Get Customer Recall Return Response Form For Injection Oxt512 8-17-16.doc

This guide provides clear instructions on how to complete the Customer Recall Return Response Form for Injection OXT512 8-17-16. By following these steps, users can efficiently fill out the necessary information online and ensure compliance with recall procedures.

Follow the steps to accurately complete the form online.

1. Click the ‘Get Form’ button to access the Customer Recall Return Response Form and open it in your selected editing platform.
2. Begin by filling in the product information section. Enter the name ' for Injection, USP, 10g', the lot number 'OXT512', and the expiration date 'March 2017'.
3. Next, provide the National Drug Code (NDC) Number, which is '25021-163-99', and the distribution dates from 'June 2016 – July 2016'.
4. Review the sub-recall instructions listed in the Customer Notification/Recall Communication letter dated August 17, 2016. Check the box confirming you have read and understood these instructions.
5. Indicate the quantity of recalled product in stock that you have quarantined by filling in the blank next to '_____ units (individual packs)'. Then, select the disposition of the recalled product by checking the appropriate box for 'returned' or 'quarantined' and fill in the date and method for the return.
6. Provide details on the customers you have notified regarding this recall. Fill in the date of communication and the method used to inform them.
7. If there have been any adverse events associated with the recalled product, check ‘Yes’ and provide a thorough explanation. If not, check ‘No’.
8. Select the appropriate box(es) to describe your business identity, such as wholesaler/distributor, retailer, pharmacy, etc.
9. Finally, complete the contact information for the person filling out the form. Ensure to include their name, title, telephone number, facility, address, city, state, and zip.
10. After filling out all required fields, review the entries for accuracy. Users can then save the form, download it, print it, or share it as needed.

Complete your documents online to ensure a smooth recall process.