Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Customer & Product InformationCompany Name *Contact Name *Email *TelephoneProduct Name *ManufacturerModel Number(s)Describe Product *Briefly describe the product, its intended function, and how it is normally used.Product Status *Prototype / Pre-compliance evaluationNew ProductModification of an existing productExisting product being retestedNot sureWhere will the product be sold or used? *United StatesCanadaEuropean Union / EEAUnited KingdomOtherSelect all countries or markets where the product is intended to be sold or used.Compliance RequirementsApplicable Product, IEC, EN or Customer Standard *Enter the applicable product, IEC, EN, or customer standard, if known (for example: EN 61326-1, EN 55032/EN 55035, IEC 60601-1-2, or a customer-specific document). If you are unsure which standard applies, enter “Not Sure” and Radiometrics will help determine the applicable EMC requirements.IEC 61326 Electromagnetic EnvironmentBasicIndustrialControlledNot SureNot ApplicableIf IEC/EN 61326 applies, select the electromagnetic environment specified for the product. Select “Not Sure” if Radiometrics should determine the applicable environment, or “Not Applicable” if the product is governed by another EMC product standard. Intended Use Environment / Emissions Classification, if known *Residential / DomesticCommercial / ProfessionalIndustrialLaboratory / Controlled EnvironmentOtherNot Sure — Radiometrics to DetermineSelect the environment in which the product is intended to be installed or used. If unsure, select “Not Sure — Radiometrics to Determine.”Emissions Classification, if known *Class AClass BOther / Product-standard-specific limitsNot Sure — Radiometrics to DetermineSelect the applicable emissions classification if specified by the product standard or customer requirements. If unsure, select “Not Sure — Radiometrics to Determine.”Highest Internal Clock / Oscillator Frequency *50 MHz or lessMore than 50 MHz through 75 MHzMore than 75 MHz through 108 MHzMore than 108 MHz through 500 MHzMore than 500 MHz through 1 GHzGreater than 1 GHzNot SureIf multiple frequencies are used, select the range containing the highest frequency. You may list the other clock or oscillator frequencies under Additional Information or Special Requirements. Select “Not Sure” if the highest frequency is unknown.Testing RequirementsEmissions Testing Requirements *Radiated EmissionsAC Power Conducted EmissionsDC Power Conducted EmissionsHarmonic Current / Voltage Fluctuation & FlickerNot Sure — Radiometrics to DetermineSelect the emissions tests known to be required. If you are requesting CE/European EMC compliance testing and are unsure which emissions tests apply, select “Not Sure — Radiometrics to Determine.” Radiometrics will determine the applicable emissions tests and limits from the product standard, intended environment, power configuration, and product interfaces.Immunity Testing Requirements *Full immunity testing required by the applicable product standardSpecific immunity tests requestedNot Sure — Radiometrics to DetermineSelect the immunity tests requested, if known. For CE/European compliance testing to an applicable product standard, select “Not Sure — Radiometrics to Determine” if you want Radiometrics to determine the required immunity tests and test levels.Specific Immunity Tests Requested *IEC 61000-4-2 — Electrostatic Discharge (ESD)IEC 61000-4-3 — Radiated RF ImmunityIEC 61000-4-4 — Electrical Fast Transient/Burst (EFT)IEC 61000-4-5 — SurgeIEC 61000-4-6 — Conducted RF ImmunityIEC 61000-4-8 — Power Frequency Magnetic FieldIEC 61000-4-11 — Voltage Dips, Short Interruptions and Voltage Variations Make this field Required.Select only the individual immunity tests specifically required by the customer, test plan, or other requirement. For full compliance testing, Radiometrics will determine the applicable tests from the applicable product standard and product configuration.Required Performance Criteria, if known *Enter the required performance criteria (A, B, C, etc.), if specified by the applicable standard or customer requirement. Enter “Per Applicable Standard” or “Not Sure” if unknown.Power & GroundingProduct Power *AC mainsExternal AC/DC power supplyDC inputBatteryUSBPower over Ethernet (PoE)Other — describe under Number and Type of External Power InputsSelect all power sources or power inputs that may be used during normal operation of the product.Number and Type of External Power Inputs *List each separate external power input, the quantity of each type, and its voltage or type. Examples: 1 × AC mains input; 2 × 24 VDC inputs; 1 × PoE input; or 1 × USB power input. If the product has only one power input, list that input.Input Voltage(s) / Voltage Range *3.3 VDC or less5 VDC12 VDC24 VDC48 VDC115 / 120 VAC208/230/240 VAC277 VAC380/415 VAC440/480 VAC100/240 VAC (universal input)Other / Multiple VoltagesNot SureSelect all input voltages or voltage ranges that may be used during normal operation of the product. Include all AC and DC power inputs. Select “Other / Multiple Voltages” if the required voltage is not listed, or “Not Sure” if unknown.Maximum Current or Power Consumption *Enter the maximum input current or power consumption during normal operation. Include units (for example: 2.5 A, 500 mA, 250 W, or 1.5 kW). For battery-powered products, provide the maximum operating current or power if known. Enter “Not Sure” if unknown.External Power Supply InformationProvide the external power supply or adapter manufacturer/model, AC input rating, DC output voltage/current, and whether it will be supplied with the product for testing.AC Power Configuration *Single phase (Line + Neutral)Three phaseThree phase + neutralNot applicable / Not sureSelect the AC power configuration used by the product. Select “Not Applicable” if the product is not powered directly from AC mains.AC Power Frequency *50 Hz60 Hz50 Hz and 60 HzOther FrequencyNot SureSelect the AC power frequency at which the product is intended to operate or be tested.Is the Product Intended to Connect Directly to the Public AC Mains? *YesNoNot SureSelect Yes if the product is intended to connect directly to the public low-voltage AC power distribution system, either directly or through an external AC/DC power supply supplied with the product. Select No if the product is powered only from a dedicated, private, or non-public power system. Select “Not Sure” if uncertain.External DC Power Cable Length(s)Enter the normal length of the external DC power cable between the DC source or external AC/DC power supply and the product. Include units (for example: 1 m, 2 m, or 6 ft).Grounding / Earth Connections. *Protective Earth (PE) through the AC power cordSeparate Protective Earth (PE) connectionFunctional Earth / Functional GroundBoth Protective Earth (PE) and Functional Earth / GroundNo External Ground ConnectionNot Sure*Protective Earth (PE): A safety earth connection intended to protect against electric shock, typically connected to exposed conductive parts of the product. *Functional Earth / Ground: A ground connection required for proper product operation, EMC performance, shielding, noise control, or signal reference, but not primarily for electrical safety. *AC Power Ground: The protective earth conductor supplied through a grounded AC power cord or plug. If the product's Protective Earth is provided through the AC power cord, select “Protective Earth (PE) through the AC power cord.” Select the type of external earth or ground connection used during normal product operation.External Ports & CablesTotal Number of External Signal, Control, Communication, I/O & Functional Earth Connections *Enter the total number of external signal, control, communication, I/O, and Functional Earth / Ground connections. Do not include AC or DC power inputs. Enter 0 if the product has none.Types of External Ports / Connections *Ethernet / LANUSBRS-232 / SerialRS-485 / Industrial CommunicationCANAnalog Signal / SensorDigital I/OAudio / VideoFiber OpticWireless / Antenna ConnectionTelecom / NetworkFunctional Earth / GroundOtherNone — no external signal, control, communication, or I/O portsSelect all that apply. Select “None” if the product has no external signal, control, communication, or I/O ports.Port and Cable Details for EMC Testing *For each external connection, list the port type, quantity, normal or maximum cable length, and whether the cable is normally connected during operation. Include any Functional Earth / Ground connection. Example: Ethernet — 2 — 5 m — normally connected; USB — 1 — 2 m — normally connected; Functional Earth — 1 — 1 m — normally connected.Are Any External Signal, Control, Communication, I/O, or Functional Earth Cables Longer Than 3 Meters? *YesNoNot SureConsider the normal or maximum cable length specified for each external signal, control, communication, I/O, or Functional Earth / Ground connection. Do not include AC or DC power cables in this question.Are Any Signal, Control, Communication, I/O, or Functional Earth Connections Intended for Long-Distance Connections? *YesNoNot SureSelect Yes if any external signal, control, communication, I/O, or Functional Earth / Ground connection is intended to extend outside the immediate equipment installation or connect to remotely located equipment. This is different from simply having a cable longer than 3 meters. Select “Not Sure” if uncertain.Are Any Signal, Control, Communication, or I/O Lines Directly Connected to AC Mains? *YesNoNot SureSelect Yes if any external signal, control, communication, or I/O connection is electrically connected directly to the AC mains supply rather than being isolated from the mains. Select “Not Sure” if uncertain.Product Operation & Support EquipmentPeripherals & Support Equipment *List all equipment required to operate, exercise, load, communicate with, or monitor the product during testing, such as computers, controllers, loads, simulators, power supplies, network equipment, or special fixtures. Enter “None” if no support equipment is required.Will Radiometrics need to provide any support equipment? *YesNoNot SureSelect Yes if Radiometrics will need to provide any equipment necessary to operate, exercise, load, communicate with, or monitor the product during testing.If Yes, Describe the Support Equipment Radiometrics Will Need to ProvideIdentify any computers, monitors, loads, power supplies, network equipment, simulators, cables, or other equipment Radiometrics will need to provide.Describe the Product Operating Modes to Be Exercised During Testing *List each distinct operating mode that should be exercised during EMC testing, such as standby, normal operation, maximum load, transmit, receive, charging, communication, heating/cooling, motor operation, or other applicable modes. Identify which mode represents the worst-case operating condition, if known.Specific Immunity Test Details4-2 ESD Test Levels, if specifiedEnter the required contact and air discharge levels if specifically stated in the applicable product standard or customer specification (for example: ±4 kV contact, ±8 kV air). Otherwise leave blank for Radiometrics to determine.IEC 61000-4-3 Frequency Range, if specifiedEnter the required frequency range if specifically stated in the applicable product standard or customer specification (for example: 80 MHz–1 GHz or 80 MHz–6 GHz). Otherwise leave blank for Radiometrics to determine.IEC 61000-4-3 Required Field Strength1 V/m3 V/m10 V/m30 V/mOtherNot Sure — Radiometrics to DetermineSelect the required IEC 61000-4-3 radiated RF immunity field strength(s), if known. The IEC 61000-4-3 standard test levels are 1, 3, 10, and 30 V/m. The applicable product standard may specify different levels for different frequency ranges or a special field strength. Select “Not Sure — Radiometrics to Determine” if the required level is unknown.IEC 61000-4-3 Required Field Strength, if specifiedEnter the required field strength if specifically stated in the applicable product standard or customer specification (for example: 3 V/m, 10 V/m, or 20 V/m). Otherwise leave blank for Radiometrics to determine.IEC 61000-4-3 Frequency Step and Dwell Time, if specifiedEnter the required frequency step and dwell time, if specified. IEC 61000-4-3 requires a minimum dwell time of 2 seconds; however, a longer dwell time may be required to allow the product to complete its operating cycle or to permit proper performance monitoring. If the product requires more than 2 seconds to demonstrate normal operation or response, enter the required dwell time. Otherwise, leave blank for Radiometrics to determine based on the applicable standard and product operation.IEC 61000-4-4 EFT/Burst Requirements, if specifiedEnter the required EFT/burst test levels and application requirements if specifically stated in the applicable product standard or customer specification. Include the test voltage and repetition frequency, if known. Otherwise, leave blank for Radiometrics to determine.IEC 61000-4-5 Surge Requirements, if specifiedEnter the required surge test levels and application requirements if specifically stated in the applicable product standard or customer specification. Include line-to-line and line-to-ground levels, if known. Otherwise, leave blank for Radiometrics to determine.IEC 61000-4-6 Conducted RF Requirements, if specifiedEnter the required conducted RF test level and frequency range if specifically stated in the applicable product standard or customer specification (for example: 3 V, 150 kHz–80 MHz). Otherwise, leave blank for Radiometrics to determine.Is the Product Magnetically Sensitive? *YesNoNot SureSelect “Yes” if the product contains components or functions that may be affected by power-frequency magnetic fields, such as magnetic sensors, Hall-effect devices, transformers, CRTs, or other magnetically sensitive circuitry.IEC 61000-4-8 Magnetic Field Requirements, if specifiedEnter the required magnetic field test level, frequency, and application requirements if specifically stated in the applicable product standard or customer specification. Otherwise, leave blank for Radiometrics to determine.IEC 61000-4-11 Voltage Dips, Short Interruptions and Voltage Variations Requirements, if specifiedEnter the required voltage dip, short interruption, and voltage variation test levels and durations if specifically stated in the applicable product standard or customer specification. Otherwise, leave blank for Radiometrics to determine.Monitoring & Acceptance CriteriaProduct Monitoring During Immunity Testing *Describe how proper product operation will be monitored during immunity testing. Identify any required software, displays, communications, measurements, loads, alarms, or other indicators needed to verify normal operation and detect a performance change or failure.What Constitutes a Product Failure or Unacceptable Performance? *Describe what should be considered unacceptable product performance during immunity testing, such as loss of function, degradation of performance, reset, communication error, incorrect output, alarm, data loss, or other abnormal operation. Enter “Per Applicable Standard” or “Not Sure” if specific acceptance criteria have not been defined.Physical Product InformationProduct Dimensions (W × H × D) *Enter the overall product dimensions (width × height × depth) and include units. Example: 18 × 10 × 24 in. or 460 × 250 × 610 mm. Include any permanently attached projections or components that significantly affect the overall dimensions.EUT Configuration *TabletopFloor Standing / Floor MountedRack MountedWall MountedVehicle MountedHandheld / PortableOtherSelect the configuration that represents how the product is normally installed and operated. This information is used to determine the appropriate EMC test setup.Product WeightEnter the approximate weight of the product and include units (for example: 25 lb or 11 kg). Include any normally attached components that will be part of the test configuration.Previous Testing & DocumentationHas This Product Undergone Previous EMC Testing?YesNoNot SureIndicate whether this product, or a substantially similar version of the product, has previously undergone EMC emissions or immunity testing. If previous test reports are available, select them under Documentation Available and upload them below.Documentation AvailableProduct manualProduct specificationsBlock diagramSchematicsCable/interface informationApplicable standard or test planPrevious EMC test reportCustomer test specificationProduct photographsOther Supporting DocumentationNone AvailableSelect all documentation currently available that may help Radiometrics determine the applicable EMC requirements and prepare the quotation. Supporting documents may be uploaded below.Upload Supporting Documents Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Upload any available product manuals, specifications, drawings, cable/interface information, applicable standards or test plans, customer test specifications, previous EMC test reports, product photos, or other documents that may help Radiometrics determine the test requirements and prepare the quotation.Scheduling & Additional InformationWhen will the product and required support equipment be available for testing?Enter the expected date the product sample and any required support equipment will be available at Radiometrics for testing. If the exact date is not known, provide the best estimate.Desired Testing Date or Date RangeEnter the preferred date or date range for EMC testing. Radiometrics will confirm laboratory availability and the final test schedule when the project is scheduled.Required Testing / Report Completion DateEnter the date by which testing and the final test report must be completed, if there is a firm project deadline. if Connections? Supporting Additional Information or Special RequirementsProvide any special test conditions, customer-specific requirements, unusual operating conditions, installation requirements, regulatory or certification requirements, or other information that may affect the EMC test program or quotation.Request a Quote