Request for AED - University Physician's Office - Michigan State 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Unit/Building Name' in the designated field. This identifies where the AED will be located.
3. Select the 'Unit Type' from the dropdown menu, specifying whether it is administrative, academic, or a support facility.
4. In the 'Population served' section, provide details if your unit serves the community through events or services.
5. Indicate the 'Average number of people in building for an event/workday' to help assess AED needs.
6. Provide a justification for purchasing an AED or attach a separate page with your reasoning.
7. Explain your plan for initial and ongoing training of personnel in AED usage, or attach additional documentation if necessary.
8. Identify the designated person responsible for compliance with the University’s AED policy regarding training and maintenance.
9. Specify how many AEDs you are requesting and propose their location within the building.
10. Finally, confirm your agreement to abide by guidelines for training and maintenance by selecting 'Yes' or 'No'.

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