You are on page 1of 1

Accu-Chek, Inc.

Ph. (812) 734-1234


Fx. (812) 734-0948
Inspection, Measuring, and Testing Equipment (IMTE)

In order to provide you the best service possible, we must have certain key pieces of technical data about your IMTE. Below is a table
illustrating the type of information we will need in order to complete the quote, calibration, and final certificate of calibration.

We must have this data to:

 Create an accurate quote (Without it the fees quoted will be subject to change and the invoice will not match the quote.)
 Schedule On-Site Services (Required to enable us to determine what master equipment we must bring to your facility.)

 PLEASE SUBMIT ASAP! We appreciate your understanding and time it takes to obtain this data. Thank you very much!
Cal Accuracy Derived? ISO 17025
Gage ID / SN Description Mfr Model Size / Range Accuracy Resolution Interval (OEM, Customer Spec, Accredited
(mos) or Nat’l Std) Certs Rqrd?

Example:
G-00001 Digital Caliper Mahr Federal EX 16 6” 0.0015” 0.0005” 6 OEM No

(Make as many copies as you need for the number of instruments you need calibrated.)

J:\Sales & Marketing\Marketing\BROCHURE CURRENT documents\IMTE Data Request Sheet.docx

You might also like