Instructions for completing
TCB application form
Grantee Code:
The data in these fields correspond to the information in the FCC's records
for the assigned Applicant (Grantee) Code

Equipment Product Code:
The Equipment Product Code (EPC) may not exceed 14 characters. The EPC may
consist of any combination of capital letters, Arabic numerals, and the hyphen
or dash (-). To expedite entry of the FCC ID into the FCC's database, it is
requested that applicants select an EPC that has at least the number of
characters that will adequately identify the equipment in this application.
Example: family, series or system numbers or names .
Request for Confidentiality:
If this item is answered "Yes" a fee is required for the "Request for
Confidentiality" and for the requested equipment authorization. The written
request for confidentiality must include a justification consistent with the
requirements in 47 CFR Section 0.459(a) & (b). The confidentiality request
must (1) specifically identify the material to be held confidential (See 47
CFR Section 0.457(d)), and (2) the material to be held confidential, along
with a copy of the request, must be specifically annotated as separate file
in the Exhibits portion of this application.

Request to Defer Grant:
If this item is answered "Yes" the applicant must advise the FCC as to the
date the application is to be granted. The equipment may not be legally
marketed in the USA until the grant has been issued. See 47 CFR Section 2.803
and Section 2.915(c) of the rules.
 
Equipment Code:


Code				Description
8CC		Part 18 Consumer Device
AMP		Amplifier
CAT		Cable Access Transceiver
CRR		Part 15, Superregenerative Receiver
CSR		Part 15, Scanning Receiver
CST		Part 15, Cable System Terminal Device
CXX		Part 15, Communications Rcvr for used w/ licensed Tx and CBs
CYY		Part 15, Communications Receiver used w/ Pt 15 Tx
DCD		Part 15, low power Tx below 1.705 MHz
DSC		Part 15, Security/Remote Control Transmitter
DSR		Part 15, Remote Control/Security Device Transceiver
DSS		Part 15, Spread Spectrum Transmitter
DXC		Part 15, Low Power Transceiver, Rx Certified
DXT		Part 15, Low Power Transceiver, Rx Verified
DXX		Part 15, Low Power Communication Device Transmitter
EAD		Part 11, Emergency Alert Devices
EAV		Part 15, Automatic Vehicle Identification System
ETB		Part 15, Cordless Telephone Base Transceiver
ETR		Part 15, Cordless Telephone Remote Transceiver
ETS		Part 15, Cordless Telephone System
FAP		Part 15, Anti-Pilferage Device
FDS		Part 15, Field Disturbance Sensor
FRB		Part 95, Family Radio Base Transmitter
FRE		Part 95, Family Radio Ear Held Transmitter
FRF		Part 95, Family Radio Face Held Transmitter
FRT		Part 95, Family Radio Body Worn Transmitter
GAT		Part 15, Auditory Assistance Device (Transmitter)
HID		Part 15, TV Interface Device
JBC		Part 15, Class B Computing Device/Personal Computer
JBP		Part 15, Class B Computing Device Peripheral
LMS		Part 90, Location & Monitoring Transmitter
NII		Part 15, Unlicensed National Information Infrastructure Tx
PCB		Part 24, Licensed Base Station
PCE		Part 24, Licensed Portable transmitter held to ear
PCF		Part 24, Licensed Portable transmitter held to face
PCT		Part 24, Licensed Portable Transmitter worn on body
PCR		Part 15, Communications Receiver
PUB		Part 15, Unlicensed PCS Base Station
PUE		Part 15, Unlicensed PCS portable Tx  held to ear
PUF		Part 15, Unlicensed PCS portable Tx held to face
PUT		Part 15, Unlicensed PCS portable Tx worn on body
TBC		Part 73, or 74 Licensed Broadcast Station Transmitter
TBE		Part 73 or 74, Broadcast Transmitter Held to Ear
TNB		Licensed Non-Broadcast Base Station Transmitter
TNE		Licensed Non-Broadcast Transmitter Held to Ear
TNF		Licensed Non-Broadcast Transmitter Held to Face
TNT		Licensed Non-Broadcast Transmitter Worn on Body
UWB		Part 15, Ultra Wideband (Carrier-Free, Impulse) Transmitter
Purpose of Application:

Box 1 - Check only for new equipment that has not been previously authorized
by the FCC.

Box 2 - Check only if the FCC ID has been changed. (If an application is
pending with the FCC under the same FCC ID in Item 3, and the applicant wishes
to file additional information, contact the Equipment Authorization Branch at
the address at the bottom of this document for instructions on submitting
amendments to pending applications. Alternatively, an amendment may be
submitted via the Internet at the OET Electronic Filing Page under the option,
Submit Amendments to a Pending Application.)

Box 3 - Check only if the equipment listed in the application has been
previously authorized by the FCC. Do not check if the FCC ID has been changed
as a result of modification of the equipment.
Equipment Specifications:

a. Frequency Range: Show the frequency/frequency range in megahertz (MHz).
Example: If the frequency is 325 kilohertz (kHz), convert it to .325
megahertz.

b. Rated RF power output in watts: This item applies to transmitting
equipment that is subject to Type Acceptance, Notification and Certification
(e.g., Part 15 spread spectrum transmitters).

c-d. Frequency Tolerance and Emission Designator
These items apply only to equipment that is subject to Type Acceptance, or is
transmitting equipment that is subject to Notification.

Microprocessor model number
This item applies to digital devices that are subject to Certification under Part 15 of the Rules (personal computers and personal computer peripherals).
Composite Device:

(1) a CB transceiver that (a) requires assignment of the same FCC ID; (b) is
subject to both Type Acceptance and Certification; and (c) requires two Form 731 filings (one for Type Acceptance and one for Certification), accompanied by required documentation (including a fee for both Type Acceptance and
Certification).

(2) a Part 15 transceiver that (a) contains a transmitter and a
superregenerative receiver; (b) requires assignment of the same FCC ID; (c)is subject to Certification under both Subparts B and C of Part 15; and (d) requires a fee for both the transmitter and the receiver portion of the device.

Applications for composite devices must be filed at the same time. The FCC
will not issue Grant(s) of Equipment Authorization until all required
applications are filed, appropriate fees paid, and all requirements for grant
are met.
Multiple device authorization:

An example of a system where both devices require an equipment authorization
is an auto security alarm system that:

(a) consists of a transmitter and superregenerative or superheterodyne
receiver; (b) requires a different FCC ID to be assigned for each component of
the system; and (c) requires two Form 731 filings (one for the transmitter
and one for the receiver), accompanied by all required documentation
(including a fee for the transmitter and a fee for the receiver).

Application(s) for the component(s) must be filed at the same time if the
related receiver or transmitter that operates, or is marketed as part of a
system, has not been authorized by the FCC. The FCC will not issue Grant(s) of
Equipment Authorization until all required applications are filed,
appropriate fees paid, and all requirements for grant are met.
Additional type of equipment authorization required:

If you are uncertain as to the type of equipment authorization that you should request, contact the Equipment Authorization Branch at the address listed at the bottom of this document for assistance. An incorrect identification of the
type of equipment authorization requested may require return of the
application for insufficient fee payment.
Test Firm:

Enter the full or partial name of the test firm and select from the pull down list. (Test firms that perform compliance testing of equipment which is subject to Certification or Notification under Part 15, or Certification under Part 18 of the rules, must file a description of their measurement facility, pursuant to 47 CFR Section 2.948.) A list of independent contract test firms that have filed a site description is available via the Internet at the OET Electronic Filing Page under the option Test Firm Report.
SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION (ADAC)

In order to be eligible for a Grant, all applicants must respond to the
Applicant/Agent Certification. Failure to respond will result in this
application not being accepted for filing.

APPLICATION/AGENT CERTIFICATION

The application must be dated, and bear the original signature of either an
officer of the applicant, a designated employee of the applicant located at
the applicant's address, or an authorized agent. A signature includes any
symbol executed or adopted by the applicant with the intent that such symbol
be a signature, including symbols formed by computer-generated electronic
impulses.
The agent information section must be completed if an agent signs the
application on behalf of the applicant.
Document No: CCSUC4101. Rev. A