Seafood Quality Damage Report Form
Please use the Seafood Quality Damage Report Form to report and document any seafood quality issues or damage. Complete all sections accurately to assist with investigation and resolution.
Reporter Full Name
*
First Name
Last Name
Reporter Email Address
*
example@example.com
Date of Report
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Seafood Product Name or Type
*
Source or Lot/Batch Number
*
Date Issue Was Discovered
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Quality Issue
*
Physical Damage
Spoilage or Odor
Foreign Object
Temperature Abuse
Other
Condition Observed
*
Please Select
Discoloration
Unusual Texture
Odor Present
Broken Packaging
Mold or Slime
Other
Estimated Quantity Affected (in units or weight)
*
Describe the Damage or Issue in Detail
*
Are photos or other evidence attached?
*
Yes, photos are attached
Yes, documents are attached
No evidence attached
Submit Report
Should be Empty: