Latitude
Longitude

The FAA flight service station is contacted immediately upon detection of a flashing beacon light failure, or power outage lasting more than a (30) minutes. Do you want your representative to be contacted immediately or during regular business hours at the earliest possible time?

The FAA is not required to be notified of sidelight outages. Do you wish your representative to be notified immediately of a sidelight outage, or during regular business hours at the earliest possible time?

If you wish to be notified immediately, please supply any additional numbers to assist in contacting your representative, (home phone number, cell number, pager number).

Choose one
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Name / Location of Tower Site

Customer ID# (If Applicable)

FCC Tower Registration #

(AGL)Tower Height above ground level

(AMSL) ground elevation level + Tower Height

 

Tower Coordinates

Deg

Minutes

Seconds

 

Deg

Minutes

Seconds

Manufacturer and model number of the tower light controller?

If other list here

Site telephone number with area code.

Name of the nearest public airport (if known).

 

 

Non 800 phone number of flight service station (if known)

The name of your representative (who do you want us to contact in the event of a light outage?

Phone number

Fax

E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Company