I²C-bus slave address allocation request form

Requester

* Ms./Mr.
* First Name:		* Family Name:
* Company:		* Division:
Department:		* Address:
* City:		* Country:
* Postal code:		* Email:
Tel. nr.:		* Fax nr.:

Invoice address:

Company:		Address:
City:		Postal code:
Fax nr.:		Email:
Ms./Mr.
First Name:		Family Name:

Device:

* Type or development number:
* Brief description:
* The I²C-peripheral is:	slave receiver and transmitter only slave receiver only slave transmitter
* I²C BUS slave address:	1 byte (7 bit) 2 byte (10 bit)
* I²C BUS bit rate:	normal (up to 100 kbit/s) fast (up to 400 kbit/s) fast plus (up to 1 Mbit/s) high speed (up to 3.4 Mbit/s)
* Number of hardware (pin) programmable slave address bits:	0 (none) 1 2 3 Else programmable bits
Slave address must be identical to device:
Slave address must not be identical to devices:

Address preference:

1 byte slave address:

A6	A5	A4	A3		A2	A1	A0	R/w

2 byte slave address:

byte 1:	A14	A13	A12	A11	A10	A9	A8	R/w
byte 1:	1	1	1	1	0
byte 2:	A7	A6	A5	A4	A3	A2	A1	A0
byte 2:

If there is a preference, why?

Additional information

NOTE: A slave address of a device can only be allocated, without collision with other devices, if function and I²C bus protocol of the device is known to the I²C-bus committee. This means that a slave address request form must be accompanied with a datasheet or preliminary specification of the device and preferable a description of a maximum application of the device in a system.

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