Merkle-Korff Industries
25 NorthWest Point Blvd
Suite 900
Elk Grove Village, IL 60007
Tel: 847.439.3760  
Fax: 847.439.3963
General Email: sales@merkle-korff.com
Customer Service Email: cserv@merkle-korff.com

Please complete the Brushless Application Specification form below. Please note: Items marked with an asterisk (*) are required information.
Company*:
Contact*:
Address*:
City*:	State*:
Country:	Zip*:
Part or Drawing Number:
Estimated Annual Usage:
Phone*:
Fax:
Email*:
APPLICATION:
Customer Application
What mechanism is the motor driving in the application?
New Existing
If existing, who is current supplier?
Is unit available for test? Yes No
Are there any problems or concerns with the existing supplier’s motor?
Performance Requirements:
Rated Voltage
Voltage Range
Output Torque Est. by	Test Calculation Estimate
Start Torque	(in oz)
Run Torque	(in oz)
RPM at no load
RPM at load
Will motor be stalled?	Yes No
Life required hours
Brushless required	Yes No
Frameless?	Yes No
Environment:
Ambient Temp.
Humidity Level
Altitude
Heatsinking?
Thermal resistance of heatsink
Autoclavable?
Anything else we should know about the location of our motor in the application?
Duty Cycle/ Life:
<25 25% 50% 75% Continuous Other
Define other
Standard duty cycle (select one)	ON   (sec min hr )
	OFF   (sec min hr )
Most demanding	ON   (sec min hr )
	OFF   (sec min hr )
Minimum life required (note: both required)	in cycle in hours
Will the motor be required to reverse direction of rotation?	Yes No
Is reverse rotation (1/2 turn max) at start up acceptable?	Yes No
Power Supply:
Rated voltage:
Maximum current limit
Is the supply filtered?	Yes No
Supply type:	Switched Mode Transformer, bridge, cap, linear regulator Battery
Frequency (kHz):
Overhung Load?	Yes No
How much?	lbs
Distance from mounting surface
Axial Thrust Load:	Yes No
How much?	lbs
Push In Pull Out Both
Output Shaft Requirements:
Custom shaft required?	Yes No
If custom describe mounting end shaft
If custom describe side opposite mounting end
Optical Encoder:	Yes No
Required	Yes No
Any special requirements?
Agency Requirements:	UL CSA CE Other
If other, please list
Sound/Vibration Requirements:
Method of Test
Gear Box Selection:
Select ratio from catalog list
EMI/RFI Considerations Emissions Type:	Conducted Radiated Both
Motor Drive Requirements:
a. Motor driver (amplifier required)	Yes No
b. Is variable speed required?	Yes No
If yes will the input voltage be varied or will the controller have to vary speed with a fixed input voltage.	Yes No
c. Is DC voltage available ?	Yes No
d. Is reverse direction required?	Yes No
e. Is integral electronics required?	Yes No
f. If AC specify voltage and frequency	Voltage Frequency