Acknowledgement of Customer Notice – BioThreat Panel Expiration Date

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 CUSTOMER SUPPORT NOTIFICATION FilmArray® BioThreat v2.5 Panels (P/N RFIT-ASY-0094, Lot 309621D) Short-dated Expiration Date on Outer Box and Pouch Mylar Bag Labels*
- Yes
- No
Electronic Signature*
Date*