Hazardous Material Declaration - Health & Safety Assessment Report: Fill out & sign online

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Click ‘Get Form’ to open the Hazardous Material Declaration - Health & Safety Assessment Report in the editor.
Begin by filling out the 'To Be Filled Out By Conax Technologies' section, including your Company Name and Date.
Next, provide the Conax Contact information, including the Conax Email.
In the 'To Be Filled Out By Customer' section, enter the RMA# assigned by Conax after approval.
Fill in your Contact Name and Email or Phone # for further communication.
Proceed to Section 1 and indicate whether the product was exposed to any hazardous materials. Choose accordingly and follow prompts to continue.
If applicable, complete Section 2 regarding decontamination status and proceed to Sections 3 and 4 as needed, detailing hazardous materials and decontamination processes.
Finally, ensure you sign and date the document at the bottom before submitting it back to Conax.

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