Rapid Antigen Test (RAT) Product Offering Form

HSV has an existing contract in place for the provision of Rapid Antigen Test (RAT) kits for Victoria's public health sector. HSV welcomes product information from suppliers should future opportunities to supply arise.

Complete the below form for each product.
Submit the form and attach any supporting information such as brochures, user guides 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)

Brand (required)

Product Description (required)

Manufacturer (required)

Country of manufacture? (required)

Product availability

Select all that apply: (required)

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

Country of origin? (i.e where is the stock located)

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

Ongoing capacity to supply (i.e quantity per month) (required)

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

Payment Terms

Cost per pack in Australian Dollar (AUD)

Pack Size (i,e. single, pack of 5, pack of 20) (required)

Cost per single test in Australia Dollar (AUD) (required)

What are your payment terms? (required)

Attach relevant supporting documents below if applicable

TGA certificate

Product brochure