SECTION 1 – Applicant Information
Organization Name:
Landowner Name:
Mailing Address:
City:	State:	Zip:
Contact Person:
E-mail:	Daytime Phone:
SECTION 2 – Forest Fire Compact Frequency Needs
Number of Radios to be Capable of Accessing the Fire Compact Frequency:
List the names of the radio identifiers of the individuals that will operate on the fire compact frequency:
SECTION 3 – Forest Fire Compact Frequency Guidelines
The Fire Compact Frequency (159.285 MHz) has been adopted by many state forestry agencies as the primary mutual aid radio frequency for forest fire control communications. In Virginia, the Department of Forestry is licensed to use 159.285 MHz on a statewide basis for mobile and portable radios. Cooperating Organizations who desire to use this frequency in order to intercommunicate in forest fire control activities may request permission to operate under the license granted to Department of Forestry. Requests will be considered for mobile and portable operations only. Communications will be limited to forest fire communications. Using the frequency in violation of FCC rules and regulations or in a manner inconsistent with policy of the Department of Forestry will result in revocation of permission to use the frequency. Cooperating organizations will use the call letters KB75902 when using the fire compact frequency.
SECTION 4 – Agreement
I certify, as a representative of the applicant organization, that all Department of Forestry guidelines will be followed for the use of the Forest Fire Compact Frequency.
Authorized Representative Name (Print)	Authorized Representative Title
Authorized Representative Signature	Date
SECTION 5 – VDOF Approval
This application is:	Approved	Denied
State Forester or Designee Name (Print)	State Forester or Designee Signature	Date