Startup Request

STARTUP REQUEST
CJS Project/Quote# *
Project Name*
CJS Project Manager
Project Address*

Street Address

Street Address Line 2

CityState

Zip Code
Service Type*

Startup ProgrammingPre-Con Meeting
System Platform (Check all that Apply)*

nLightnLight Air (Wireless)Fresco
Key Contacts for Electrical Contractor
Electrical Contractor Company Name*
Electrical Contractor Address*

Street Address

Street Address Line 2

CityState

Zip Code
Foreman/ Installer*

First NameLast Name
Foreman/ Installer Phone Number*
Foreman/ Installer Email*
example@example.com
Project Manager*

First NameLast Name
Project Manager Phone Number*
Project Manager Email*
example@example.com
End User Contact (If Applicable)

First NameLast Name
End User Phone Number (If Applicable)
Please enter a valid phone number.
End User Email (If Applicable)
example@example.com
Requested Service Dates

Note: General lead time is 10 business days upon review of this form and required System Installation Worksheet(s).
Preferred Startup Date*

MonthDayYear
Date
Alternative Date #1*

MonthDayYear
Date
Alternative Date #2*

MonthDayYear
Date
Site Requirements
Check All Requirements That Apply*

PPE (Personal Protective Equipment) Required. PPE is Hard Hat, Safety Vest, Safety Glasses, Steel Toed Boots.Background Check Required.Onsite Safety TrainingNone of the Above Apply
Additional Notes (If you have any special instructions or comments, please share them with us here.)
By checking the box below, your company agrees that all the lighting control equipment will be completed, installed, and wired in accordance with the job submitted unless agreed upon prior to startup day, and that our technicians will have complete access to the site during our scheduled visit. A reschedule and additional billing may be required if our work is delayed due to incomplete installation or limited access on startup day.

Please provide a minimum of 2 working days' notice when rescheduling or cancelling a startup start date.
I agree
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STARTUP REQUEST