AEROSPACE & FLIGHT TEST RADIO COORDINATING COUNCIL
P.O. Box 12822, Wichita, Kansas 67277-2822
Telephone: (316) 946-8826 Fax: (316) 946-3376

APPLICATION FOR FREQUENCY RECOMMENDATION AVIATION FLIGHT TEST HF/VHF	For AFTRCC Use: Received: _____ / _____ / _____
NOTE: PROPRIETARY DATA/CLASSIFIED INFORMATION SHOULD NOT BE SUBMITTED.
1. Applicant Information
Name of Applicant (FCC Licensee)
Address
City	State	Zip Code
Optional Additional Address
Point of Contact (Responsible for Application)	Phone	email
2. Application Type	New Station	3. Type of Station	Fixed Station
*Enter Call Sign in Parens	Renewal (* )	*Only one per Application	Mobile
Modification (* )	Aircraft
Reinstate (* )	Itinerant
For modifications, provide information about changes here:
STATION INFORMATION (FILL IN ONLY ONE OF THE NEXT FOUR SECTIONS PER APPLICATION)
4. Fixed Station
(a) Name of Landing Area (if any)
(b) Address/Location of Transmitter
SITE INFO	(c) Latitude	(d) Longitude	(e) Site Elev. above MSL	(f) Transmit Power
ANTENNA INFO	(g) Ant Ht Above Site Elev.	(h) Antenna Directivity	(i) Antenna Gain
5. Mobile Station**
(a) Number of Mobiles	(b) Call Sign of Associated Fixed Station	(c) MIRAD around Fixed Station/Site
(d) Location of Fixed Station/Site
**Mobiles must communicate with another licensed radio station in the Aviation Service. If the Fixed Station License is being applied for at the same time, put NEW in (b). If there is no Associated Ground Station, leave (b) blank, and use (c) and (d) to indicate the MIRAD and geographic location of the Site. It is understood the Mobile Station(s) will communicate with Aircraft Stations, and will not be used outside that MIRAD.
6. Itinerant Station
(a) Number of Units	(b) Area of Operation

7. Aircraft Station
(a) No. of Aircraft	(b) Area of Operation
8. Frequency Selection: Based on Applicant Eligibility, select frequencies from these three lists. Coordinators will consider those selections when issuing the Recommendation, but may need to amend selections based on the intended area of use and potential for interference with other users within that area. FCC Rules now permit licensing and operational use of 8.33 kHz centered frequencies for flight testing. Currently, there are unlicensed/unused 8.33 kHz frequencies available in most geographic areas of the U.S. If you are interested in 8.33 kHz spaced frequencies, please contact the AFTRCC VHF Coordinator for more information prior to submission of Form 87-2.
(a) These frequencies are available for assignment to Flight Test Land and Aircraft Stations:
3281 KHz	123.175 MHz*	123.200 MHz	123.225 MHz**	123.375 MHz**
123.400 MHz*	123.450 MHz
(b) These additional frequencies are available for assignment only to Flight Test Stations of Aircraft Manufacturers:
123.125 MHz*	123.150 MHz*	123.250 MHz**	123.275 MHz**	123.325 MHz**
123.350 MHz**	123.425 MHz**	123.475 MHz**	123.525 MHz**	123.550 MHz**
123.575 MHz*
These (carrier) frequencies are available for equipment test, emergency backup use with aircraft beyond the range of VHF propagation. Either H2B, J3E, J7B, or J9W emission may be used.
2851.0 kHz	3004.0 kHz	3443.0 kHz	5451.0 kHz	5469.0 kHz
5571.0 kHz	6550.0 kHz	8822.0 kHz	10045.0 kHz	11288.0 kHz
11306.0 kHz	13312.0 kHz	17964.0 kHz	21931.0 kHz
* This frequency available only to itinerant stations. ** Mobile station operations on these frequencies are limited to an area within 200 miles of the associated flight test land station.
9. Remarks, Justification, and Description of Proposed Flight Test Operations (use additional sheets if necessary).
10. Eligibility. In accordance with CFR 47, Part 87, Subpart J, the Applicant must be eligible under one of the following criteria. Check the one that applies:
Manufacturers of aircraft or major aircraft components.
A parent corporation or its subsidiary if either corporation or its subsidiary is a manufacturer of aircraft or major aircraft components.
Educational institutions and persons primarily engaged in the design, development, modification and flight test evaluation of aircraft or major aircraft components.
11. Interference. Provide the name of an individual who may be contacted should interference occur or scheduling become necessary.
Name	Phone	Fax

12. AFTRCC COORDINATION TERMS AND CONDITIONS
All requests for frequency coordination by Aerospace & Flight Test Radio Council ("AFTRCC") are subject to the following terms and conditions:
AFTRCC provides recommendations to the Federal Communications Commission ("FCC") for non-Government use of flight test voice frequencies. AFTRCC's role is strictly advisory; in all cases the FCC makes the decision whether to issue a license.
Applicants are advised that no representations or warranties, express or implied, are made as to the interference-free nature of any given frequency or frequencies which AFTRCC coordinates, or as to whether any given frequency recommendation is best suited for the Applicant's purposes.
Applicants should also be aware that frequencies coordinated by AFTRCC are shared with other users; no one user is entitled to exclusive use of a frequency in any given area. Multiple users may be, and often are, licensed or have government assignments for use of the same frequencies. Hence, notwithstanding FCC issuance of a license to the Applicant, transmission on any given frequency may be subject to day-to-day, hour-by-hour scheduling with Government Area Frequency Coordinators ("AFCs") or other agencies.
In return for AFTRCC’s processing of the Applicant’s request, the Applicant agrees to release and hold harmless AFTRCC, its officers, directors, agents, representatives, and member companies (and their respective officers, directors, employees, owners, and agents) from and against any and all claims, losses, liabilities, damages or expenses which may arise now or in the future as a result of the Applicant’s acceptance of AFTRCC’s recommendation, or its use of the recommended frequency(ies).
By the signature of its duly authorized official below, the applicant accepts and acknowledges these limitations and conditions.
Information supplied in support of this coordination request is part of the FCC application process. Accordingly, this information is considered public record material.

Signature:
Print Name:
Title:
Date: