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Spectrum Management Authority
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Harmful Interference
Harmful Interference
Step 1 of 5 - Complainant Information
20%
Complainant Information
Company Name
Date of Complaint
License / Authorization Number
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Phone / Fax
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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Panama
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Saint Helena
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Virgin Islands, U.S.
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Country
Technician Name
First
Last
Technician Phone Number
Technician Email
Details Of Interfered Station/Site
Frequency & Bandwidth
Transmitter Brand & Model
Receiver Brand & Model
Antenna Brand & Model
Antenna Type & Gain
Location of Station / Site
Coordinates
Impact of Interference
Radio services affected
Aeronautical
Cellular
FM / TV Broadcast
Fixed Wireless
Maritime
Other services
Other radio services that are affected
Locations of interference being experienced
Location
Add location
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Details Of Interference / Source
Interference Frequency
Identity of Interference
Nature of Interference
Cross Talk
Interruption
Jamming
Noise
Voice
Date
Time
:
HH
MM
AM
PM
Duration
Occurrence
Continuous
Day / Night
Intermittent
Occasional
Suspected source
Describe the normal operation of your system
Describe the operation of your system when affected by the interference
Date interference was first observed
Tests conducted on your system and the results
Date
Test
Result
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Attachments
Spectrum Plot
Audio content
Interference statistics
Other
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