Fcc Form 475b - Federal Communications Commission Washington printable pdf download

Fcc Form 475b - Federal Communications Commission Washington

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3060-0874

Estimated time per response: 15 minutes

Federal Communications Commission

Washington, DC 20554

FCC Form 475B

Obscene, Profane, and/or Indecent Material Complaint Form

Consumer’s Information:

*Name:

*Address:

E-Mail Address:

Daytime Telephone Number:

To speed the processing of your complaint, please provide as much as possible of the

information marked below with an asterisk (*). This information is not required but

providing it should eliminate our need to contact you for more information.

Information not marked with an asterisk (*), if available, is also helpful. By

including as much detail as possible, we will be able to act more quickly on your

complaint.

*(1) Date of Program: ________________

*(2) Time of Program: _______________

(3) Network: ______________________

*(4) Call Sign, Channel OR Frequency of the station on which you viewed/heard the

material: ___________________

*(5) City and State Where Program was Viewed: __________________

(6) Name of Program or DJ/Personality/Song/Film:__________________________

*Please include below as many details as possible in order to help the FCC determine

whether the material was obscene, profane, or indecent (such as specific words, language,

images, etc.):

Fcc Form 475b - Federal Communications Commission Washington