St John New Zealand

Defibrillator Information

Defibrillator Serial Number*

Defibrillator Pad Expiry*

Defibrillator Battery Expiry*

Defibrillator Model Name (if known)

Defibrillator Location/Branch*

Deregister this AED (I no longer need notifications for it).

Physical location of Defibrillator and Information
If you have more than two defibrillators or defibrillators at different locations you can download and complete this excel form and send it back to us
When selecting a location for your defibrillator, please carefully consider the accessibility for the general public to easily locate it. Provide detailed information regarding access, including door codes, entry/exit instructions, and any other relevant details.

Business Name*

Street Address*

Where within the location is the defibrillator located? (be as specific as possible)*

Hours defibrillator is available*

Cabinet code

Yes, I would like to register this defibrillator with 111 emergency service (Please read the following information here first.)

Defibrillator Information #2

Defibrillator Serial Number*

Defibrillator Pad Expiry*

Defibrillator Battery Expiry*

Defibrillator Model Name (if known)

Defibrillator Location/Branch*

Deregister this AED (I no longer need notifications for it).

Physical location of Defibrillator and Information
When selecting a location for your defibrillator, please carefully consider the accessibility for the general public to easily locate it. Provide detailed information regarding access, including door codes, entry/exit instructions, and any other relevant details.

Business Name*

Street Address*

Where within the location is the defibrillator located? (be as specific as possible)*

Hours defibrillator is available*

Cabinet code

Yes, I would like to register this defibrillator with 111 emergency service (Please read the following information here first.)

Defibrillator Information #3

Defibrillator Serial Number*

Defibrillator Pad Expiry*

Defibrillator Battery Expiry*

Defibrillator Model Name (if known)

Defibrillator Location/Branch*

Deregister this AED (I no longer need notifications for it).

Physical location of Defibrillator and Information
When selecting a location for your Defibrillator, please carefully consider the accessibility for the general public to easily locate it. Provide detailed information regarding access, including door codes, entry/exit instructions, and any other relevant details.

Business Name*

Street Address*

Where within the location is the Defibrillator located? (be as specific as possible)*

Hours Defibrillator is available*

Cabinet code

Yes, I would like to register this Defibrillator with 111 emergency service (Please read the following information here first.)

Defibrillator Information #4

Defibrillator Serial Number*

Defibrillator Pad Expiry*

Defibrillator Battery Expiry*

Defibrillator Model Name (if known)

Defibrillator Location/Branch*

Deregister this AED (I no longer need notifications for it).

Business Name*

Street Address*

Where within the location is the Defibrillator located? (be as specific as possible)*

Hours Defibrillator is available*

Cabinet code

Yes, I would like to register this Defibrillator with 111 emergency service (Please read the following information here first.)

Defibrillator Information #5

Defibrillator Serial Number*

Defibrillator Pad Expiry*

Defibrillator Battery Expiry*

Defibrillator Model Name (if known)

Defibrillator Location/Branch*

Deregister this AED (I no longer need notifications for it).

Business Name*

Street Address*

Where within the location is the Defibrillator located? (be as specific as possible)*

Hours Defibrillator is available*

Cabinet code

Yes, I would like to register this Defibrillator with 111 emergency service (Please read the following information here first.)

Your privacy is important to us. Hato Hone St John collects your details to keep you informed about our work. If you need to contact us, call us on 0800 ST JOHN (0800 785 646) 8am - 5pm Monday to Friday, and 7.30am – 12.30pm Saturday.
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Defibrillator Update