Return Form - KEB COMBIVERT Einbauanleitung

4.

Return form

The material number of the inverter changes in case of retrofitting or replacement of the en-
coder interface against another version. In this case the following form must be filled out and
send back to Email rdf@keb.de.
Company name:
Customer number (if known):
Material number of
the inverter
Serial number of the
inverter
Status of the material number:
Material number as shown above
Material number check / awarded by KEB
Material number of the en-
coder interface
New type plate required ?
Consignment with costs by KEB?
The service employee confirms with his signature that all work has been carried out carefully
and completely in accordance with this instruction.
Name (in block letters)
previous number
is released
yes
yes
Date
Return form
new number (if known)
no
no
Signature
GB -17