Return Kit Forms
The following instructions and forms are assigned for our US customers as a help for the return of the Eckert & Ziegler Radiopharma GmbH GalliaPharmTM 68Ge/68Ga Generator as a UN2915 – Yellow II Package.
- In case of any questions, please contact Eckert & Ziegler Radiopharma, Inc. at + 1 508 497 0060 or GalliaPharm@. ezag.com
- Please read all instructions before completing the forms.
- Returns can only be prepared by a qualified shipper.
- Returns are only accepted at 1800 North Keystone Street, Burbank, California, 91504.
Sheet 1 - Welcome Letter (link)
General instructions and information
Sheet 3 – UN2915 — Yellow II Package Return Instructions (link)
containing all instructions to prepare the GaliaPharmTM Generator as a UN2915 Yellow II Package
Sheet 4 - Instructions for Shipper's Declaration for Dangerous Goods (link)
containing all information to complete the Shipper's Declaration for DG
- Sample Shipper’s Declaration for Dangerous Goods - GalliaPharmTM Generator
- Template Shipper's Declaration for DG - with columns, black & White (link)
- Template Shipper's Declaration for DG - with columns, color (link)
- Template Shipper's Declaration for DG - without columns, black & White (link)
- Template Shipper's Declaration for DG - without columns, color (link)
Return Authorization Label (link)