Arizona Repeater Association, Inc
P. O. Box 35758, Phoenix, Arizona 85069-5758


Arizona Repeater Association, Inc

Report Form


Interference Date:
Interference Time:
Minutes of Length:
Audio Recorded Minutes Available:  
Repeater Site:
Output Frequency:
Input Frequency:

Strength of Interferer on Repeater Input Frequency:

Type of Interference (carrier, music, etc):

Call Signs using the Repeater during the interference:

Detailed Description of Interference:

Your Location when you heard the Interference (home or mobile):

Describe the Antenna and Receiver used when you heard the Interference:

Heading toward the interference heard on the Repeater Input Frequency:

Details of the method used to obtain the Heading:

Your Comments and Suspicions:

Your Name:
Your Call:   Phone:     ie: 480 312-5000