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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