Vaccine Return FormComplete and submit the following form in order to return vaccines.Please enable JavaScript in your browser to complete this form.Client Name: *Date *Phone *Number of Returned Vaccines Selected Value: 1Vaccine Return InformationVaccine:Lot Number:Expiry Date:Number of Doses:Reason for Return:CCE- Cold Chain Incident- Emergency/Natural DisasterCCE- Cold Chain Incident- Emergency/Natural DisasterCCH- Cold Chain Incident- Human ErrorCCM- Cold Chain Incident- Malfunction: Refrigerator/Freezer/EquipmentCCP- Cold Chain Incident- Power OutageCCT- Cold Chain Incident- Temperature Breached in TransitDE- Defective ProductEX- Expired ProductDl - Discontinued ProductDP- Damaged ProductFC- Facility ClosureRP- Recalled ProductSV- Suspected Vaccine ContaminationTransport For Return Refrigerated:YesNoVaccine TwoVaccine:Lot Number:Expiry Date:Number of Doses:Reason for Return:CCE- Cold Chain Incident- Emergency/Natural DisasterCCE- Cold Chain Incident- Emergency/Natural DisasterCCH- Cold Chain Incident- Human ErrorCCM- Cold Chain Incident- Malfunction: Refrigerator/Freezer/EquipmentCCP- Cold Chain Incident- Power OutageCCT- Cold Chain Incident- Temperature Breached in TransitDE- Defective ProductEX- Expired ProductDl - Discontinued ProductDP- Damaged ProductFC- Facility ClosureRP- Recalled ProductSV- Suspected Vaccine ContaminationTransport For Return Refrigerated:YesNoVaccine ThreeVaccine:Lot Number:Expiry Date:Number of Doses:Reason for Return:CCE- Cold Chain Incident- Emergency/Natural DisasterCCE- Cold Chain Incident- Emergency/Natural DisasterCCH- Cold Chain Incident- Human ErrorCCM- Cold Chain Incident- Malfunction: Refrigerator/Freezer/EquipmentCCP- Cold Chain Incident- Power OutageCCT- Cold Chain Incident- Temperature Breached in TransitDE- Defective ProductEX- Expired ProductDl - Discontinued ProductDP- Damaged ProductFC- Facility ClosureRP- Recalled ProductSV- Suspected Vaccine ContaminationTransport For Return Refrigerated:YesNoVaccine FourVaccine:Lot Number:Expiry Date:Number of Doses:Reason for Return:CCE- Cold Chain Incident- Emergency/Natural DisasterCCE- Cold Chain Incident- Emergency/Natural DisasterCCH- Cold Chain Incident- Human ErrorCCM- Cold Chain Incident- Malfunction: Refrigerator/Freezer/EquipmentCCP- Cold Chain Incident- Power OutageCCT- Cold Chain Incident- Temperature Breached in TransitDE- Defective ProductEX- Expired ProductDl - Discontinued ProductDP- Damaged ProductFC- Facility ClosureRP- Recalled ProductSV- Suspected Vaccine ContaminationTransport For Return Refrigerated:YesNoVaccine FiveVaccine:Lot Number:Expiry Date:Number of Doses:Reason for Return:CCE- Cold Chain Incident- Emergency/Natural DisasterCCE- Cold Chain Incident- Emergency/Natural DisasterCCH- Cold Chain Incident- Human ErrorCCM- Cold Chain Incident- Malfunction: Refrigerator/Freezer/EquipmentCCP- Cold Chain Incident- Power OutageCCT- Cold Chain Incident- Temperature Breached in TransitDE- Defective ProductEX- Expired ProductDl - Discontinued ProductDP- Damaged ProductFC- Facility ClosureRP- Recalled ProductSV- Suspected Vaccine ContaminationTransport For Return Refrigerated:YesNoSubmit