Malicious Interference Report Form

This is a form to report malicious interference within the Fairfield County area.  Fill in the information in the text fields below then click the "E-Mail Zig  N1iCL with this report below" or bring this form to the next meeting.  This information is very important and will be forward to the appropriate repeater owners, trustees, etc.

  1. Your Name/Call sign:
  2. Your Email Address:
  3. Your Phone Number (including area code)
     
  4. Event Date:
  5. Event Time:
  6. Receiving Equipment Used (Icom IC-V8000, HTX-202, BC2000XLT, etc.)
  7. Antenna (s) Used (Rubber-ducky, External Mobile, J-pole, Beam [type], etc.)
      
  8. Repeater and /or Services Affected: (check all that apply)
  9. 147.390(+) GNARC - K10F, Norwalk, CT.
  10. 448.075(-) K1UHF, Wilton, CT.
  11. 146.665(-) SARA - W1EE, Stamford, CT.
  12. 147.475(-) K1DL, New Canaan, CT. 
  13. 146.625(-) WB1CQO, Fairfield, CT.
  14. 146.925(-) KB1CQO, Milford, CT. 
  15. 448.025(-) K1DR, New Canaan, CT.
  16. 147.060(+) WB2ZII,  Valhalla, NY.
  17. Other Frequency & Call sign:

    List of Other Repeaters

  18. Kind (s) of Interference Heard: (check all that apply)
  19. Kerchunking/Persistent Kerchunking
  20. Mic-Tapping
  21. Carrier (steady or on top of others)
  22. Random Touch-Tones
  23. DTMF Pad Test Abuse
  24. Unidentified Controller Access
  25. Seemingly Regular (Undisguised) Voices
  26. Garbled Voices
  27. Loud Screams
  28. Abusive Language
  29. General Harassment
  30. Following/Stalking Hams to Other Repeaters
  31. General Auto patch ATTEMPTS
  32. General Auto patch SUCCESSES
  33. 911 Auto patch ATTEMPTS
  34. 911 Auto patch SUCCESSES
  35. Apparent Use of Bootleg Call (describe below)
  36. Other: