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Malicious Interference Reporting Form

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This is a form. Fill in the information in the text fields below, then hit "enter" or click on the "send" button at the end of this form.

    Info here will be sent to:  Alachua Co. MIF Group (afn09444@afn.org)
Your Name/Callsign:

Your E-mail Address:

Your Phone Number (incl. Area Code):

Event Date:

Event Time (From - To):

Equipment Used (Icom-706, HTX-202, BC200XLT, etc.):

Antenna(s) Used (Rubber-duckie, J-pole, Beam [type], etc.):

Repeater(s) and/or Service(s) Affected:
(Check all that apply.)

Kind(s) of Interference Heard:
(Check all that apply.)

* - NOTE: Be WARY of the difference between the real 9-1-1 patch and the DTMF pad test ``bait'' the jammer often sends (5-9-1-1 on RC-85/RC-850 controllers). This can often cause erroneous reports. If your patch is down and yet you still hear the repeater repeat back ``9-1-1,'' then you are hearing the `bait.'' Or, if you hear ``9-1-1'' and the repeater simply drops carrier, then you are hearing the ``bait.''

Detailed Log/Comments:
(Describe herein whether you were mobile or base, your times, beam headings, signal strengths, directions of travel and locations of signal strength readings if you were mobile, WHETHER WHAT YOU HEARD WAS ON OUTPUT OR REVERSE, etc. This report may be forwarded to the FCC in the future, so consider placing as much detail as possible in your reports in an effort to help them as much as possible.)

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Generic Form for use with Form2HTML.
Created: November 17, 1998.
Last updated: November 19, 1998.

Alt. E-mail to: Todd L. Sherman (afn09444@afn.org)
© Copyright (C) 1998-1999 by Alachua Co. MIF Group. All Rights Reserved.