Control System - Start-Up Request

Instructions

To request a Startup visit:

Complete this form including selecting/confirming the items under required preparations below.
Determine the preferred date for the startup visit. (Please note required lead time)
Submit this completed form to schedule the Start-up visit.
Questions? Contact Mercer Zimmerman Controls Group at 1.913.438.4546.

Service Requested for this Visit?

Type of Controls System(s) - Select all that apply*

Hold Ctrl key while clicking to select multiple Systems

THREE WEEKS NOTICE IS REQUIRED TO SCHEDULE A START-UP VISIT. SEVERAL BUSINESS DAYS MAY BE NEEDED TO CONFIRM A DATE.

Distributor P.O. #:

If available

Project #:*

Project # on Submittal Drawings BOM

Project/Site Name:*

Site Address/Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Electrical Contractor:*

Site Contact Name:*

First NameLast Name

Site Contact Phone:*

Include Area Code

Site Contact Email:

example@example.com

THREE WEEKS NOTICE IS REQUIRED TO SCHEDULE A START-UP VISIT. SEVERAL BUSINESS DAYS MAY BE NEEDED TO CONFIRM A DATE.

Requested Date of Start-Up*

REMINDER: Need 3 weeks notice.

What Control Types are on this project? (Descriptions and Preparations Below)

	YES	NO
Daylighting Products
Dimming Products
Networked Products
Relay/Dimming Panels
DMX Controlled Products

Special Site Requirements?*

Are there special requirements outside of normal PPE required for construction site?

Define Special Site Requirements

Ex. Safety Training, Vaccines, etc.

Important Notes:

Request (Information below is who is sending in request for Start-Up)
The startup visit for the above-named project is hereby requested. The preparations listed above are, or will be, completed prior to the date of the startup visit. It is understood that additional trips or excess time required to complete the startup visit due to lack of preparation on the part of the installer may result in additional charges to the installer.

Name:*

First NameLast Name

Company Name:*

Company requesting Start-Up

Email:*

example@example.com

Date:

Date

Notice
The Controls System(s) for this project may include a factory field startup visit. Following these instructions is very important. Failure to follow these instructions can cost you time and money.

Purpose of Startup Visit
1. To verify proper installation of the Controls System(s).
2. To verify proper operation of the system(s).
3. To program initial configuration settings.
4. To provide orientation and training for the end user.

Additional Charges
IF EXTRA TRIPS OR EXTRA TIME IS REQUIRED TO COMPLETE THE SYSTEM STARTUP DUE TO LACK OF PREPARATION OR INSTALLATION PROBLEMS, ADDITIONAL CHARGES TO THE CONTRACTOR WILL RESULT. THIS EXTRA WORK WILL REQUIRE A PURCHASE ORDER.

Cancellation
In the event you cancel your confirmed date without reasonable notice, you may be charged to reschedule.

Less than 3 business days - $500.00
4-7 business days - $250.00