Get Lta 360 Kit

The Lta 360 Kit is a critical form for addressing the urgent recall of the cannula breakage issue. This guide will walk you through the process of filling out the form online, ensuring that you have all the necessary information at hand to respond effectively to the recall.

Follow the steps to complete the Lta 360 Kit online form.

1. Press the ‘Get Form’ button to obtain the Lta 360 Kit form and open it in the document editor.
2. Read through the recall notification thoroughly to understand the implications and gather necessary details, such as your inventory of affected products.
3. Fill in your business name, phone number, and address, including city, state, and ZIP code in the required fields.
4. If applicable, provide your DEA number and Hospira customer number, as well as your reference number like a purchase order or invoice.
5. Indicate whether you have affected product by selecting 'YES' or 'NO.' If 'YES,' ensure you fill out the details for the products being returned.
6. For each affected product, include the NDC, lot number, and quantity to be returned.
7. If you distributed the product further, answer 'YES' or 'NO.' If yes, make sure to notify those retail customers.
8. Sign your name, print it, and include the date at the bottom of the form to acknowledge your completion of the recall response.
9. Submit the completed form by faxing or emailing it to the specified contact provided in the recall notification.
10. After submission, follow the instructions for returning affected products as specified, using the provided return label.

Take action now and complete your Lta 360 Kit online to ensure compliance and safety.