GOODMAN GLOBAL
SPECIAL PROJECT AUTHORIZATION FORM
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Distributor - Goodman
GENERAL INFORMATION
Brand:
Goodman/Amana
Daikin
PTAC
Project Code:
Project Title:
*
Exp. Total Cost:
*
$
Project Start Date:(mm/dd/yyyy)
Project End Date:(mm/dd/yyyy)
Requestor:
*
Requestor Email:
*
Issue/Solution:
*
(<500 char)
Business Justification:
*
(<500 char)
ASSESSMENT INFORMATION
FILL ALL INFORMATION THAT APPLIES
Estimated Exposure
Site Assessment Performed By:
Qty Units Affected:
Site Visit Date:(mm/dd/yyyy)
Part Cost per Unit:
$
Install Period From:(mm/dd/yyyy)
End:(mm/dd/yyyy)
Labor per Unit:
$
Production Date From:(mm/dd/yyyy)
End:(mm/dd/yyyy)
Total Exposure:
$
Incident Rate Est:
%
Assessment Notes/Special Notes relative to information above: (< 500 char)
Qty Estimate:
Total Est Cost:
$
Other Allowance:
$
Grand Total:
$
PROJECT SPECIFICS
Channel
*
:
ALL
IND
COD
Project Details: (< 1000 char)
Target Distributors if limited to specific Distributors:(<500 char)
Target Dealers if limited to specific Dealers/Contractors:(<500 char)
List Models/Parts Below
Models
Description
Serial# From
Serial# To
Parts
Description
Attach File
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