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Protective relays service request form – Siemens ISGS SG8158-00 User Manual

Page 117

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Form: SG6014-00 0496

Siemens Energy & Automation, Inc.

Protective Relays Service Request Form

Siemens Energy

& Automation, Inc.

Protective Relay Group

Customer Service

P.O. Box 29503

Raleigh, NC 27626-0503

To report problems with Siemens protective relays, make a copy of this form, complete it with as much infor-
mation as you can, and fax it to Siemens Customer Service at 919-365-2583. Call customer service during
regular business hours at 919-365-2395. For emergency service call 1-800-241-4453.

Customer Information

Company name:

Contact person at job site:

Contact person’s phone number:

Contact person’s fax number:

Location of installed device:

Product Information

Device type:

Serial Number:

Catalog number:

Sales Order Number:

Configuration Information

Operational settings:

Parameters:

Wiring:

Type of system:

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