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1 APPLICATION FOR CRITICAL HOME REPAIR & HOME PRESERVATION APPLICANT INFORMATION Name of Homeowner Date of Birth Name of Homeowner Date of Birth ARE YOU CURRENTLY LEGALLY MARRIED? YES: NO: Address
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Form CRITICAL is used for a manufacturer to report a potential quality defect or nonconformance for medical devices.
Manufacturers of medical devices are required to file Form CRITICAL.
Form CRITICAL can be filled out electronically and submitted through the appropriate regulatory authority.
The purpose of Form CRITICAL is to report potential quality issues or nonconformities with medical devices.
Information such as device details, manufacturing process, and description of the quality issue must be reported on Form CRITICAL.
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