Submit this form to request coordination of a new repeater, request a change of repeater frequency pair, or update an existing coordination with changes that affect the repeaters coverage area (location, antenna height or effective radiated output power).
>Fields marked with an asterisk are REQUIRED. Entry of an invalid email address will cause your application to be discarded and not processed (e-mail addresses are kept confidential). Applications that are submitted with erroneous, conflicting or missing information will be returned to the applicant unprocessed. The applicant may re-submit the application but the original date of submission will not be honored.
REPEATER TRUSTEE
By entering my name and date in the boxes below, I CERTIFY that the information provided is complete and accurate. *Licensee's full name: *Licensee's Call Sign: (Supply the name and callsign of the TRUSTEE not the SPONSOR (or club) *E-mail address: *Date submitted (MM-DD-YY): *Address: *City: *State: *Zip: *Home phone: () Work phone: ()
HOLDER OF THE COORDINATION
(This is the individual or group that controls the coordination and has the authority to change the trustee or "Holder" information, transfer or relinquish the coordination, or change its technical parameters. See our Coordination Policy, section 7 for more information).
*Holder of the coordination: *Address: *City: *State: *Zip: *Phone: ()
REPEATER SPONSOR (leave blank if same as trustee)
(This is the club or other organization that uses and/or supports the repeater but has NO AUTHORITY to make changes to the coordination. See our Coordination Policy, section 7 for more information).
Name of sponsor or club: Callsign: Address: City: State: Zip: Phone: ()
REPEATER PARAMETERS
*Repeater callsign: *Input frequency: *Output frequency: *Band: *Repeater city: *County: *District: (click HERE for a map and county list) *Latitude: deg min sec North Longitude: deg min sec West NOTE: LATITUDE AND LONGITUDE PARAMETERS ARE DEGREES-MINUTES-SECONDS. BY DEFINITION, MINUTES AND SECONDS CANNOT BE MORE THAN 59! NOTE: QRZ.COM'S DEFAULT COORDINATES ARE FOR THE CENTER OF YOUR ZIP CODE. (Click HERE to access the FCC's coordinate converter). (Click HERE to access Stephen Morse's coordinate search and conversion page). *Repeater street address or the tower's ASRN: (for coordinate verification) *Transmitter output (PEP): Watts *Repeater output (ERP): Watts (click HERE for worksheet) *Is the repeater in service now? (Yes or No) If No, when (MM-DD-YY)? *Antenna height (feet above ground): *Site elevation (feet above sea level): *Antenna omnidirectional: (Yes or No) If No, direction of max gain (degrees):
REPEATER OPERATING FEATURES
*Repeater access: (Open or Closed) *Repeater format: (Analog FM, ATV, APCO 25 or D-Star) APCO 25 NAC: CTCSS access: (Yes or No) CTCSS frequency: DCS access: (Yes or No) DCS code: IRLP access: (Yes or No) Node number: EchoLink access: (Yes or No) Node number: Bilingual: (Yes or No) Remote base: (Yes or No) Autopatch equipped: (Yes or No) Autopatch availability: (Open or Closed) Linked/cross band: (Yes or No) Emergency power: (Yes or No) Emergency power from the wind: (Yes or No) Emergency power from the sun: (Yes or No) Direct access to law enforcement: (Yes or No) ARES: (Yes or No) RACES: (Yes or No) Wide area coverage: (Yes or No) Weather: (Yes or No) LiTZ: (Yes or No) List the simplex frequencies or the repeater OUTPUT frequencies of other repeaters your system links to (full or part time), separated by commas: The following optional information is now being requested by the ARRL for their Repeater Directory. If provided, these codes will be reported and may be published. Repeater DTMF access code: (for repeaters that require DTMF for access) Autopatch DTMF access code: Law Enforcement DTMF access code: Weather DTMF access code:
Please indicate the Location of the repeater by supplying the following:
The 4 streets enclosing the repeater:
The nearest major roadways:
Check the section of the city where the repeater is located:
N NE E SE S SW W NW Center
Please indicate below any link or control frequencies in use by your system (not simplex and repeater frequencies you link to). This information is held confidential. After 09/11/2004, new coordinations may be issued on any frequency pairs between 440 to 441.975 MHz output (445 to 446.975 MHz input) unless reported to be in-use for links or control.
Frequency(s)