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Warranty Pre-Approval
Application Eng. Forms
Light-Duty
Medium- & Heavy-Duty

APPLICATION ENGINEERING FORM (MEDIUM- & HEAVY-DUTY)
(Red items are required.)

Please use this form only if you are able to provide all of the data requested below. Otherwise, use the Send Us a Message form. Thank you.

For AMT-7 transmission applications, the following applies: The electronic engine must be SAE J1939 compatible and accept torque/speed requests from the transmission. The vehicle operating voltage must be 12 volts DC or capable
of sourcing the transmission with this voltage. New applications of the AMT-7
will be considered for OEM installation only.

CUSTOMER INFORMATION
(mm/dd/yy)

Company:

Date:

First Name:

Middle Name:

Last Name:

Title:

Address Line 1:

Address Line 2:

City:

State:

Zip/Postal Code:

Country:

Phone:

country
code
area/city
code
phone number
+ ( )

Fax:

country
code
area/city
code
phone number
+ ( )

E-mail:

Company
Category:
VEHICLE SPECIFICATIONS

Model:

Year:

GVW:

 

GCW:

 

Wheelbase:

DRIVE AXLE SPECIFICATIONS

Drive Wheel Loading

Single Rear Axle:

 

Tandem Rear Axle:

 

All Wheel Drive:

 

Axle Ratio

Single Speed:

2-Speed:

Single Speed:

2-Speed:

Single Speed:

2-Speed:

Tire Specifications

Size:

 

Rolling Radius:

 

Revolutions:

 per  

ENGINE SPECIFICATIONS

Make:

Model:

Displacement:

 liters

Governed Speed:

 RPM

Net Torque:

 

At Speed:

 RPM

Gross Torque:

 

At Speed:

 RPM

Net HP:

At Speed:

 RPM

Gross HP:

At Speed:

 RPM

CLUTCH

Make:

Model:

Damper:

MANUAL TRANSMISSION

Make:

Model:

Ratios

1st:

Reverse:

Overdrive:

Housing-SAE No.:

AUXILIARY

Make:

Model:

Ratios

Low:

Overdrive:

AUTOMATIC TRANSMISSION

Make:

Model:

Stall Torque Ratio:

At Speed:

 RPM

Ratios

1st:

Reverse:

Overdrive:

TRANSFER CASE

Make:

Model:

Ratios

Low:

High:

ADDITIONAL INFORMATION

TYPE OF OPERATION

Type of Usage:

Type of Chassis:

Specify Other:

OPERATING CONDITIONS

Use percentage of time where '%' is indicated:

Off Highway:

 %

On Highway:

 %

Level:

 %

Hilly:

 %

Mountain:

 %

Concrete:

 %

Asphalt:

 %

Gravel:

 %

Dirt:

 %

Max Grade:

 %

Length of Max Grade:

Average Grade:

 %

Other significant continuous grades and lengths:

Vehicle spends on continuous climb*:
*Continuous climb defined as grades in excess of .25 miles in length

 %

Hours used per day:

Shifts per :  

per day:

 

Materials hauled:

Stationary:

 %

PTO used:

 %

Side Mount:

 %

Top Mount:

 %

Specify exact performance requirements of PTO

Ambient Temperature Range:  

Other information, legal restrictions, duty cycle, etc.

DESTINATION

U.S. Market

U.S. State:

Vocation:

Foreign Market

Country:

     

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