Electrical Product Safety and EMC Testing

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Help Us Determine The Test Requirements

What Countries/Regions would you like to Market your Product in? Check all that apply:

 USA Canada European Union Japan Australia/New Zealand Taiwan Korea


How long will this product be on the market?

Please let us know which of these environments your product will typically operate in (check all that apply):

 Residential Commercial Light Industrial Heavy Industrial Medical Laboratory


Based on the intended use of your product, how would you primarily classify your product? Check one or two:

 Audio-Video Information Technology Industrial Controls Medical Telecommunications Test, Measurement,Laboratory Security

Please place a check mark next to any specific agency certifications that you require.

 UL CSA TUV Rheinland NRTL TUV GS Test or Bauart Mark CE Self-Declaration Report CB Report SEMI

Does your company have existing safety certifications on this product or other products?

 Yes No

If you answered yes above, with which agencies?

 UL CSA TUV Rheinland Others (please specify)

Product Information

Please provide all applicable information to help us provide you with accurate quotation.

Product Description:
(for example, DSL Router or 18” Heads-up Display or Small Form Factor Hologram Generator)

Model Name and/or Number:
(for example, CoolRareCar or XR4TI or XR4TI CoolRareCar)

Other Related Information

How many unique configurations are to be tested?
How many modes of operation on each configuration are to be tested?
Approximate set-up time for your device (in hours)
Power Requirements:
 AC AC/DC Power Supply: DC Battery
Power Phase:
 Single Phase Three Phase
If 3 phase, indicate  Delta Y
Voltage or EUT?  110V 230V

Current Draw of your product (in Amps)?
Power Frequency of your product?  50Hz 60Hz

Number of power supplies?
Are the power supplies certified?  Yes No
Are mains / safety critical components certified?  Yes No
Product Weight (in lbs.)
Product Size (L x W x H in inches)
Frequency of clock oscillators in your system?
Frequency of highest clock oscillator in your system?
How many unique interface cables are intended to be over a 3 meters length?
How many of the cables listed above are unshielded?
Size category:
Approximate weight (pounds)
Is a forklift or a pallet jack required to move your device:
Are you interested in EMC and/or Safety design consultation services?
 Yes No