<p>School District: Date:</p><p>Food Service Director Name:</p><p>Name of Distributor: Brand:</p><p>Manufacturer Code: Product Description:</p><p>Date Received: Date Used: </p><p>Production Date Found on Box Label: </p><p>Comments: </p><p>Have you reported this to your sales rep or distributor? YES NO (circle one)</p><p>Sales Rep Name: Date Reported:</p><p>Food Service Director Signature: </p><p>Phone #: Email:</p><p>Fax or Email to: Dorothy Glenn Office Use Only: Fax: 806.785.4829 Date Rcvd: [email protected] Initials:</p><p>Service Report/Product Comment Form</p><p>Please use this form to report issues on products or services (positive or negative) related to the West Texas Food Service Cooperative. Please provide as much information as possible and include any pictures taken of the product or packaging.</p>