Recall Response Form

Business Information

Business (Customer) Name

Business (Customer) Number

Contact (Customer) Name

First Last

Item Information

Item #

Item Description

Lot Codes

Provide the Lot Code(s) for affected items being sent back.

Lot Code

Lot Code

Lot Code

Quantity (of affected items for pick up)

# of Cases

# of Eaches

Comments / Questions

🔙 Back to the Recalls Page