/WarrantyClaimForm

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Cerus Industrial Warranty Claim Form NOTE: This form must be completed for Warranty Claims. Form is to be complete - an incomplete form may invalidate the warranty. This form is to be used by 503-643-4925 or mailed to Cerus Ind., 22995 NW Evergreen Pkwy, Hillsboro, OR 97124. It may be downloaded (www.cerusind.com/dealertools) and emailed to techsupport@cerusindustrial.com VFD

Part # Serial # Date in Service

PANEL

(If Apllicable)

Panel Part # Panel Job #

INSTALLATION INFORMATION

DESCRIPTION OF PROBLEM

Motor Data

VFD Powers Up?

Insulation Class/Rated Voltage

VFD Runs Motor? Details:

Ins.

/

V

HP/ SF/

Horsepower/Full Load Amperage Service Factor/RPM

FLA RPM

YES YES

NO NO

Application Torque Input phase

constant

variable

three phase

single phase

Description (i.e. pump jack, centrifuge, fan, blower, etc.)

Maximum & Minimum Environmental Temperature Max: Distances in feet from VFD

째F

째F

Min:

to service transformer

to motor

Startup information

( example: sleep mode, acceleration, etc...)

Check proper wiring & grounding Input Voltage on VFD terminals R, S, & T VFD Output Current Parameter Reading @ Max Speed Speed control

YES R-S

S-T

R-T

(see manual

Amps for parameter) Keypad Potentiometer

0-10V 4-20mA Please note any drive alarms or faults: PID

Communication Card

Were VFD parameters set according to quick start guide? Environmental Conditions

(Please select all applicable conditions)

VFD enclosed by?

Problem occurs under what condition?

YES

NO

Indoor Outdoor Direct Sunlight Cerus

Customer

Dirt/Debris Moisture Chemicals Not Enclosed Enclosure NEMA rating

A

E

B

Lightning Arrestor

C

D

Input Line Reactor

Motor Disconnect / Contactor Aux.

H

Output Reactor Motor Guard Filter

EFI/RFI Filter

4 or 4X D (BTU)

I G

F

12 W

(In.) / AC

Variable Frequency Drive

Harmonic Filter Input Contactor

3R H

Enclosure dimensions in inches Cooling Fan/AC Unit Size Fan

package that was not built by Cerus Industrial.

Short Circuit Protection Power and Disconnect Source

1

Motor

J

Motor Disconnect / Contactor

Model Number of Dynamic Brake Unit / Resistor

Installed Devices

(Indicate the letters of installed devices shown in diagram above. i.e., A, B, D, F)

(if applicable)

INSTALLER INFORMATION Name Email Company/Address

Installation date

/ Resistor

DB Unit

PURCHASER PURCHASERINFORMATION INFORMATION Phone Fax

Install Location

Name Email Company/Address

Purchase date

Phone Fax

PO#

Failure to complete this form may delay warranty processing.


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