After you complete your report you will be assigned a unique code called a "report key." Write down your report key and password and keep them in a safe place. After 5-6 business days, use your report key and password to check your report for feedback or questions.
Disclosure Form – for Incident Reporting - download
(This form should be used for incident reporting and disclosure purpose. Supporting documents and additional sheets of paper can be attached with this form. Please print this form and mail it to the address provided below.)
Information Request Form – for Questions and Queries on Legacy Ranbaxy Disclosure Policy - download
(This form should be used to get answers on any question/query regarding policies, conduct, practices, or procedures believed to be a potential violation of requirements of the U.S. Federal Food, Drug, and Cosmetic Act related to Legacy Ranbaxy Facilities. Additional sheets of paper can be attached with this form. Please print this form and mail it to the address provided below.)
NOTE: The Disclosure Program is different from the US Compliance Program which was developed per the requirements of California Health and Safety Code Section 119400-119402. A copy of this document can be obtained by contacting the Company in the United States at 888-726-2299.