Product Deviation Report

Quality Issue

Entire below section must be completed unless otherwise indicated. Please be as detailed as possible in the description of the product and its deviation.

Total Amount of Deviated Product:
*Product can be disposed of only after managerial approval.
**If amount is entered for "Other" disposition, please describe the product's status:
Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.