HME DEALER FORMS

Equipment Packing List

YOUR COMPLETED FORM HAS BEEN RECEIVED!

1. Shortly you will receive an email with a PDF of your submission. Please print the PDF to enclose with your equipment.

2. If you are on a regular Repair Authority route, attach this form to the device(s) AND email logistics@repairauthority.com to schedule a pickup.

3. If you are shipping in, attach this form to the device and ship to:

Repair Authority Headquarters/Cleveland Service Center
21973 Commerce Parkway, Suite A
Strongsville, OH 44149
Questions: info@repairauthority.com or 888.828.1872

Please note: If you are not currently a Repair Authority customer, please complete our New Dealer Application by clicking here.