This form is to be completed by the person responsible for the beacon hire. 

SORRY, WE’RE HAVING A TECHNICAL PROBLEM WITH OUR WEB FORM AT THE MOMENT – WE’LL HAVE IT SORTED SHORTLY! IN THE MEANTIME, PLEASE COPY AND PASTE THE INFO BELOW INTO A NEW EMAIL TO US AND COMPLETE AND SEND.

THANKS FOR YOUR UNDERSTANDING.

Person responsible for the PLB
Name:    
Address    (Not PO Box)    
Address
Suburb
State     
Phone home         
Phone work 
Phone Mobile
Satellite Phone (EPIRBhire can rent you one if needed)
Email  
Next of kin :
24 hr contact detail. Please do not use people with you on your trip! It is useful to leave a trip itinerary with the contacts.
Contact 1:Name & Phone
Contact 2:Name & Phone

ITINERARY: This confirms your position for the Rescue Authority
Starting from
Date

Stopovers

Destination
Approx Date


VEHICLE/VESSEL
Model
Type
Colour
Registration number
Fuel type
Distinctive features or markings

SAFETY EQUIPMENT
Radios on board VHF/HF/27meg. Frequencies most often monitored
Handheld VHF   Yes/No
Satellite Phone: (EPIRBhire can rent you one if needed): Number: 
Other distress beacons on board number and type

Personnel Details: Even if they have their own beacons.
Number of people in group:

Group names (helpful but not essential)
Names of group with their next of kin and 24 hr contact 

more info : useful for rescuers to see if they need special equipment or medical help
Age bracket of users – this may be helpful to rescue service for pickup logistics

Special requirements eg children/disabled

EXTRA INFO

One thing that we seek info on when developing a Search & Rescue response is who are you keeping in contact with (we hope you are of course!!!) and how you are intending to do it. 

* Will you be keeping regular contact with anyone?

* If so, with whom and at what times?