Report of 6 GHz Microwave Interference from Unlicensed Devices

Licensee Name(Required)

Contact Name(Required)

First Last

Title

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax

Email(Required)

Call Sign and Location Name of Microwave Site Receiving Interference(Required)

Call Sign and Location Name of Microwave Site Far End Fixed Transmitter(Required)

Receiver Frequency (MHz) Impacted by the Interference(Required)

Does the interference cause down-shifts of the modulation scheme (ACM only)?(Required)

Yes

Describe interference in detail, including impacts to operations and any technical information and dates(Required)

Have you been able to identify the interfering party?(Required)

Yes

Have you contacted the interfering party? If so, briefly explain what has transpired.

Name of Organization

Contact Name

First Last

Contact's Title

Mailing Address of Interfering Party

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Address of the Interfering Unlicensed 6 GHz Device

Equipment Model of Interfering Unlicensed 6 GHz Device

Privacy(Required)

YES, I have read and accept the data usage terms and agree to APCO’s use of my personal information.