EmailMe Form - AED Inspection Agreement 2024-2028

DESCRIPTION OF SERVICES. SFA will provide to
Customer the following services (AED "Services"):

Automated External Defibrillators Services Please check the box for which services are to be provided. The following will be provided.
The following tests will be performed every year: a visual inspection of the device, inspection of audio and displays, battery test, Time and date stamp, update software as needed, and check pads expiration along with disposable equipment necessary for resuscitation. Tracking of units and registration. If the cabinet is being used, we will test the alarm system, replace the battery, add a seal tag, and inspection tag, and clean the cabinets.
If the device is found to be out of service a loaner unit will be supplied. If AED is under warranty, it will be shipped back to the manufacturer for repair. Fees may be applied for shipping and out-of-warranty AEDs. Fees will be applied for missing equipment or expired equipment. Disposable equipment includes (pads, batteries, and ready kit)
24/7 support and event download and tracking of the AED.

We will address any issue that we find under normal use with an inspection required by the manufacturer's regulations. All warranties will be voided if service was performed from an unauthorized source or using non-manufacturer brand replaceable equipment. All Replacement Pads and Batteries must be supplied by Scott’s First Aid.

“Please note all AEDs have a 10-year life span and must be replaced per manufacturer specifications.”

Choice plan *

COMMERCIAL 1-2 AED yearly $200 (same location)

COMMERICAL, Add AED $25 each(same location)

4- Year COMMERCIAL Yearly plan $350 1-2 AED (same location)

Non Profit 1-2 AED 's yearly $150 (same location)

Non Profit 4 -Year Plan $ 275 1-2 AED's (same location)

Other Please call

Customer Information

Name *

First Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Signature *

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Date Time *

MM / DD / YYYY

Name

First Last

Busniess Name *