EAS Form - ETRS Portal

Form One - Identifying and Background Information

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Approved by OMB
3060 - 0207
Estimated time per response: Up to 1 hour

Form One

Start: 2024-08-05 00:00:00 (US/Eastern)
Deadline: 2024-10-04 23:59:59 (US/Eastern)

Form Two

Start: (US/Eastern)
Deadline: (US/Eastern)

Form Three

Start: (US/Eastern)
Deadline: (US/Eastern)

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ETRS10257856

ETRS Test Record

Each EAS Participant should file a separate copy of Form One for each its EAS decoders, EAS encoders, and units combining such decoder and encoder functions.
For example, if you are filing for a broadcaster (or cable headend) that uses two units combining decoder and encoder functions, you should file two copies of Form One. If your EAS Participant shares an EAS encoder/decoder with another EAS Participant, each EAS Participant should file its own copies of Form One for that EAS encoder/decoder.

EAS Participants that pre-populate Form One using a Facility ID number or a Physical System ID number are urged to review their pre-populated data to ensure accuracy. Outdated or inaccurate data fields that cannot be edited in ETRS are populated from the EAS Participant's filings in the Commission's Online Public Inspection File (OPIF). Accordingly, EAS Participants must ensure that their OPIF information is correct for it to appear accurately in ETRS.

Broadcasters can pre-populate Form One by completing the FRN, EAS Participant Type, and Facility ID fields. Cable systems can pre-populate Form One by completing the FRN, EAS Participant Type, and PSID fields.

Please save your form data periodically by clicking the Save Draft button that is located at the bottom of each form. The current session time-out is 30 minutes.

Aquí encontrará información en español para completar el Fomulario Uno (Form One). Aquí encontrará información en español para completar el Formulario Dos (Form Two) y el Formulario Tres (Form Three).

Test Cycle

Participant Information

Select the FRN of the EAS Participant for which you are filing.

FCC Registration Number (FRN)

Having trouble finding your FRN? Please make sure you have associated yourself to the FRN in CORES or Call the CORES Help Line at 1-877-480-3201 (Mon.-Fri. 8 a.m.-6 p.m. ET).

Is your Call Sign missing? Click here to add a new Call Sign

EAS Participant Type

Facility ID

Call Sign

City of License

County of License

State of License

Legal Name of EAS Participant

Owner of EAS Participant

Emergency Alert System

Select a Make and Model and a Software Version to add an encoder/decoder or intermediary device to this form. Once you have finished making your selections, the system will automatically add your entry to the equipment field. If your EAS Participant uses multiple types of equipment, please provide them all.

Make and Model

Software version

Equipment

Make/Model: Sage Alerting Systems - Digital ENDEC Model 3644 | Software Version: Rev95 CR-Rev6
Make/Model: Sage Alerting Systems - Digital ENDEC Model 3644 | Software Version: Other - Rev96 CR-Rev7

EAS Designation

Participating National (PN)

Is your Monitored Source missing? Click here to add a new Monitored Source

First EAS Monitoring Assignment

Second EAS Monitoring Assignment

Are either of these sources monitored pursuant to a Commission waiver?

Are either of these sources monitored pursuant to a Commission waiver? Indicate whether the EAS Participant has been authorized to monitor sources other than those in its state EAS Plan. If these are the sources assigned by your state EAS Plan, select "no."

Other Monitored Sources

You can add additional sources after the first by clicking on the field again. EAS Participants may manually add missing call signs by inputting them into the "Other Monitored Sources"

Does this equipment monitor FEMA IPAWS?

Does this equipment monitor FEMA IPAWS? Pursuant to 47 C.F.R. §§ 11.52(d)(2) and 11.56(a), all EAS equipment is required to regularly poll the Federal Emergency Management Agency's Integrated Public Alert and Warning System (IPAWS) EAS alert distribution channel to detect and acquire Common Alert Protocol (CAP)-formatted alert messages from the IPAWS system.

Primary Language(s) in Service Area

English
Other

Other Primary Language

Transmitter Location

Geographic Zones of Service

Kashunamiut Lower Yukon

Is your Geographic Zone missing? Click here to add a new Geographic Zone

Latitude (NAD83)

Longitude (NAD83)

Enter the latitude and the longitude of your EAS Participant`s antenna that transmits emergency alerts to the public. Latitude and longitude are accepted in Decimal Degrees. If you need to convert your latitude or longitude from Degrees Minutes Seconds or NAD27, click here.

Transmitter City

Transmitter County

Transmitter State

Receiver Location

Please enter the location of the antenna that your EAS Participant uses to monitor for emergency alerts transmitted by other EAS Participants.

Receiver Address Line 1

Receiver Address Line 2

Receiver City

Receiver County

Receiver State

Receiver Zip Code

Filer Contact Information

Filer First Name

Filer Last Name

Filer Phone (Ex: xxx-xxx-xxxx)

Filer Mobile Phone (Ex: xxx-xxx-xxxx)

Filer Email

Filer Alternate Email

Filer Address Line 1

Filer Address Line 2

Filer City

Filer State

Filer Zip Code

Is this person the EAS Participant's Day of Test Contact?

Day-of-Test Contact (DoTC) Information

DoTC First Name

DoTC Last Name

DoTC Phone (Ex: xxx-xxx-xxxx)

DoTC Mobile Phone (Ex: xxx-xxx-xxxx)

DoTC Email

DoTC Alternate Email

DoTC Address Line 1

DoTC Address Line 2

DoTC City

DoTC State

DoTC Zip Code

Other

Notes

For assistance with this form, please contact us at etrs@fcc.gov

By submitting this Form, you certify that the information you have provided on this Form and the attachments is true and accurate. EAS Participants are responsible for the accuracy of the information they file with the Commission, including any data automatically populated into this Form or its attachments from other Commission databases. Failure to ensure the accuracy of information filed with the Commission may result in enforcement action.

I certify the information on this form is true and accurate.

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