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Medical Device Reporting (MDR) - Forms and Instructions

MedWatch Reporting Form 3500 (Voluntary Adverse Event Reporting Form)
  PDF
  • Instructions for FDA Form 3500
Text  
  • Fillable PDF Form
  PDF
MedWatch Reporting Form 3500A (Mandatory Adverse Event Reporting Form) For use by: IND Reporters, manufacturers, distributors, importers, user facilities personnel)
  PDF
  • Abbreviated Instructions for FDA Form 3500A Specific to Medical Device Reporting
  PDF
  • Mandatory MedWatch Reporting Form 3500A: Instructions
Text  
  • Mandatory MedWatch Reporting Form 3500A - Fillable PDF Form
  PDF
  • Mandatory MedWatch Reporting Form 3500A: Codes Manual
Text PDF

Medical Device Reporting Annual User Facility Report - Form FDA3419*

  PDF
  • Instructions for Completing the Medical Device Reporting Annual User Facility Report, Form FDA3419
Text PDF
Medical Device Reporting Baseline Report - Form FDA3417*   PDF
  • Instructions for Completing Form 3417 - Baseline Report
Text  

*These reports can be filled in on your PC. You may then print them out and mail to FDA

Updated April 1, 2008

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