Form Fcc 383 Draft - Digital Channel Election For Television Broadcast Station: First Round Conflict Decision Page 9
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11DRAFT
FCC 383
Not Approved by OMB
CONFLICT DECISION FORM SCHEDULE A
SCHEDULE FOR NEGOTIATED CONFLICT RESOLUTION AGREEMENT
Licensees/permittees must complete this Schedule if they are involved in a negotiated conflict resolution or
settlement agreement to resolve an interference conflict. The purpose of this Schedule is for licensees/permittees to
provide details concerning their negotiated conflict resolution agreement.
1.
Licensee/permittee has entered into a negotiated conflict resolution agreement with the following
licensee(s)/permittee(s): (provide name(s) and call sign(s) as necessary)
Licensee/Permittee Name:
Licensee/Permittee Name
Call Sign
Facility I.D. No.
a.
b.
c.
d.
e.
f.
g.
Licensee/permittee must provide a copy of the Negotiated Conflict Resolution Agreement and/or
2.
engineering information to the FCC upon request.
FCC Form 383 - Schedule A
(date)
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