Public Safety Frequency Allocation Application Form
Applicant Information
Organization Name
Organization Type
Police
Fire
EMS
Other
Contact Person
Title/Position
Email Address
Phone Number
Frequency Information
Requested Frequency (MHz)
Frequency Band
VHF
UHF
700 MHz
800 MHz
Other
Intended Purpose
Area of Coverage
Equipment Details
Radio Make/Model
Number of Units
Additional Equipment Details
Authorization
Authorized Signatory Name
Date