Safety Recall Service – safetyrecallservice.com

Please use this form to begin processing the recall of your HM-569 helmet

The tag inside your helmet MUST show the Model as HM-569
and the manufacturing date as 12-2020

DO NOT USE this form if your tag does not show this specific information

Name *

First

Last

Email *

Confirm Email

Phone *

Best way to reach you *

Current Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Order Number *

Purchase Date *

Size *

Is the address above the same as your original order address? *