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Custom Plates

Please first select the type of equipment and then complete the rest of the form. When done click 'Submit Order' button once. You will see the order as submitted. You will be contacted shortly. Use a separate form for each car or group that is different. You must select payment method either of Credit Card, PO, or Contact for Quote.
* Required Fields
.

Job Name or Job ID:
(This appears on the Plate Envelope for your reference)
Quantity*:
Type equipment*: Traction
Hydro
Equipment Classification*: Passenger
Freight
Service

If other advise in Comments below
Mounting Method: (check all that apply) 4 holes
Double Faced Tape
Governmental Authority (AHJ)*:
Original Installation Code (if known)
OR
Date Original Equipment was permitted to be Installed (if Known): (mm/dd/yy)
OR
State or City ID #(if known) Check if Original Installation information is unknown or an Original Installation Code Data Plate already exists (Add-on Plate)
Modernization/ Alteration Code and addendum: A17.1 - (e.g. A17.1a-2005)
OR
Modernization/Alteration Permit Date: (mm/dd/yy)
Modernization Items - check those that apply and describe if required:
Alteration to Hoistway - Describe:
Hoistway Ventilation
Pit Alterations
Mach. Room Access - Describe:
Mach Rm. Alteration - Describe:
Replace car, machine room wiring, traveling cables or Main Line Disconnect
Change in Incoming Power Type, Voltage or Phase
Alteration effecting structural support
Entrance(s)
Tracks and/or Hangers Replaced
Interlocks Replaced
HW Access and/or Unlocking Device Alteration
Door restrictors added
Door Operator added or altered
Door Re-Opening device added or altered
Complete New Cab
Remodel Existing Cab - Describe:
Alteration of Car Frame or Platform
Car Roller Guide Modification/not replacement
Increase/Decrease Deadweight of Car more than 5%
Change in Type of Service
Change in Class of Loading
Change to carry Passengers on Freight elevator
Increase in Rated Load
Increase or Decrease Travel
Increase in Rated Speed
Decrease in Rated Speed
Replace or install New Car Safety
Replace or install New Cwt. Safety
Alter existing Car or Cwt. Safety
Alter or install New Speed Governor
Change in number of ropes
Addition of rope equalizers
Addition of Auxiliary Rope-Fastening Devices
Alteration to cwt. - Describe:
Counterweight Roller Guide Modification/not replacement
Alteration to Car or Cwt. Buffers or Bumpers
Alteration of Guide Rails, Supports and Fastenings
Change in location of Driving Machine
Alteration to Terminal-Stopping Devices
Addition of or alteration to Top of Car Operating Device
Addition of or alteration to Car leveling or Truck-Zoning Device
Controller Replacement with like controller
Change in Type of Operation Control (Car Sw, Automatic, etc.)
Change to Fire Service, Emergency Power or Signaling devices
Installation of a Complete new Hydraulic Jack
Install or alter Plunger Only
Install, alter or sleeve Cylinder Only
Increase Working Pressure
Change location of Hydro Jack
Relocation of Hydraulic Machine
Installation of Plunger Gripper
Replace CompletePump/Power Unit
Change to Valves, Pressure Piping & Fittings Only
Install or alter Tank Only
Alter Anti-Creep Leveling device
Install or alter emergency Lowering
Alteration to Hoistway - Describe:
Hoistway Ventilation
Pit Alterations
Mach. Room Access - Describe:
Mach Rm. Alteration - Describe:
Replace car, machine room wiring, traveling cables or Main Line Disconnect
Change in Incoming Power Type, Voltage or Phase
Alteration effecting structural support
Complete New Entrance
Horizontal Tracks, Hangers, and/or Door Panel Replaced
Vertical Lift Door Panels and/or other V/L components
Interlocks Replaced
HW Access and/or Unlocking Device Alteration
Door restrictors added
Door Operator added or altered
Door Re-Opening device added or altered
Complete New Cab
Remodel Existing Cab - Describe:
Car Top Handrail
Toe Guard
Alteration of Car Frame or Platform
Car Roller Guide Modification/not replacement
Increase/Decrease Deadweight of Car more than 5%
Change in Type of Service
Change in Class of Loading
Change to carry Passengers on Freight elevator
Increase in Rated Load
Increase or Decrease Travel
Increase in Rated Speed
Decrease in Rated Speed
Replace or install New Car Safety
Replace or install New Cwt. Safety
Alter existing Car or Cwt. Safety
Alter or install New Speed Governor
Ascending Car/unintended movement protection
Change in number of ropes
Change in rope connections
Addition of rope equalizers
Addition of Auxiliary Rope-Fastening Devices (Drum Machines)
Alteration to cwt. - Describe:
Counterweight Roller Guide Modification/not replacement
Alteration to Car or Cwt. Buffers or Bumpers
Alteration of Guide Rails, Supports and Fastenings
Complete New Machine
Alteration to Machine, Motor or Sheaves
Change in location of Driving Machine
Alteration to Terminal-Stopping Devices(Limits)
Addition of or alteration to Top of Car Operating Device
Addition of or alteration to Car leveling or Truck-Zoning Device
Controller Replacement with like controller
Change in Type of Motion Control (AC,DC,VV,SCR,etc.)
Change in Type of Operation Control (Car Sw, Automatic, etc.)
Change to Fire Service, Emergency Power or Signaling devices
Comments: Any other items modernized or any additional information or comments:
Check if faxed approval drawings are required
Note: Include the following only when ordering Large Plates (4" x 8"). (Job Name or Job ID, when provided, is always printed on the plate envelope for reference during field installation.)
Put company name on plate:
Put job number on plate:
Put car number on plate:
Shipping method pricing will be provided to you before we finalize your order.

Requested Delivery Date: (mm/dd/yy)

Shipping Method:
Regular Ground - 7/10 days
Priority - 3/4 days
Express - 1/2 days
I am a returning customer. Please use my billing and shipping information on file.
Company:
Branch:
Information below may be omitted, except for changes.
Ship TO:
Company:
Attention:
Address:
City:
State:
Zip:
Bill TO: Use Shipping Information
Company:
Attention:
Address:
City:
State:
Zip:
Payment Method:
Visa or Master Card - We will send you and Order Acknowledgement Form if necessary which must be faxed back when completed.
Established Customers P.O. No:
Authorizing Party:
Customer Type:
Elevator Contractor, Consultant or Inspection Company
University Elevator Shop or In-house maintenance organization
Building Owner/Manager/Agent
Contact*:
Phone (XXX-XXX-XXXX)*:
Please send me a quote first via: email fax phone
Fax (XXX-XXX-XXXX):
Email* :