County Information
Report Type:
ARRL District:
Jurisdiction (County):
Name:
Call:
Title (DEC / EC):
E-mail address:
Please provide the following additional information about your county. This information could be vital if neighboring groups are needed to respond in your county.
AEC Name:
Call:
Function (if specific function has been assigned)
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Pager:
E-mail:
AEC Name:
Call:
Function (if specific function has been assigned)
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Pager:
E-mail:
Additional AEC Comments: Use as much space as needed.
If you have more than 2 AECs, please complete this form a second time after submitting the first.
The next section requests information on your meetings and nets.
Meeting Day (eg 4th Tuesday of Month)
Meeting Time (local - please indicate CST or EST):
Meeting Location:
Net Name:
Net Type (Training, Traffic, etc):
Net Day:
Net Time (local - please indicate CST or EST):
Primary Frequency:
Secondary Frequency:
Tertiary Frequency:
Simplex Frequency:
Net Name:
Net Type (Training, Traffic, etc):
Net Day:
Net Time (local - please indicate CST or EST):
Primary Frequency:
Secondary Frequency:
Tertiary Frequency:
Simplex Frequency:
Net Name:
Net Type (Training, Traffic, etc):
Net Day:
Net Time (local - please indicate CST or EST):
Primary Frequency:
Secondary Frequency:
Tertiary Frequency:
Simplex Frequency:
Additional Net comments: Use as much space as needed.
SkyWarn Primary Frequency:
SkyWarn Secondary Frequency:
SkyWarn Tertiary Frequency:
SkyWarn Simplex Frequency:
Additional SkyWarn comments: Use as much space as needed.