AED Acquisition Form

To be completed prior to buying an AED
  • Complete this form prior to purchasing an AED
  • This person will be responsible for the monthly checks of the AED.
  • This person will be responsible for the monthly checks of the AED.
  • Where would you like to store / mount the AED(s)
  • Pursuant to state contract pricing a minimum of 5 people must be trained to use the AED. List those people here.
  • This field is for validation purposes and should be left unchanged.