Site Supplemental Online Worksheet

If you would like a printout of your completed submission, FIRST click the Printer-friendly version at the bottom of this page. After completing the printer-friendly form, use your browser "print" function (e.g., Ctrl-P for Internet Explorer) for your printout, and then click the Submit button.

Once your application is submitted, you will receive an automatic e-mail message notifying you that your application has been received.

Site Location #2

Applicant/Licensee Name: *

Callsign (if modification):

Radio Dealer/Contact Email Address: *

Antenna Structure Registration (ASR):

Do I need an ASR? For more information, read the FCC's page about ASRs. If an ASR is given, we will only need the county name and the height-to-tip of the applicant's antenna.

Transmitter Physical Address:

Transmitter Physical Address

This can be either a street address or a descriptive address; for example:

3 miles North of Route 16.

No P.O. boxes.

Transmitter City:

Transmitter County:

Transmitter State:

Coordinates (NAD 83)

Latitude: North

Longitude: West

Structure Type:

Figure 1

Height of Supporting Structure (Figure 1A)

Figure 1A:

Height To Tip Of Applicant's Antenna (Figure 1B)

Figure 1B:

Overall Height To Tip (Figure 1C)

Figure 1C:

Ground Elevation

Ground Elevation:

Comments/Notes:

Fields marked with an asterisk (*) are required.Please double-check the information you have entered before proceeding to the next page.

Resources

Site Supplemental Online Worksheet