Document 321 Indicates required field Inductor Design Worksheet Name: ______________________________________ Company: ____________________________________________ Street address:_____________________________________________________________________________________ City: ____________________________ State:________ _ Country: _________________ Postal code: ______________ Email: ___________________________________ Phone: ______________________ Fax: _________________________ General application for this product:_____________________________________________________________________ Prototype quantity: ________________________________ Date needed:______________________________________ Projected annual quantity: __________________ Budgetary per piece target price (USD): $_______________________ Application Common mode choke Filter Other _______________________________________ Buck Boost VIN (V): ___________ VOUT (V): ___________ IOUT (A): __________ Frequency (kHz): ____________ Electrical Inductance (µH): ___________ Tolerance (%): _________ Schematic DC resistance max (Ohms): _________________ If you have a schematic or other design criteria, please attach it to the email when submitting this form. Current (A): ____________ DC ___________ AC ripple Frequency range (kHz): _________ to _________ Attenuation (dB): ___________________________ Dielectric withstanding voltage (V): DC AC Time (seconds): ________________________ Winding to core: ____________ Winding to winding (common mode or coupled): ________________ Temperature rise, maximum (°C): ________ Operating temperature range (°C): _______ to _________ Ambient temperature range (°C): ________ to ________ Physical Mounting type: Surface mount Through hole Maximum size (mm): Other Length _________ Width _________ Height _________ Agency requirement: IEC ________ UL ________ CSA ________ Other: _________________ Insulation class: Functional Basic Supplementary Reinforced Special testing conditions (altitude, accelerated life, etc.): ________________________________________________________________________________ ________________________________________________________________________________ Additional information: ________________________________________________________________________________ ________________________________________________________________________________ Submit US +1-847-639-6400 [email protected] UK +44-1236-730595 [email protected] Taiwan +886-2-2264 3646 [email protected] China +86-21-6218 8074 [email protected] Singapore + 65-6484 8412 [email protected] Document 321 Revised 06/01/12 © Coilcraft Inc. 2016 This product may not be used in medical or high risk applications without prior Coilcraft approval. Specification subject to change without notice. Please check web site for latest information.