Rapid Alert Notification Form

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Rapid Alert Notification Form

Accepted file types: jpg, png, pdf, Max. file size: 200 MB.
A clear visible photo of the product with clear (attach copy); a. Labelling b. Product name c. Stated manufacturer d. Batch number e. Manufacturing date f. Expiry date g. Place of identification
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OFFICIAL USE ONLY: FOR BoMRA OFFICE

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Product Recall Class of Defect: (circle one)
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Reporter’s Contact Details:

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