*Is the equipment in this application a composite device subject to an additional equipment authorization? Yes No *Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? Yes No If either of the above questions is answered complete the following question: “Yes”, The related application: is pending with the FCC under the FCC ID listed below: has been granted under the FCC ID listed below: is in the process of being filed under the FCC ID below: has a mix of pending and granted statuses under the FCC ID(s) listed below: FCC ID: FCC ID: FCC ID: FCC ID: Test Firm Information Name of the Test Firm and contact person on file with the FCC, if different from applicant or contact person: FCC Registered Test Site Number: Required for Part 15 and 18 applications. Firm Name: First Name: Last Name: Address Line 1: Address Line 2: P.O. Box: City: State: Country (if foreign address): Zip/Postal Code: Telephone: Ext: Fax: No.: E-mail: Section II: Equipment Specifications Equipment Specifications:
*Is the equipment in this application a composite device subject to an additional equipment authorization? Yes No *Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? Yes No If either of the above questions is answered “Yes”, complete the following question: The related application: is pending with the FCC under the FCC ID listed below: has been granted under the FCC ID listed below: is in the process of being filed under the FCC ID below: has a mix of pending and granted statuses under the FCC ID(s) listed below: FCC ID: FCC ID: FCC ID: FCC ID: Test Firm Information Name of the Test Firm and contact person on file with the FCC, if different from applicant or contact person: FCC Registered Test Site Number: Required for Part 15 and 18 applications. Firm Name: First Name: Last Name: Address Line 1: Address Line 2: P.O. Box: City: State: Country (if foreign address): Zip/Postal Code: Telephone: Ext: Fax: No.: E-mail: Section II: Equipment Specifications Equipment Specifications:
fcc_application_r1.8.docx