Foreign Object Incident Report
Person Submitting Report
First Name
Last Name
Date of Incident
-
Month
-
Day
Year
Date
Server Name
First Name
Last Name
Customer Name
First Name
Last Name
Customer Email
example@example.com
Customer Phone Number
Format: (000) 000-0000.
Description of Incident
Photo of Entire Dish
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of
Photo of Foreign Object
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Submit
Should be Empty: