Medline MDS9950 - Complaint Form

2 medline.com
Complaint Form
☒ Troubleshooting was attempted and could not resolve the issue
Document the following information below. Do not leave blank fields.
Convey Representative Name
Customer Name
Customer Phone Number
Customer Address
Customer Email Address
Item Number
Age of Product (estimated)
Product Serial or Lot Number
Photo Available?
Defect Code
Check as many error codes are
applicable to the customer issue.
☐ Will Not Turn On
☐ Inaccurate Readings
☐ Does Not Beep
☐ Other: ______________________
Additional Information:
 Lot Number Placement:
o The lot number is located on the silver sticker on the back of the thermometer.
o Lot number begins with L