Face Shield Defect Report
Broken tabs? Stuck the foam on the wrong side? No worries - help us track which shields have a problem, and which kits are affected, and we'll take it from there.

Please fill out this form for ONE broken shield at a time to help us keep track of the number of spoilage.

Thank you!
Name *
County *
Serial number of defective face shield *
Please indicate the serial number for ONE defective shield not the total number of defective shields.
Serial number range of kit *
What serial numbers does your kit contain?
Please indicate the type of defect being reported. *
Details of the defect *
(e.g., missing head band, misplaced serial number label, etc.)
New serial number range of kit EXCLUDING the defective shield *
Using a Sharpie, please cross out the old range on the kit and rewrite the new range.
Submit
Never submit passwords through Google Forms.
This form was created inside of NJ Institute of Technology. Report Abuse