Supplier Packaging Data Form (PDF)
Form must be signed and dated to be valid
Program Information
Supplier Information
Program Description:
Company Name:
Phone:
Model Year:
Originator Address:
Fax:
Issue Date:
Supplier Contact:
E-mail:
Part Information
JCI V#
Part Description
Est. Annual Vol.
JCI V#
1.
4.
2.
5.
3.
6.
Returnable Packaging Information
Part Description
Est. Annual Vol.
Expendable Packaging Information
(Expendable back up is required. Must have similar inside dimensions)
Container Description:
Container Description:
Dunnage Description 1:
Dunnage Description 1:
Dunnage Description 2:
Dunnage Description 2:
Container Dim: L
x W
x H
Loaded Cont. Wt.
lbs.
Container Dim: L
x W
x H
Loaded Cont. Wt.
lbs.
Full Pallet Dim: L
x W
x H
Loaded Pallet Wt.
lbs.
Full Pallet Dim: L
x W
x H
Loaded Pallet Wt.
lbs.
Quantity Per: Container
Pallet type:
Expendable
Layer
Pallet
Quantity Per: Container
Layer
Pallet
Returnable
JCI Sign off
Supplier Sign off
Packaging Engineer
Date
ME/QE
Date
Responsible Engineer
Date
Supplier Packaging Data Form (PDF)
Purpose and Instructions
The purpose of the PDF is to provide the JCI Packaging Engineer with the most recent packaging proposal for each component provided by the
supplier. The JCI Packaging Engineer will review the pack for potential ergo or safety issues and also determine returnable packaging feasibility.
The information is then distributed to the Materials and Manufacturing Teams for logistical, material flow and lineside analysis. It is the
responsibility of the supplier to provide the packaging cost to the JCI Buyer for approval.
To help provide the most accurate information please follow the instructions below.
For a complete list of JCI expectations, please reference our supplier manual at http://www.jcimanual.com/.
1. Program Information
 Program Description:
The description is the acronym for the program created by the OEM. Also, include the part type, i.e. GMX367 Cockpit.
 Model Year:
Model year reflects the OEM’s start of production data, i.e. Model 2002.
 Issue Date:
The issue date is the date packaging was prototyped.
2. Supplier Information
 Company Name:
The name of the company supplying goods to JCI.
 Originator Address:
Location of the company supplying goods to JCI.
 Supplier Contact:
Be sure to include the main contact that is available for any questions.
Supplier Packaging Data Form (PDF)
Purpose and Instructions
3. Part Information

This section is to be fully completed. Estimated volume is referenced for returnable packaging analysis.
4. Returnable Packaging Information

The container and dunnage description needs to include material and design type. If dunnage is expendable, indicate that within the
description.

When using molded containers, it is best to include the container model.
Example:
Container Description:
NSO241507
Dungaree Description 1:Fleece
Dungaree Description 2:
coated plastic corrugated
Expendable polycoated pad
5. Expendable Packaging Information

The container and dunnage description needs to include material and design type. It is important to indicate corrugated, polychip, chip and
wall descriptions.
Example:
Container Description:
Double wall RSC
Dunnage Description 1:Cell
Dunnage Description 2:
chip partition 2 layers
2 polychip pads, 1 per layer
Supplier Packaging Data Form (PDF)
Purpose and Instructions
6. Dimension, Weight, and Pallet Information.




All dimensions indicated need to be listed as the outside dimensions.
Always try to utilize a 48”x45” or 32”x30” size pallet. Container dimensions should maximize those standard footprints.
Pallet height includes overall pallet with containers. If pallets are stackable, keep outside pallet height below 50”.
JCI Safety and Ergonomics guidelines require the container gross weight not to exceed 30 pounds.
If you have any questions regarding the information being requested, please contact your JCI Packaging contact.
Once you have completed the form, please email or fax to your JCI Packaging contact.
JCI Packaging Engineers:
GM
GM Int.
Ford
Chrysler
International
Current Production
Anthony Thelen
Randy Renker
Megan Macina
Laura Bargwell
Jared Norder
Bruce Skidmore
616-394-2575
810-427-5204
616-394-6610
248-371-0960 x3954
616-394-2851
616-394-6484
anthony.j.thelen@jci.com
randy.a.renker@jci.com
megan.macina@jci.com
laura.l.bargwell@jci.com
jared.p.norder@jci.com
bruce.w.skidmore@jci.com