Design Request Form for Driveline Brakes Customer/Company Name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email PhoneFaxName of person requesting analysis* First Last Your Title Application (Model # and description or function) Model # of existing brake being used Manufacturer of existing brake being used Expected sales volume - 1st year Expected sales volume - 2nd year Expected sales volume - 3rd year Please select which method of measurement you are using.* Imperial/US Metric VehicleTotal weight unloaded (lbs)Total weight unloaded (kg)Total weight loaded (lbs)Total weight loaded (kg)Front wheel weight unloaded (lbs)Front wheel weight unloaded (kg)Front wheel weight loaded (lbs)Front wheel weight loaded (kg)Rear wheel weight unloaded (lbs)Rear wheel weight unloaded (kg)Rear wheel weight loaded (lbs)Rear wheel weight loaded (kg)Center of gravity height unloaded (in)Center of gravity height unloaded (m)Center of gravity height loaded (in)Center of gravity height loaded (m)Wheel base (in)Wheel base (m)Total number of wheelsTotal number of braked wheelsNumber of braked wheels in frontNumber of braked wheels in rearTire Rolling Radius (R¹) - Front (in)Tire Rolling Radius (R¹) - Front (m)Tire Rolling Radius (R¹) - Rear (in)Tire Rolling Radius (R¹) - Rear (m)Gear Ratio Wheel-to BrakeBrake locationIn-wheelDrive-lineOtherIf other, please explain Brake expected stop surface Description of worst case enviornmentDriveline: Data Required for All Driveline Mounted Multi-Disc BrakesWill slip shaft be connected to one or both ends of the brake shaft? One Both Spline type inside the slip shaft Desired L10 bearing life (at parameters listed below) (Hours) (Hours)Distance from the u-joint center to the back of the yoke (in)Distance from the u-joint center to the back of the yoke (mm)Max driveline RPM Average driveline RPM Max driveline RPM (deg) Average driveline RPM (deg) Max driveline torque (in.-lb) Max driveline torque (Nm) Average driveline torque (in.-lb) Average driveline torque (Nm) L10 bearing life The L10 bearing life will be determined at 20% Max and 80% Avg operating conditions unless specified above.Driveline brake input shaft spline size and configuration (in) Driveline brake input shaft spline size and configuration (cm) Driveline brake output shaft spline size and configuration (in) Driveline brake output shaft spline size and configuration (cm) Desired Braking Performance of VehicleBrake application Service brake Park brake Emergency stop Emergency stop on grade Holding brake Other If other, please explain Number of brakes needed per vehiclePark Brake RequirementsForward grade (%)Forward grade (degree)Reverse grade (%)Reverse grade (degree)Duty CycleMaximum stops per hour@ (mph)@ (km/h)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Maximum Vehicle Speed (Unloaded)Maximum vehicle speed (unloaded)Maximum vehicle speed (unloaded)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Maximum Vehicle Speed (Loaded)Maximum vehicle speed (unloaded)Maximum vehicle speed (unloaded)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Drive-through requirement (Hold max driveline torque) Yes No CommentsSystem actuating time delay (0.3 sec will be used unless otherwise specified)Any standards that apply to this application Customer's calculated torque requirement Brake OperationType: Charge pressure System pressure Other Maximum pressure seen at brake (PSI) Maximum pressure seen at brake (BAR) Minimum release pressure available at brake (PSI) Minimum release pressure available at brake (BAR) System back pressure (PSI) System back pressure (BAR) Dry Oil immersed Flow-through Type of oil used to release brake Type of oil immersed or flow-through Additional commentsCAPTCHA Δ