FCC Licensing PTP Information

FCC LICENSE COORDINATION INFORMATION

Please answer all questions as accurately as possible to ensure timely coordination of your license.
LICENSEE INFORMATION
Licensee Name (As it will appear on the license)*
FRN
CORES Password
If your company does not have an FRN (FCC Registration Number), provide EIN (Employer Identification Number) in the notes section below and we can obtain an FRN and CORES password for you.
LICENSEE ADDRESS (as it will appear on license)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CONTACT (for issues concerning application)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CONTROL POINT (point of contact for system operation) *Optional*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NAME OF PERSON SIGNING FORMS*

First NameMiddle NameLast NameSuffix
Signer Title*
OWNERSHIP AND QUALIFICATIONS (CHECK ALL THAT APPLY)

Is licensee U.S. owned and organized as per FCC Alien Qualifications?Does the license applicant meet the FCC's Basic Qualifications?
NOTES FOR COORDINATOR

FCC LICENSE COORDINATION INFORMATION