.4.3)
E.4.3 Request for waiver. The contractor shall request a waiver when, during or after manufacture, the contractor desires authorization to deliver nonconforming items to the Government which do not comply with the applicable technical requirements. For the unit(s) affected, the different configuration will normally be permanent. (See 5.4.4)
E.5 DETAILED REQUIREMENTS. Detailed instructions for completion of the RFD/RFW.
E.5.1 Block 1. Date. Enter the submittal date.

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