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Defibrillator Request
Organization Details:
Contact Details:
Application Questions:
Signature
MOU

If you or your Not For Profit group is chosen to receive a defibrillator. 

Must agree to the following

 

1. Registration of defibrillator and location with your Local EMS or PAD program

2. Maintain the defibrillator in good faith by

        a. Monthly check to see if defibrillator is  working then record date on a log sheet

        b. Replace pads when expired at your expense 

        c. Replace battery when expired at your expense 

        d. If defibrillator is used all pads and batteries have to be replaced 

        e. Approximate after eight years unit has to be replaced with a new one. At your expense. 

 

As long as the defibrillator is maintained you cannot be sued Under the Chase McEachern Act. 

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