Product: Radio
Approved by OMB 3060-0874 (Estimated average burden per person is 15 minutes.)
Email address
Subject
Radio issues
Availability
Billing
Equipment
Indecency
Interference
From CB
From amateur radio
To home electronics equipment
To licensed two-way radio service (land mobile, aviation, marine)
To non-licensed services (CB, FRS, GMRS)
Other (use description field)
Pirate/unauthorized operation
Poor reception/signal quality
Radio method
Amateur
Broadcast
Satellite
AM/FM
Personal radio services (CB, FRS, GMRS)
Date of your issue/problem
Time of your issues/problem
City where program was viewed/heard
State where program was viewed/heard
Name of program or DJ/call sign
Name of radio company
Account number
First name
Last name
City
State
Zip code
Phone (where you can be contacted)
Filing on behalf of someone
No
Yes
Your relationship (on behalf of)
First name (on behalf of)
Last name (on behalf of)
City (on behalf of)
State (on behalf of)
Zip code (on behalf of)
Description of Complaint
Can the FCC share your description of your complaint (minus PII) with the public on our website? y/n
Attachments
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kimberly Wild |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |