Form: SHARES Radio Interference Report_initial.html To: NCCSHARES@DHS.GOV Subject: SHARES Radio Interference Report - Ref: [] Msg: SHARES Radio Interference Report 1. Information Concerning SOURCE of Interference a. Call Sign, Bearing or Other Identification: b. Measured Frequency in kHz: [] To be completed by SPO: Assigned Freq. in kHz [] RFA SER [] c. Class of Emission and Nature of Traffic Transmitted: d. Measured Bandwidth of Interfering Signal: [] e. Signal Strength: [] f. Date and Time Interference Started: [ ] Duration in Minutes or Hours: [] -------------------------------------------------- 2. Information Concerning Station RECEIVING Interference a. Call Sign, Bearing or Other Identification: b. Assigned Frequency and Measured Frequency in kHz: [] c. Class of Emission and Nature of Traffic Transmitted: d. Authorized Bandwidth and Measured Bandwidth: [] e. Geographical Location: --------------------------------------------------- REMARKS: --------------------------------------------------- 3. Information Concerning Person or Office Submitting Report POC INFO: Name: Address: Phone: Email: ---END of REPORT---