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Product Incident or Complaint

This form is used to document any conversation or communication with an employee or customer that alleges deficiencies related to the identity (e.g., labeling), quality, durability, reliability, safety, effectiveness, or performance of any ENFit Product.


* denotes required field

Your Full Name*
Complainant Full Name*
Complainant Facility Name*
Complainant Phone Number*
Complainant Email*
Complainant Facility Address (Full Street, City, State, Zip)*
255 characters remaining
Product*
Product Lot Number (Unknown if can't be found)*
Description of Issue or Complaint*
255 characters remaining
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After you submit this form, depending on how you heard the Incident or Complaint:

  • In Person: Bring that person to Robert Braverman
  • Live Phone Call: Transfer call to Robert Braverman
  • Voicemail: Forward voicemail to Robert Braverman
  • Email: Forward email to Robert Braverman
  • Mail: Hand deliver mail to Robert Braverman

From this point on, any further conversation or communication relating to the Incident or Complaint must be immediately redirected to Robert Braverman, or if he is not available, to a member of the Support Team for documentation.