Immersion Heater Design Form

Describe your Immersion Heater Application:

Pick type of Heater desired:

Screw Plug
Flanged
Over The Side
Other

Heated Medium (Water, Oil, etc.):

Operating Temperature:

Ambient Temperature:

Application Location:

Indoor
Outdoor
Hazardous
Wet
Other

Describe Vessel (shape, size, material, weight, dimensions):

Is Vessel Insulated?

Yes No

Insulation Amount:

1/2 Inch 1 Inch 2 Inches 3 Inches None

Is Vessel Covered?

Yes No

Desired Voltage:

120/1/60 240/1/60 240/3/60 480/1/60 480/3/60 277 575 OTHER

KW required (if known):

Type of Temperature Control:

Integral to Heater Stand Alone Complete Panel Solution None Needed

Over Temperature Control:

T/C on Heater Sheath
Media Temperature
Other
None

Level Switch Required:

Yes No

Any Other information you deem helpful:

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL