Acknowledgement of Advisory Notice – BioFire^® COVID-19 Test Box Label

If you have read and acknowledge the receipt of the customer notice, please fill out and submit the form.

*All Fields in the Form are Required

Name of Institution*
Job Title*
First Name*
Last Name*
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I have read and acknowledged the receipt of the following Advisory Notice: BioFire® COVID-19 Test Kits (Kit 423744, Label DFA2-LBL-0058, Lot 311221D) Short-dated Expiration Date on Outer Box Label*
- Yes
- No
I have implemented the actions as indicated in the attached notice.*
- Yes
- No
Electronic Signature*
Date*

Acknowledgement of Advisory Notice – BioFire® COVID-19 Test Box Label