Marking & Labeling Systems Product Submittal Form
Laminating Adhesives
Section 1: Basic Information
Instructions:
Please complete all sections and save this form electronically when possible.
Applicant Company and Preferred Contact Information:
Company Name:
Preferred Contact Name:
Email:
Telephone:
Do you have a current UL File for this submittal?
Yes, provide File and Volume information:
No, a new File will be established. Provide complete company and manufacturing location information in a separate document.
Is the submitter of this form acting as an Agent (third company) in this request?
Yes, provide contact information:
No
Request Type:
New Laminating Adhesive
Revised Construction/Rating of Existing Recognized Label, Provide Section Number:
Product/Model Name:
General Product Category/Use:
Laminating Adhesives
These products are intended for use by label printers and converters in fabricating finished printed labels bearing information,
instruction, or identification.
Section 2: Product Construction
Laminating Adhesive Style:
Shipped with a double release liner
Shipped with a single release liner and self-wound
Shipped in containers (screen-printable type)
Other:
Layers of Construction:
Example:
Release Liner Adhesive Carrier Film Adhesive Release Liner
Your Laminating Adhesive (Face Stock Side)
Nominal Thickness or Range:
N/A
0.020 mm thick
0.025 mm thick
0.020 mm thick
N/A
Total Thickness,
excluding release liner -
Additional Comments about Layers of Construction or optional/alternate components if needed:
Laminating Adhesive Submittal Form – V 1.0
Page 1 of 4
Last Saved by UL on 2016-02-16, 11:53
Form Issued:
Form Revised:
2010-06-10
2011-12-11
Section 2: Product Construction (Continued)
Adhesive Layer
Supplier:
/ Supplier’s Designation:
Adhesive Characteristics:
Acrylic
Rubber
Emulsion (Water) Based
Solvent Based
Additional Comments about adhesive, if needed:
Carrier Film
Is this an optional component of the system?
No
Supplier:
/ Supplier’s Designation:
Material:
Polyester
Vinyl
Acrylic
Color:
Additional Comments about carrier film, if needed:
Yes
Adhesive Layer No. 2 (application surface side)
Supplier:
/ Supplier’s Designation:
Adhesive Characteristics:
Acrylic
Rubber
Emulsion (Water) Based
Solvent Based
Additional Comments about adhesive, if needed:
Other
Additional Comments about other material such, if needed:
Section 3: Surfaces and Uses
Evaluate to:
UL 969, “Marking & Labeling System” Standard, complete
Table (Page 3)
CSA C22.2 No. 0.15 “Adhesive Labels” Canadian Standard, complete
Page 2 of 4
Last Saved by UL on 2016-02-16, 11:53
Table (Page 4)
Section 3: Surfaces and Uses (Continued)
- Recognition Table
Face Stock
Face Stock
Thk (mm)
Application Surfaces:
AND
Surfaces are flat, smooth, and rigid, unless otherwise
specified
Aluminum
Polyester
Polycarbonate
Other:
Other:
Other:
Maximum
Temp (°C)
Minimum
Temp (°C)
Indoor
Use*
Outdoor
Use
Additional
Conditions
Aluminum
Galvanized steel (zinc coated metal)
Stainless steel
Acrylic powder painted metal
Epoxy powder painted metal
Polyester powder painted metal
Polyurethane powder painted metal
Alkyd painted metal
Acrylic painted metal
Epoxy painted metal
Polyester painted metal
Porcelain
Acrylonitrile butadiene styrene (ABS) plastic
Acrylic plastic
Epoxy plastic
Melamine plastic
Nylon (polyamide) plastic
Phenolic (phenol-formaldehyde) plastic
Polycarbonate plastic
Polyethylene plastic
Polyphenylene oxide/ether plastic
Polypropylene plastic
Polystyrene plastic
Polyvinyl chloride plastic
Unsaturated (thermoset) polyester plastic
Other:
Other:
Other:
*Evaluate to Indoor Dry Use only. By default UL tests labels for Indoor Use which is suitable for high humidity and occasional exposure to water, if you would like to evaluate
for the alternate rating of Indoor Dry Use, please indicate so.
Additional Comments if needed:
Page 3 of 4
Last Saved by UL on 2016-02-16, 11:53
Section 3: Surfaces and Uses (Continued)
- Canadian Recognition Table
Face Stock
Face Stock
Thk (mm)
Application Surfaces:
AND
Surfaces are flat, smooth, and rigid, unless otherwise specified
Maximum
Temp (°C)
Indoor
Use*
Outdoor
Use
Additional
Conditions
Metals: bare, plated, or enameled steel/aluminum
Electrostatic coated metal A: polyester powder paint
Electrostatic coated metal B: acrylic powder paint
Electrostatic coated metal C: epoxy powder paint
Electrostatic coated metal D: polyurethane powder paint
Plastics group I: phenolic, melamines, urea formaldehyde
Plastics group II: polyphenylene oxide, polyphenylene
sulphide
Plastics group III: polycarbonate, acetates, acrylics
Plastics group IV: polyethylene, polypropylene,
polybutylene
Plastics group V: polyamide, polyimide
Plastics group VI: styrene, styrene acrylonitrile, ABS
Plastics group VII: PVC (rigid), plasticized PVC
Plastics group VIII: glass-filled polyester, glass-filled epoxy
Other:
Other:
Other:
*Evaluate to Dry Locations only. By default UL tests labels for Indoor Wet Locations, if you would like to evaluate for the alternate rating of Indoor Dry Locations, please
indicate so.
Additional Comments if needed:
Aluminum
Polyester
Polycarbonate
Other:
Other:
Other:
Section 4: Other Required Items
Also provide the following required information when it is available:
 Technical specification or sell sheets for all unrecognized materials/components in the label (e.g. stocks, adhesives)
 Any additions or changes in manufacturing locations
 Any changes to the company name or contact information
Page 4 of 4
Last Saved by UL on 2016-02-16, 11:53