Relay Checklist Request Form

Quantity:    

Relay Type:

Electromechanical       Solid-State       Time Delay      

Other (Specify)

Latching Type:    

  Latching       Non-Latching


Switching Load Requirements:

 Amps @  Volts       DC     AC       Hz

Note all applicable:

Single-Phase       Inductive          Lamp       Capacitive      

Resistive             Three Phase     Unsynchronized Power     

Other (specify)


Number of Poles:

Single Throw Normally Open       Single Throw Normally Closed      

Double Pole Double Throw          Four Pole Double Throw      

Six Pole Double Throw                Other (Specify)


Mounting Style:

None        Bracket (specify)        Track Mount         Threaded Studs

Other (specify)


Termination Style:

PC       Wire Leads       Solder Hook       Screw Terminals       Plug In

Connector (specify)      Threaded Studs     

Other (specify)


Sealing:

Hermetic       Environmental       None


Coil (control) Voltage and Type:

Minimum     Maximum     Nominal

VDC           VAC            Hz

Single (side stable)       Latching       Centre-off


Special Operating Requirements:

Pull In       Operating Current       Contact Voltage Drop       Leakage Current      

Life           Bounce       Other (specify)


Operating Temperature Range:

'C MIN       'C MAX       'C NOM


Size or Weight:

Maximum Size
(L)      X        (W)      X       (H)

Maximum Weight 


Qualification or Certification:

None       Mil-Spec (specify)        UL       CSA

Other (specify)


Special Tests:

Shock       Hi-low Temp       Intermittent Coil       PIND       MISS      

Vibration   Other (specify)


Quality or Traceability Requirements:

No       Yes (specify)


Time Delay Relays Only:

Delay On:     Operate     Release

Adjustable       Fixed Delay

Delay Requirements:       seconds       or       minutes

Contact Details:

Name:

Company:

Telephone:      Fax:     

E-mail:

Comments:
                

Press the submit button to send this information.
Once the form has been submitted press the back arrow on
the browser titlebar to return to this page.