Request Equipment Collection

Equipment Collection Form

If you no longer need or use your equipment, we can arrange to have it collected.

Fliway Transport (external website) will contact you within the next 3 working days to arrange a day and time to collect your equipment.

Client Details

Client Name

Who was the equipment originally issued to?

NHI Number

Please provide the clients NHI number if known.

Collection Details

What are the details for this collection?

Collection Address (required)

Company Name/Building/Apartment/Room

Please provide if collection is from a business address or care facility.

Contact Name (required)

Who can we contact in regards to this collection?

Contact Phone Number (required)

What is the contact persons phone number? (Mobile and/or landline)

Equipment Details

Please only add Ministry of Health equipment. We cannot collect ACC or other equipment.

Description of items to be collected (required)

Please provide a list of all items to be collected. Include the asset numbers if known.

Collection Instructions

Is there anything else we need to know regarding this collection?

Reason for returning equipment

Your Details

Your Email Address

We will email you if we need more information regarding this collection request.

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Please contact us if: