Appendix_2_-_Frequency_Request_Sheet.pdf

Please fill out and return this worksheet to the ISM org box.

Submit all classified requests via SIPRnet. Allow 90 days for processing temporary and 180 days for permanent assignments.

NEW FREQUENCY

REQUEST

WORKSHEET

REQUESTOR INFORMATION

Rank/Name: E-mail:

Unit: DSN: Date:

GENERAL INFORMATION

1. Request Type:

2. Frequency (ies) or band requested:

3. Number of Frequencies (if requesting band):

4. Type of Equipment:

5. Emission/Modulation Type:

6. Type of Signal Broadcast:

7. Bandwidth:

8. Power Transmitted in Watts:

9. Time of Use:

10.Date Required:

11. Expiration Date (Temporary Only):

mailto:31cs.installationspectrummanager@us.af.mil?subject=New%20Frequency%20Request

TRANSMITTER

INFORMATION

12. Location (i.e. Aviano, Italy):

13. Coordinates:

14. Area of Operation in KM (mobile only):

15. Equipment Nomenclature:

16. European Coordination Number:

17. Number of Systems:

18. Antenna Nomenclature:

19. Antenna Type:

20. Antenna Gain (in dB):

21. Antenna Height from ground in meters:

22. Antenna Orientation:

23. Antenna Polarization:

RECIEVER

24. Location (i.e. Aviano, Italy):

25. Coordinates:

26. Equipment Nomenclature:

27. European Coordination Number:

28. Antenna Nomenclature:

29. Antenna Type:

30. Antenna Gain (in dB):

31. Antenna Height from ground in meters:

32. Antenna Orientation:

33. Antenna Polarization:

ADDITIONAL

34. Requirement Description:

35. Mission Impact If Not Approved:

36. Additional Information: