Circuit Breaker Request

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Model Details

Manufacturer

Catalog/Style #

Trip Type

Trip Functions (if applicable)

Trip Cat #

Rating Plug Amperage (if applicable)

Mount Type

Operation

Devices Installed/Required

If electric, what voltage?

AC/DC

Remote Close

Voltage

AC/DC

Shunt Trip

Voltage

AC/DC

UVR

Voltage

AC/DC

Aux Switch(es)

Number of N/O

Number of N/C

Bell Alarm

Voltage

AC/DC

Does bell alarm have lockout?

Kirk Key Provision

Number of Locks

Pushbutton Cover/Lockout

Door Interlock

Racking Padlock

Operations Counter

Secondary Disconnects

Qty

Location

Special Modifications

Contact Info

Name *

Company

Email *

Phone

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