Arrl Official Observer'S Monthly Report (Fsd-23/194)

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OFFICIAL OBSERVER REPORT/RECORD for month of: ________________ 20_____ OO Call: ________
No information on this form in any way constitutes conclusions or inferences regarding the source of rules violations.
DIRECTIONS: Send the top two copies of this form to your OO Coordinator or SM the first of each month. He will
forward one to HQ. Keep the bottom for your records or a card file equivalent.
Call Sign
Time
Date
Freq
Mode
Observations
Category Code
Remarks
Date
Heard
Category
Sent
1 = Frequency
Instability
2 = Chirp
3 = Spurious
4 = Harmonic
5 = Hum
6 = Key Clicks
7 = Broad Signal
8 = Distorted Audio
9 = Over Deviation
10 = Out of Band
11 = Improper ID
12 = Obscenity,
Indecency
13 = Causing
Interference
14 = Good Operator
Report
15 = Carrier
20 = Misc. (explain)
< TOTAL NUMBER
Approx. number of hours spent monitoring =
I need supplies to continue my OO work!
Please send the
quantity of forms indicated to:
Quantity
Name:
Call
FSD-213 OO Advisory Cards
Address:
FSD-23 OO Monthly
Report/Record
ZIP
FSD-15 Good Operator Cards
FSD-23 (1/04)

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