Brochure

Page 16
Breaker schedule form for d2p panelBoards
BREAKER SCHEDULE FORM FOR D2P PANELBOARDS
CUSTOMER'S ORIGINAL PURCHASE ORDER MUST ACCOMPANY COMPLETED FORM
CompanyName
Shipping Address
Account Number Purchase Order Number
Part Number PurchaseOrderDate
Quantity Internal Order Number
INCLUDE THE COMPLETED BREAKER SCHEDULE FORM BELOW WITH ALL CIRCUIT BREAKER PANELBOARD ORDERS.
Note: For 2 pole breakers do not fill next circuit.
For 3 pole breakers do not fill next 2 circuits.
Main Breaker:
2 Pole Main Breaker Circuit 1 and 2 will be occupied by Mains
3 Pole Main Breaker Circuit 1, 2, and 3 will be occupied by Mains
12 CIRCUITS MAXIMUM 24 CIRCUITS MAXIMUM 36 CIRCUITS MAXIMUM
MainBreaker
Yes  No MBTrip________
MainBreaker
Yes  No MBTrip________
MainBreaker
Yes  No MBTrip________
Ckt Amp/Pole Amp/Pole Ckt Ckt Amp/Pole Amp/Pole Ckt Ckt Amp/Pole Amp/Pole Ckt
1 7 1 13 1 19
2 8 2 14 2 20
3 9 3 15 3 21
4 10 4 16 4 22
5 11 5 17 5 23
6 12 6 18 6 24
7 19 7 25
8 20 8 26
9 21 9 27
10 22 10 28
11 23 11 29
12 24 12 30
13 31
14 32
15 33
16 34
17 35
18 36