3911 for form-2026

1. Click ‘Get Form’ to open the 3911 for form in the editor.
2. Begin by selecting the type of report you are submitting: Initial Notification, Follow-up Notification, or Request for Termination. Check the appropriate box.
3. Enter the Incident Number assigned by the FDA if applicable. This number is crucial for future correspondence.
4. Input the Date of Initial Notification using the calendar function or in MM/DD/YYYY format.
5. For manufacturers, indicate when the product was determined to be illegitimate by entering that date.
6. Select the Classification of Notification that best describes your product's issue, such as Counterfeit or Stolen.
7. Fill in the Description of Product section, including Name, Primary Ingredients, Drug Use, and other relevant details.
8. Complete Company/Facility Information with accurate details about your organization responsible for this notification.

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