Use this form to report recalls of human blood and biological products that are derived from human or live animal materials.
Recalls must be reported as soon as possible to email@example.com, and by telephone or facsimile to the Australian Recall Coordinator or the Deputy Australian Recall Coordinator (details at the beginning of the form).
This form is available in pdf and Microsoft Word formats. The pdf form can be filled in and saved to your computer using Adobe Reader version 7 or later or any version of Adobe Acrobat Standard or Professional. If you have an earlier version of Adobe Reader you can fill in the form on-screen and print it out but you will not be able to save the completed form.
The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to all Elders both past and present.