Return loan equipment form

Required fields are marked with an asterisk (*).

Privacy notice

The personal information you provide will be used by EnableNSW to action your request.

Where necessary, we may need to disclose some of this information to third party organisations for the following reasons only:

For the delivery or set up of equipment with an authorised supplier
For the repair of equipment with an authorised repairer
To assist other government agencies in the event of an emergency situation

If you would like to view or make changes to your information, please send an email to enable@health.nsw.gov.au or call 1800 ENABLE (1800 362 253).

Please provide as much information as you can about the equipment you need returned: Client’s full name: (person who has been loaned the equipment) Contact person (if different from the client) Contact number: * Email address: * Address where the equipment is to be collected from: *

Return details

Equipment that needs to be returned: * (If you have multiple items, ensure you list each item and brand if known) Reason for return: * Are there any access requirements our drivers need to know about before arriving? This can include stair access, steep driveways, first floor access etc. I confirm the equipment I want collected has been loaned from EnableNSW. The equipment has not been privately purchased or sourced from another government funding body including the National Disability Insurance Scheme or My Aged Care *

How did you hear about the EnableNSW equipment returns process? * Is there any other information you would like to share with us about this return?

About EnableNSW

EnableNSW provides assistive technology and related services to people in NSW with specific, short term or ongoing health needs to assist them to live safely at home. Financial assistance is also available for people who need to travel significant distances to access specialist medical treatment which is not available locally.

The EnableNSW team is based in St Leonards and Homebush, New South Wales. Service Centre officers receive thorough, ongoing training to ensure they provide the highest standard of service.

More information

Services provided by EnableNSW

Assistive Technology Policy Directive