Start-Up Request Form

Service Requested for this Visit?

Requested Date of Start-Up*

PLEASE ALLOW 2 WEEKS NOTICE FOR SYSTEM START UPS

Select all types of system controls that apply:*

	On Project?
Nlight
Nlight Air
Fresco
Distech
Vari-lite
Sensor Switch
Roam
Other (please include in important notes below)

Select all system protocols that apply:*

	YES	NO
Daylight Harvesting
ELV/0-10V Dimming
Relay Panels
Network Controls
DMX Controlled Fixtures

Integration :*

	YES	NO
1. IS THIS SYSTEM TO BE INTEGRATED WITH A BAS/BMS SYSTEM?
2. IS THIS SYSTEM TO BE INTEGRATED WITH AN AV SYSTEM?
3. IS THIS SYSTEM TO BE INTEGRATED WITH A FIRE ALARM SYSTEM?
4. IF YES TO ANY OF THE ABOVE QUESTIONS, WILL THE SYSTEM CONTRACTOR BE ONSITE? IF NOT, PLEASE PROVIDE CONTACT INFORMATION OF SYSTEM CONTRACTOR IN IMPORTANT NOTES BELOW.

Distributor P.O. #:

If available

Project/Name:*

Site Address:*

Street Address

Street Address Line 2

CityState / Province

Zip Code

Name of Installing Contractor:*

On-site Contact Name:*

First NameLast Name

On-site Contact Phone:*

On-site Contact Email (if available):

example@example.com

Select all site requirements:*

	YES	NO
Hi-Viz
Hard Hat
Steel-Toe Boots
Safety Glasses
Gloves
Safety Orientation
Background Check (please provide written instructions detailing requirements)
Drug Screening (please provide written instructions detailing requirements)
Vaccination(s)
Any other requirements not listed above (please provide in important notes below)?

Required Preparations

General

All control components (including controllers, sensors, touchscreens, switches, etc.) have been installed, powered up, and tested to be functioning correctly.
All categorey cabling has been tested for polarity and continuity and is functioning properly.
All analog, 0-10V, DMX, and other necessary control wiring has been tested for polarity and contunity and is functioning properly.
Installing contractor familiar with the installation will be available with all tools/equipment necessary to access and troubleshoot all system components.
ALL serial numbers and locations for networked devices have been recorded for programming purposes.
A sequence of operation shall be on site detailing system function and integration function with other networked systems.
Scene selection has been identified and approved by an owners representative and is included as a suppliment to sequence of operation.

Additional Charges
PLEASE NOTE THAT IF A RETURN TRIP OR ADDITIONAL TIME IS REQUIRED TO COMPLETE SYSTEM START UP DUE TO SYSTEM NOT BEING PREPARED TO START UP (INCLUDING SYSTEM INTEGRATION CONTRACTORS NOT BEING PREPARED FOR START UP) OR INCORRECT INSTALLATION OF PRODCUTS MAY RESULT IN ADDITIONAL CHARGES. ADDITIONAL WORK WILL REQUIRE A PURCHASE ORDER PRIOR TO PROCEEDING.

Important Notes:

Name:*

First NameLast Name

Company Name:*

Company requesting Start-Up

Email:*

example@example.com

Date:

Date

Signature:*