Power-Tronics XR8 - Installation Warranty Form

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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: