Contact Name* Title*

Company Name*

Complete Street Address*

City State • Province • Region

ZIP • Postal Code Country

HEAT PUMPSIZING REQUEST FORM

Contact Email*

Contact Phone*

Job Name / ID* (For reference)

Register Job?* Yes No

* Denotes Required Field

Building Type*

Unit Type*: Air Source Water Source TBD

Application*

Unit Location*: Indoor Outdoor TBD

Peak Demand*

Peak Demand Duration* (Number of hours in a 12 hour period)

Off-Peak Demand*

Off-Peak Demand Duration* (Number of hours in a 12 hour period)

Peak Demand Unit*: BTU/hr GPM GPH

Ambient Air / Source Water Temperature (oF)*

Entering Heated Water Temperature (oF)*

Heated Water Storage*:

Pre-determined Please Provide Analysis N/A

Storage Water Temperature (oF)

Existing storage size (If present)

Is there a maximum allowable storage size?* Yes No

If yes, what is it?

Usable Storage Capacity (80% will be assumed unless otherwise specified.)

Please describe if and/or how storage will be utilized and any constraints.*

Integration with a building management system?* Yes No TBD

If yes, what is the protocol?

Please provide photos of existing system by attaching them to the email that will be created when you send this form.

Helpful photos include: existing water heater nameplate, existing tank nameplate, tank water connection locations, etc.

Any additional notes:

Copyright © 2020 A. O. Smith Water Heater Company, All rights reserved. HPSR 07/20

Technical Specifications