RETURNS BOOKING REQUEST FORM
Important note:
Dear Valued Customer,
In an effort to improve our repair performance and facilitate faster remediation of products to patients, we are updating the return instructions - requiring you to segregate your products by group (as described below) and request a single collection for each group.
1. Gather your products and segregate them by group:
a. Group DreamStation (DreamStation CPAP & ventilation units: CPAP Auto, BiPAP Auto, BiPAP ASV, BiPAP ST, BiPAP AVAPS,
excluding DreamStation GO)
b. Group Trilogy (Trilogy 100/200)
c. Group Others (A-series, 60 Series, Dreamstation Go, E30, Torch, Dorma, Omnilab, 50 Series, Legacy Bipap)
2. Remove all accessories (including humidifier, modem, SD card, electrical cable, carry bag, etc) and keep them
3. Package securely by group of products (with NO accessories) using the box from the replacement product (see photos below)
4. Fill the form below for one collection of a product group and submit to generate a customer reference number
5. Add the customer reference number you get at the end to your pallets or parcels
CONTACT INFORMATION
COLLECTION ADDRESS
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PRIMARY CONTACT
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SECONDARY CONTACT
OPENING HOURS
PRODUCTS TO BE RETURNED
Group of Products in this Shipment
Quantity of units in this shipment
How many total boxes/cases
We are looking for how the units are packaged, how many boxes/cases are these individual units packed within. Return Labels have a maximum weight of 20KG, so you will need to package them ensuring the boxes/cases do not exceed this.
How many Pallets (if applicable)
For customers with large quantities requiring vehicle pickups, please advise how many pallets you have for collection (assuming EU pallet size). If you require a pallet collection please make sure the pallet does not exceed 1.8 metres in height and is appropriately protected (wrapped at least 5 times) for secure transportation of the products.
Preferred Collection Date
Required
Please note a preferred collection date is only required for pallet collections. If you are registering a parcel collection this is not needed and we aim to collect your parcels within 4 working days of registration.
Special Loading Requirements
If you have special loading requirements, such as Forklift, parking arrangements, etc - please advise
Serial IDs
Please copy and paste the full SERIAL ID list here for the devices included in this shipment, as this will be used to create an inventory report for the shipment. One Serial ID per line. You may add multiple batches of Serial IDs by hitting the pre-process button after each batch. All Serial IDs provided will be grouped in the table below. Once you have provided all your Serial IDs please submit your request at the bottom of the page.
Serial IDs | Delete |
|---|---|
Pre-processed Serial IDs will be shown here |
The amount of Serial IDs provided does not match the quantity of units defined. Please be sure this is correct.
If you have important information not included in this request, have any questions or issues with uploading your request, please contact our bookings team on +44 20 8705 0190. Open Monday – Friday 8am – 5pm.
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All accessories should be retained by the customer as these maybe required for use with a future repaired replacement device. Any accessories sent back to Philips WILL NOT be returned
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Products returned to Philips must be securely packaged to avoid damage during transportation
By providing the information in this form and selecting Submit, I acknowledge and agree that my information is stored, processed and accessed in the United States and subject to the laws of that country. I further grant permission for the use of such data for the purpose of carrying out activities related to a product recall.
Please fill in all the required fields