SSS Form Demo

Section in Blue to be completed by Buyer:
Edit Existing Ticket Number?

Product Description (from Buyer)
Sample Type: Prototype Pre-Production Production

WOW Trading Division
Business/Merchandise Manager
Sourcing Manager
Shipping Date In-Store Date
Article Number (WOW SKU/Keycode/Ref #)



Section in Red to be completed by Vendor:

Product Name (eg LED Clock Radio, 4-slice Toaster)


Product description
(Examples: For a clock radio: "AM/FM 0.75 inch Red Led, single alarm, 240V";
For a toaster: "Stainless Steel, defrost function auto browning")

Manufacturer's Model Number

Manufacturer's Lead Time

Vendor Name (and number if applicable)


Vendor Address


Factory Name


Factory Physical Address

Compliance Documents available
For Test Reports show: Issuer/Lab name, Standard(s),Issue Date, Report Number(s)
For Approval Certificates show: Approval number, Issuer, Expiry Date

Section in Purple to be completed by Quality Specialist:

Status of submission
(EG Is documentation correct/plausible?
Are there any special directions to the QT regarding evaluation etc?)

Post Evaluation Notes
(Examples: Is all documentation acceptable? Are special procedures underway (MEPS registration etc)




PR # SS # PS #