Services Request Form

In order for your Services Request to be officially scheduled and confirmed, you must complete and submit the Illuminations Services Request Form.

Step 1 of 3

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Project Information

Name(Required)

First Last

Your email:(Required)

Project name:(Required)

Project #:(Required)

Project number can be found on the controls submittal or by reaching out to your distributor.

Project Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Services requested (definitions below this box):(Required)

Pre-Construction- occurs after the controls devices have been delivered to the site but before device installation. The purpose of a Pre-Construction visit is to educate the installers on the controls system, review installation best practices, and provide additional resources on the system. The primary objective is to ensure a successful system install.

System Startup- These service visits are for programming and testing a newly installed system to ensure that it is operating in accordance with the end user's desired Sequence of Operations.

System Startup- Phased- A phased system startup is a system startup that is being completed in multiple phases. For a phased system startup, use the Additional Notes section on the first page of the form to provide more details on how the startup will be phased.

End User Training- An end user training visit is a visit to train the end users and maintenance staff on the operation and maintenance of their newly started up lighting controls system. If desired, an end user training visit may also include controls system software training.

Adjustments- An adjustments visit is for making programming and/or scheduling changes to an existing lighting controls system. An adjustments visit may also be used for setting light levels with a third-party lighting designer or consultant.

Troubleshooting- A troubleshooting visit is for diagnosing and rectifying issues with an existing lighting controls system.

Third Party Commissioning- A third party commissioning visit is for having a field service engineer attend a commissioning walk through of a recently started up lighting controls system with a third-party commissioning agent.

System platform:

Secondary platform:

Access and Safety requirements:

Jobsite requirements:(Required)

N/A

Hard Hat

Steel Toe Boots

Safety Vest

Background Check

Drug Screening

For background check or drug screening, please provide instructions and a copy of the contract requirements. Be advised that these requirements may increase lead time.

Upload any contract requirements here:

Drop files here or

Max. file size: 256 MB.

Working outside of normal business hours?(Required)

Yes

What are the required hours?(Required)

Additional charges may be incurred if outside of normal business hours.

Scheduling Service

**Electrical Contractor must be on site during service visit**

Expedited service may incur additional charges.

Cancellation of a scheduled startup requires a 48-hour (2 business days) notice. Last minute cancellations may be subject to additional charges.

Return visits are billable if system is deemed not ready for startup, and/or end user(s) are not available for user training.

General lead time is 12 business days upon review of this form and required system installation documents.

First preferred service date:(Required)

MM slash DD slash YYYY

Alternative preferred service date:

MM slash DD slash YYYY

Project Contacts

Electrical Contractor company name:(Required)

Forman/Installer name:(Required)

Phone(Required)

Email:(Required)

Project Manager name:(Required)

Phone(Required)

Email:(Required)

Notes and additional information:

Startup Readiness Consent

Please read each section carefully and sign the form below to confirm your understanding. Failure to meet any of these requirements may result in postponement of the Startup Service or additional billable time. Completion of this survey is required for Startup Service scheduling.

Illuminations Startup Service includes system programming to meet the submitted and approved Sequence of Operations (SOO), a system function test, and system operation and maintenance training.

The installing party is responsible for ensuring the system is fully installed, tested, and functional before Startup Service. NOTE: Additional time required to complete the Startup Service due to troubleshooting installation errors may be billed at current service rates.

The Sequence of Operations (SOO) is the specification of how the control system is to operate. A SOO is necessary for the Field Service Engineer to understand the control needs of the users and program the system accordingly. NOTE: If no SOO is provided, the Field Service Engineer will program the system based on the Acuity Brands recommended Default Sequence of Operations.

Startup Service includes essential system operation and maintenance training. It is highly recommended the end-user of the system is available at the end of the scheduled startup visit to receive training. If no end user is available, the electrical contractor may be trained instead. Separate visits to provide in-depth training are available as a separate service

If backbone devices are to be connected to a customer provided LAN/WAN, IP addresses must be provided to Acuity Brands prior to Startup Service. The installing party is responsible for coordinating with any necessary parties (IT Professionals, Facility Managers, End-Users, etc.) to provide required network and computer access.

If a permanent installation of SensorView is required, a host computer must be supplied and installed before Startup Service. The provided computer must meet minimum operating specifications as listed in the SensorView Installation Guide. Please refer to the SensorView Installation Guide for these requirements and details for installing required Windows components.

General lead time is 12 business days but may fluctuate based on demand. Cancellations require 72 notice. Cancellations within 24 hours may incur a service fee.

If integration with another system is required or if the Field Service Engineer will need to work with a third-party representative, such as a Lighting Designer or Commissioning Agent, please check off the appropriate box(es) in the following sections and provide further details in those sections as necessary. NOTE: If these integrations and services were not included in the original Startup scope for your project, any additional time required for them may be billed at current service rates.

Signature(Required)

This is a consent that you understand the requirements stated above.

Building Management System (BMS) Integration

Are lighting controls to integrate with BMS (Building Management System)?(Required)

Yes

System Integrator Contact

If devices are to integrate with BMS, provide contact information for system integrator and details of integration.

Company:(Required)

Name(Required)

First Last

Title

Phone(Required)

Email(Required)

Lighting Control Network Interface Info

Device Name:

IP Address:

Network Mask:

Default Gateway:

DNS Server:

Would you like to add another?

Yes

Device Name:

IP Address:

Network Mask

Default Gateway

DNS Server:

Additional Notes:

Fire Alarm System Integration

Are lighting controls to integrate with fire alarm system?(Required)

Yes

Company:(Required)

Name:(Required)

Title:

Phone(Required)

Email(Required)

Fire alarm system signal type:

Momentary

Maintained

Fire system integration date:

MM slash DD slash YYYY

Notes:

Audio/Video System Integration

Are lighting controls to integrate with audio/video system?(Required)

Yes

Audio/Video Contact

Company:(Required)

Name:(Required)

Title:

Phone(Required)

Email(Required)

A/V system integration date:

MM slash DD slash YYYY

Third Party Commissioning

Will the lighting control system undergo verification from a 3rd party commissioning agent?(Required)

Yes

Third party commissioning agent contact

Company:(Required)

Name(Required)

First Last

Title

Phone(Required)

Email(Required)

Commissioning Walk through Date:(Required)

MM slash DD slash YYYY

Third Party Lighting Designer/Consultant

Is there a third party Lighting Designer or Consultant who will be responsible for determining light levels and other system settings?(Required)

Yes

Third party lighting designer/consultant contact

Company

Name(Required)

First Last

Title

Phone(Required)

Email(Required)

Date(Required)

MM slash DD slash YYYY

Note- The presence of a Field Service Engineer during third-party commissioning is optional. If attendance is requested, any additional time required to attend may be billed at the current service rates.

Additional Notes:

Motorized Shades

Do motorized shades need to be integrated within the system?(Required)

Yes