Falk Quick-Change Data Sheet

Date:

Company*

Contact Name*

Address*

City*

State*

Country*

e-mail

Phone*

Fax

Existing Drive:

Brand:   Model:   MO/Serial No:
Ratio:   Configuration: PS    RA    CONC   SMD   VERT

Motor Frame:   HP/Kw:   RPM:

Multiple Drives: Yes   No

HS Connection/Coupling:

LS Connection/Coupling:

Site Conditions:

Drive Mounting Surface: Steel   Baseplate   Concrete Pad   Other

Key Dimensions (Or Provide Equipment Drawings/Sketch):

A		K
B		L
C		N
D		O
E		R
F		S
G1		T
G2		U
H		V

Other Requirements:
Target Replacement Cost: $

Supply New Couplings: Yes   No

Supply New Coupling Guards: Yes   No

Parallel Shaft - Max. Allowable Shaft Center Variation: