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Installation Warranty Form
It is very important that you fill out this form completely when installing a voltage regulator. This form
serves as a history record on the application. This form also contains the information needed by
Power-Tronics, Inc., for repair and troubleshooting of any product you may be having problems with.
Failure to fill out this form during installation will result in a cancellation of your warranty
coverage!
Filling out this form takes only minutes but will save hours or days later on if your
product should require service!
Problem Description/History (Please be detailed!!!):
Ship-To Address (City, State, Zip, Country):
Company Name:
Contact Person:
Telephone Number:
Email Address:
Primary Load (Please Explain):
Repair/Warranty Request Information
Generator Leads (Check One:)
☐
12
☐
10
☐
6
☐
4 (3ø)
☐
4 (1ø)
☐
3
Generator Wiring Mode (Check One:)
☐
High-Wye
☐
Low-Wye
☐
Series Delta
☐
Zig-Zag
☐
Double-Delta
☐
Single-Phase
☐
Other
Terminal Voltage:
Residual AC Voltage:
Rated KW:
Rated KVA:
Generator Wiring/Usage Information
This Section for Brushless Generators Only
Exciter Field Voltage:
Exciter Field Resistance:
This Section for Brush-Type Generators Only
Shunt-Field Voltage:
Shunt-Field Resistance:
Rotor Resistance @ Brush Leads:
Rotor Resistance on Slip-Rings:
Rotor Excitation Voltage:
Product Model:
Serial #:
Date of Installation:
Additional Module(s) or Options:
