Equipped MD Pickup Form

Schedule your rental equipment return pickup and provide the packing, contact, and pickup location details needed for the carrier.
Pickup Details
Desired Pickup Time Frame:
If Selecting Other Please Describe Below:
If your facility requires specific days or times for pickup, please list here:
Facility Name:
Pickup Address:

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
The contact person needs to be onsite to oversee the pickup and available by phone to coordinate with the freight carrier if needed.
Contact Person:

First NameLast Name
Contact Number:
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email:
example@example.com
If an alternate contact is needed (Not required but recommended)
Alternate Name:

First NameLast Name
Alternate Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Email:
example@example.com
Packing Requirements
Rental Equipment Return & Packing Requirements

In order for the rental equipment to be returned to Equipped MD in the same condition in which it was originally shipped, proper packing is required.

If your facility saved the original packing materials and feels comfortable packing the equipment, you are welcome to do so. Using the original packing materials can help reduce the cost of return shipping.

For insurance purposes, photos of the equipment are required before packing and after it has been fully packed. Photos taken after packing are also required for review and approval by our Operations team to ensure the equipment has been packed correctly, securely, and appropriately for transit.

Packing must be reviewed and approved by our Operations team before the equipment is shipped.

Please make sure the photos clearly show:
- The condition of the equipment before packing
- How the equipment has been secured
- How the equipment has been protected once fully packed
If the original packing materials were not saved, or if your facility is not comfortable packing the equipment, Equipped MD can arrange for white-glove shipping service to pick up the equipment, professionally pack it, and load it onto the truck.

Please keep in mind that white-glove service is a premium shipping service, and the cost will be billed on your final rental invoice.
How will the equipment be packed for return?
Photos of the equipment BEFORE packing

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Photos of the equipment AFTER it has been fully packed

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Pickup Location and Access
Where will the equipment be located when the driver arrives for pickup?
Is your facility tractor trailer (53 ft long) accessible?
Do you have a loading dock?
If the equipment is not on the ground floor and there is no freight elevator, do you have a standard elevator? If so, what are the dimensions?
Disclaimers and Completion
RETURN SHIPPING DATES ARE NOT GUARANTEED. Return pickup and transit times are dependent on third-party carriers and may be affected by carrier availability, weather, road conditions, and other unforeseen circumstances. Equipped MD is not responsible for delays caused by third-party shipping companies or circumstances outside of our control.

THE RENTAL EQUIPMENT REMAINS YOUR RESPONSIBILITY UNTIL IT HAS BEEN PROPERLY PACKED AND PICKED UP BY THE CARRIER. Please do not leave equipment unsecured, unattended, or exposed while awaiting pickup.

Thank you for helping us ensure the equipment is safely prepared for return and arrives at Equipped MD in the same condition in which it was originally shipped.

Once the equipment has been received by Equipped MD, our Operations team will inspect and test the equipment to confirm that it has been returned in acceptable condition and is functioning properly.

After the inspection and testing have been completed, our Operations team will notify you that the rental has been officially closed in our system. At that time, any applicable deposit refund will be processed and mailed by check, less any applicable return shipping costs or other applicable charges.
Additional information we should know:
The above information is accurate to the best of my knowledge. Should any of the information be deemed inaccurate at the time of pickup, we (the customer) will be responsible for any additional expenses which may occur.
Name Of Person Completing Form:

First NameLast Name
Signature
Should be Empty:

Pickup Details

Packing Requirements

Pickup Location and Access

Disclaimers and Completion