Anti-Jamming Enforcement Initiative
Ham Radio Interference and Jamming Report
Information
Use this form to report suspected interference, intentional jamming, malicious transmissions, fake call sign use, or disruptive conduct on amateur radio frequencies.
Reporter Information name optional
First Name
Last Name
would you like to remain anonymous?
Please Select
YES
NO
Email Address (optional)
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
2. Incident Details
State and City
grid square
Date
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Band
160m
80m
40m
20m
17m
15m
12m
10m
VHF
UHF
Mode
Please Select
FM
AM
SSB
CW
DMR
Frequency
3. Operating Situation
Your Call Sine is necessary for report integrity
Your identity will be kept confidential.
Was this during a net?
Please Select
YES
NO
UNSURE
Net Name (optional)
Signal Strength
Please Select
S1-S3 WEEK
S4-S6 MODERATE
S7-S9 STRONG
S9 PLUS
10 over 9
20 over 9
30 plus
Band Conditions
Please Select
NORMAL
NOISY
PORE PROPAGATION
GOOD PROPAGATION
UNKNOWN
4. Suspected Violation
What best describes the problem?
Intentional jamming
Fake call sign used
Obscene or threatening language
Carrier only / dead key
Repeated interference
No call sign given
Music / sound effects / noise
Net disruption
5. Call Sign Information
Did the person use a call sign?
Please Select
YES
NO
UNSURE
Call Sign Heard
Do you believe the call sign was fake?
Please Select
YES
NO
UNSURE
Did you look up the call sign?
Please Select
YES
NO
Lookup result
Example not found,expired or belongs to another operator
6. Additional Details
Short incident summary
Brie
Were there witnesses or other operators monitoring?
Please Select
yes
no
7. Evidence
Do you have supporting evidence?
Please Select
AUDIO RECORDING
VIDEO RECORDING
SCREENSHOTS
LOG ENTRIES
MULTIPLE TYPES
NO EVIDENCE
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photos video Ect
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8. Consent
I certify that this report is truthful to the best of my knowledge. I understand this form is for documentation and referral purposes only and does not guarantee investigation or enforcement action. verify this below you are human and agree
Please verify that you are human
*
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