Product Deviation Report

Quality Issue

Entire below section must be completed unless otherwise indicated. Please be as detailed as possible in the description of the product and its deviation.

  • MM slash DD slash YYYY

  • Total Amount of Deviated Product:

  • Notes:
    *Product can be disposed of only after Future PolyTech managerial approval.
    **If amount is entered for “Other” disposition, please describe the product’s status:
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.