Category: Emergency
Not Yet Approved by OMB 3060-0874 (Estimated average burden per person is 15 minutes.)
Privacy Statement
Email address
Subject
Description
Emergency type
Interference
Phone/911/E911
Tower Lighting/Safety
Other
Consumer device
Company/Station name
Tower lights are out
Tower fencing
Tower noise
Other
Date of your issue/problem
Time of your issue/problem
First name
Last name
Address
City
State
Zip code
Phone (where you can be contacted)
Age of Complaint Filer
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Race - Select one or more:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Primary language spoken at home - Select one or more:
English
Spanish
Chinese
French
Tagalog
Vietnamese
German
Korean
Other
Total Household Income
0-$20,000
$20,001-60,000
$60,001 - $100,000
$100,001 - $150,000
$150,001+
Housing
Multi-Unit Building (Apartment or Condo)
Single Family Home (House, Mobile Home, Townhome)
Other
Attestation
Can the FCC share your description of your complaint (minus PII) with the public on our website? y/n
Attachments
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kimberly Wild |
| File Modified | 0000-00-00 |
| File Created | 2024-07-20 |