Radio Setup Form
Use this form to initiate, modify, or discontinue radio service
Name *
Your answer
Contact Info (phone # or email) *
Your answer
Agency Affiliation *
Your answer
Radio Ownership Info *
Required
Radio Type *
Required
Radio Make & Model *
Your answer
Portable Tier / Control Head Type
Your answer
Radio Serial Number *
Your answer
Desired Action *
Required
Comments
Your answer
Assigned MDC ID (Admin Use Only)
Your answer
Assigned Digital ID (Admin Use Only)
Your answer
Initial & Final Codeplug Version (Admin Use Only)
Your answer
Initial & Final Firmware Version (Admin Use Only)
Your answer
Submit
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