Instructions: When requesting a UL investigation of a wire or cable product, please provide all available information requested below.   Use a separate form for each wire style or type.

UL International Limited

Return to:  Dept: Customer Service

Wire & Cable Construction Information Sheet:

UL File Number: 

Date:

Applicant Name & Address:

Contact Person:

Tel. No.:

Fax No.:

UL Certification Required: (Please check)

 UL Listing Only (USL)          UL and CUL Listing (USL / CNL)

Reference standards:         USL: UL 1651    CNL: CSA C22.2 No.232

Type Designation: (Please check)

 OFNP     OFNR     OFNG     OFN

 OFCP     OFCR     OFCG     OFC

Others _______________________

Temperature Rating (for CNL Listing): ______________________  (Ex: 60, 75, 90, 105, 125 or 150°C)

General Construction:

________________________________________

(Ex:. flat laminate, parallel cord, single conductor, multiple conductor cable with jacket, jacketed coax, etc.)

Total No. of Fibers in Cable

No. of Fibers under Buffer

No. of Subunits

No. of Buffered Fibers per Subunit

Construction

Generic Material

Sizes or thickness

Material Source

Material Grade Designation

Optical Fiber

Max. OD =

Coating

Max. OD over coating

=

Buffer

Minimum Average Wall thickness =

Maximum Average Wall thickness =

Strength Member in Subunit

Subunit Jacket

Central Strength Member

Rod:

Coating:

Rod OD =

Maximum Coating thickness =

Strength Member under Overall Jacket

Ripcord

Outer Jacket

Minimum Average Wall thickness =

Maximum Average Wall thickness =