Emergency Management

Emergency Management
Amateur Repeater Issue Reporting

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Emergency Management

Equipment Information
Requestor Information


Requestor name:
Equipment ID:
Requestor Email:
Group ID:
Type of equipment:
Phone number:
Location of equipment:
Cell phone:
Type of problem:
Type of request:
If other, please explain:
CSR number:
Additional info:
Coverage Issues
Provide the cross streets where coverage lacked:
Describe the weather conditions:

Cloudy         Rain
Hot              Snow