Submit this form to notify the FRC that your repeater is active and operating in compliance with its current coordination. 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. By entering my name and date in the boxes below, I CERTIFY that the information provided below is complete and accurate, and that the repeater is ACTIVE (IN SERVICE). *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): *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). *Address: *City: *State: *Zip: *Phone: () *Repeater callsign: *Output frequency: (MHz) (the repeater TRANSMITS on this frequency to the user) *Repeater city: *County: Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington *District: 1 2 3 4 5 6 7 8 (click HERE for a map and county list) *Repeater format 1: Wideband FM (5 kHz) Narrowband FM (2.5 kHz) ATV APCO 25 D-STAR MotoTRBO NXDN *Repeater format 2: Wideband FM (5 kHz) Narrowband FM (2.5 kHz) ATV APCO 25 D-STAR MotoTRBO NXDN (if different than format 1) Is your 2-meter repeater synthesized or crystal-controlled? Synthesized Crystal-Controlled (leave blank if not 2-meter) Does your 2-meter repeater support narrowband (2.5 kHz deviation)? Yes No (leave blank if not 2-meter) What is the frequency of your D-STAR repeater's data channel? (leave blank if not D-STAR or there is no data channel) Does your D-STAR repeater have a gateway to the internet? Yes No (leave blank if not D-STAR) Does your D-STAR gateway require financial compensation for use? Yes No (leave blank if not D-STAR) Does your D-STAR gateway use the US-Trust server? Yes No (leave blank if not D-STAR) Does your D-STAR gateway use the IrcDDB server? Yes No (leave blank if not D-STAR) Remarks: