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MIL-STD-810

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Full Name (First and Last)(Required)

Company Name(Required)

Phone

Email(Required)

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Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Testing(Required)

Electromagnetic Compatibility (EMC)

Environmental / Mechanical (temperature, vibration, corrosion…)

Ingress Protection (IP Code)

I Am Not Sure

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Describe Your Testing Needs

Reference test standard(s): (CE/FCC, MIL-STD, IEC, RTCA DO-160, etc..)

Are there specific security requirements such as NIST, ITAR, or FARS that your job must follow?

Please explain the security requirements for your job.(Required)

Number of Unique Devices(Required)

Please fill out a separate section for each distinct device model that requires testing. Do not repeat sections based on sample quantity.

Classification of Equipment(Required)

Device Under Test #1

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #2

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #3

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #4

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #5

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #6

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #7

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #8

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #9

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Device Under Test #10

What would you like us to refer to the DUT (Device Under Test)?(Required)

What is the approximate L x W x H and weight of the DUT?(Required)

Sample Qty.

Width

Length

Height

Weight

Units of Measurement(Required)

What input power is required to operate the DUT during testing?(Required)

If DUT is a sub-assembly, what input power is required to operate the DUT during testing?(Required)

If DUT is a complete machine, what is the engine type?(Required)

Does the DUT have any input/output cables greater than 3-meters in length? 30-meters in length?(Required)

Does the DUT have any input/output cables?

Approximate number of connectors and total pins on the device?

Does the DUT have any wireless technology?(Required)

Brief description of the DUT(Required)

Brief Description of what the DUT is/what the DUT does/where it will be used?

Will this device be used in a Professional or Home Healthcare Environment or Both?(Required)

What markets are you looking to cover with this testing?(Required)

Ingress Protection Testing Information

Select the test standard(s) you would like the devices/enclosures to be tested to.

IEC 60529

ISO 20653

NEMA 250

Unsure

(please select at least one)

Solid

IP0X None

IP1X Probe (Hand)

IP2X Probe (Finger)

IP3X Probe (Tool)

IP4X Probe (Wire)

IP5X Dust

IP6X Dust-Tight

Unsure

Liquid

Specialized

IPX4K Splashing with Increased Pressure

IPX6K Powerful Jet with Increased Pressure

IPX9K Steam Jet with Increased Pressure

Unsure

NEMA 250

Additional Information

Quotation Due Date

Desired Test Start Date

Optional: Attachment(s), Scope of Work, Any Additional Information

Drop files here or

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How did you hear about Keystone?

If other, please describe

MIL-STD-810

Device Under Test #1

Device Under Test #2

Device Under Test #3

Device Under Test #4

Device Under Test #5

Device Under Test #6

Device Under Test #7

Device Under Test #8

Device Under Test #9

Device Under Test #10

Additional Information

Versions