Food Product Recall Question Title * 1. Did you receive any of the recalled food product? Yes No Other (please specify) Question Title * 2. Please indicate how the recalled product was disposed. Please indicate the quantity and types of recalled product below in the "other" field. Returned/Held for Return Destroyed Relabeled Quarantined pending correction Other (please specify) Question Title * 3. Have you notified the customers that may have recieved the recalled product? Yes No Question Title * 4. If customers were notified, please indicate how customers were notified below. Email Website Phone Social Media Other (please specify) Question Title * 5. Please check the box that best describes your business Wholesaler/Distributor Grocery Headquarters Grovery Manufacturer Retailer Food Establishment Hospital/Nursing Facility Child Care Other (please specify) Question Title * 6. Please provide your contact information below. Company Name Address City State Zip Phone Email Done