MWO 3-4240-325-12-1
RECORDING AND REPORTING OF MODIFICATION FORM
NO.
DATA ELEMENT
INPUT DATA
1
Material Change Number
1-03-08-0002
2
MWO Number
3-4240-325-12-1
3
Unit Name
4
Unit UIC
5
Repair Location
6
End Item NSN
7
End Item Nomenclature
8
End Item Serial Number (if applicable)
9
Registration # (if applicable)
10
Filter (#1): M48 or M48A1, check one
_____M48 _____M48A1
11
Filter (#1) Lot No. (NA if M48)
12
Was filter (#1) replaced?
13
If filter (#1) is replaced, note Lot No. of new filter
14
Filter (#2) NSN (if applicable): M48 or M48A1, (check one)
_____M48 _____M48A1
15
Filter (#2) Lot No. (if applicable) (NA if M48)
16
Was Filter (#2) replaced?
17
If filter (#2) is replaced, note Lot No,. of new filter
18
Date of Application
19
Man Hours Required
20
Applied By (i.e., LAR, unit, contractor, team)
F-2
