Vendor Recall Form Vendor Information: Vendor Name* Vendor Number* Manufacturer* Contact Information: Day time contact* Day time phone* After hours contact* After hours phone* Contact email* Customer hotline* Recall Information: Recall date* Recall reason*Health RiskUnderweightLabeling / PackagingOtherPharmaceutical Class IPharmaceutical Class IIPharmaceutical Class III Shipping method*Bashas' DCDSD Recall description UPC Code #* Description* Order #* Pack / Size* Weighted?YesNo Affected Lots* YesNo YesNo YesNo YesNo Add supporting files