Manufacturing Product Recall Form
Manufacturing Product Recall Form
If you have purchased a product that has been recalled, please complete this form to help us process your return or replacement.
Product Information
Product Name
Product Code/Model Number
Date of Purchase
Purchase Location
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Store
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Online
Customer Information
Name
Phone number
Shipping Address
Type a Reason for Recall?
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Defect/Failure
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Safety Concern
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Incorrect Information
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Action Requested
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Refund
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Replacement
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Repair
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Additional Comments
Thank you for helping us ensure your safety and satisfaction!
We appreciate you taking the time to submit.
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