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Service Request Type
Please select one of the following:
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Project Name:
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LHI Controls Quote Number:
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Project Address:
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End User:
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Phone:
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Email:
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Electrical Contractor Company Name:
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Foreman/Installer:
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Phone:
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Email:
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Project Manager:
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Phone:
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Email:
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Special Requirements?

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If Other, please list:
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Note: For Background Check & Drug Screening, please provide information and a copy of the contract documents showing requirements.

Working Outside Normal Business Hours?
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If Yes, what are the required hours? (Additional charges may apply)
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Are any items missing or damaged?
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If Yes, please list:
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Additional Remarks/Questions?
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Request a Startup Date!

*** Electrical Contractor must be On-Site during Service Visit ***

General lead times are 12 business days upon review of this form and required system installation document(s).

Expedited service may incur additional charges. Cancellation of a scheduled startup requires a 48 hour (2 business days) notification. Last minute cancellations may be subject to additional charge.
Preferred Startup Date:
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Alternative Date #1:
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Alternative Date #2:
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No Preferred Date:
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NOTE: Return trips are billable

(1) If system is deemed not ready for startup (2) End users are not available for user training
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