Correction Response

Name

First Last

Device Serial Number(Required)

Select the serial number of the device that the component was replaced from the choices below

Other Serial Number

Enter the Serial Number for the device if not listed above

Correction Status(Required)

Check the appropriate level of completeness for the correction.

Component was replaced, instructions were clear

Component was replaced, instructions were unclear

Component was not replaced, instructions were unclear

Component was not replaced, unable to make contact with device

Component was not replaced, already had the wrist strap and c-clip style tether installed

Other

Any additional details

Use this section to provide any additional details. You can also submit your response to the email address vigilance@full-vision.com.