COVID-19 Product Offering Form

HPV has now secured a significant amount of essential personal protective equipment (PPE) and critical medical equipment for the Victorian Public Health Sector. Given that the situation may change HPV are welcoming supplier offers and will keep these on record should HPV need to secure additional stock in the future.

Please check our Covid-19 webpage HERE regularly for updates and desired product specifications as the situation evolves throughout this challenging time.

Check the COVID-19 webpage HERE for desired products and specifications.
Read the FAQ for non-contracted suppliers.
Complete the below form for each product.
Submit the form and any brochures, user guides, IFUs etc.

Contact Details

First Name

Last Name

Phone

Australian numbers (61) must be 10 digits and start with a 0 (e.g. 0400123456, 0391234567)

Company

ABN

Entity Name

Product Type

Product Code (required)

Product Description (required)

Product availability

Select all that apply: (required)

Have existing product in warehouse
Have existing manufacturing process to make products
Other

How many units are available, including stock on hand? (required)

When is stock available in Victoria? (required)

Stock on hand

Less than one week

Less than one month

Less than three months

More than three months

What is the estimated delivery timeframe after an order has been placed? (required)

Payment Terms

Cost per unit in Australia Dollar (AUD) (required)

What are your payment terms? (required)

Attach relevant supporting documents below if applicable

TGA certificate

Product brochure