Vepa Consumable Claim Form

Replacement Consumables Claim Form

Call 1300 837 252 if you need immediate support.
Please complete a separate form per analyser (e.g. Skyla OR EPOC OR Quickvet), and a separate form per claim reason (e.g. expired consumables OR failed consumables)

If you're unsure how to complete this form, don't hesitate to call us for help on 1300 837 252.

Unsure if you can claim? Please see our Credit and Replacement Policy.

Our policy has been updated 25/07/2022 regarding claims for expiring consumables; please ensure you are eligible for a claim before submitting this form. If you have any questions, please don't hesitate to reach out.
Full Name*

First NameLast Name
Clinic Name*
Contact Email*
example@example.com
Contact Phone*
Please enter a valid phone number.
Analyser*
Which analyser are you claiming consumables for?
Analyser Serial Number*
Sales Order Number*
Found in your B2B eCommerce account or the provided packing slip/invoice.

If you have ordered a packet of consumables, but only a few need to be claimed out of the packet, please type in the total quantity of claimed consumables and select "single" from the "Pack Size" option in the consumable detail field below.

E.g. ordered a box of 20 Pre-Anaesthetic panels and 3 panels failed with a Barcode Error:

Quantity: 3

Pack Size: single

Consumable: Pre-Anaesthetic Panels

Claimed Skyla Consumable Quantity*
Claimed EPOC Consumable Quantity*
Claimed Element HT5 Consumable Quantity*
Claimed Mindray Consumable Quantity*
Claimed iSmart30 Consumable Quantity*
Claimed qLabs Consumable Quantity*
Claimed VCheck V200 Consumable Quantity*
Claimed Quickvet Consumable Quantity*
Claimed Consumable Quantity*
Consumable Type (if not available in drop-down)
Reason for Claim*
Error Message*
Failed Consumable Details*
Details of error:
Details of damage:*
e.g. crushed/fractured test items, leaking reagent bottles, cold chain freight delays, etc.
Please provide photos of damage:

Please upload photos of damage.
Cancelof
Date of Delivery

DayMonthYear
Current Skyla Software Version*
Can be found in the Settings tab of your analyser
Skyla Error Code*
Skyla Error Log*

Cancelof
Cartridge Size*
How many unused tests remained on the cartridge when it failed?*
iSmart30 VET Error Log*

Cancelof
When was QC last run on this machine?

DayMonthYear
Date
When was background last run on this machine?

DayMonthYear
Date
Expired Consumable Details*
Have you contacted Vepa about your failed tests?*

YesNo
Which staff member were you in contact with?

EmilyJackHarryPeter HayPeter TshaikiwskyUnsureOther
How would you like us to process your claim?*

Provide replacement consumablesAccount credit
Would you like your replacements shipped ASAP or with your next order?*

ASAP (incurs a shipping & handling fee)With next order
Is there anything else you would like us to know?
Signature*

Clear
Should be Empty:

Replacement Consumables Claim Form