Notification Of Refrigerant Loss - New Zealand

Name *

First

Last

Address *

Select Your State

Contact Number *

Email *

Email

Confirm Email

How much refrigerant been lost from the system? *

What was the type of refrigerant and amount ?

Please select the industry or other that had performed the work *

Please provide your professional assessment the cause of the refrigerant having been released into the atmosphere. *

The ARMA Compliance Team may need to contact you to discuss further *

Do you wish to remain anonymous? If yes ARMA will not release your personal details. *

Number of files to upload

Upload your 1st file

Upload your 2nd file

Upload your 3rd file

Upload your 4th file