AED Acquisition Form To be completed prior to buying an AED Complete this form prior to purchasing an AED AED Owner* First Last Contact Phone NumberMonthly Inspector Name*This person will be responsible for the monthly checks of the AED. First Last Email* Alternate Monthly Inspector Name*This person will be responsible for the monthly checks of the AED. First Last Alternate Email* Department Head of Requester*Building Name*How Many Requested*12345 (or more)Desired Location(s)*Where would you like to store / mount the AED(s) Trained Personel*Pursuant to state contract pricing a minimum of 5 people must be trained to use the AED. List those people here.CommentsThis field is for validation purposes and should be left unchanged.