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FORM 1 PREP SHEET

Below is a list of the information you will need to complete Form One. Please use this sheet to help gather the 

necessary Form One information before you sit down to file the form. If you have filed Form One in previous 

years, much of this information will be pre-populated once you complete the FRN, Facility ID, and/or 

Physical System ID fields.

Each EAS Participant should file a separate copy of Form One for each its EAS encoder/decoders. For 

example, if you are filing for a broadcaster (or cable headend) that uses two EAS encoder/decoders, you 

should file two copies of Form One. If your EAS Participant shares an EAS encoder/decoder with another 

EAS Participant, each EAS Participant should file its own copies of Form One for that EAS encoder/decoder.

• FCC Registration Number (FRN)

• EAS Participant Type

Select from Radio Broadcaster, Television Broadcaster, Cable System, Wireless Cable System, Cable 

Reseller, Direct Broadcast Satellite, Satellite Digital Audio Radio Service, IPTV Provider, Wireline Video 

System, Other.

• Facility ID 

For broadcasters.

• Call Sign 

For broadcasters.

• Physical System ID 

For cable, IPTV, and wireline video providers.

• City of License

• County of License

• State of License

• Legal Name of EAS Participant

This is typically the name of the licensee for which you are filing.

• Owner of EAS Participant

If this EAS Participant is owned by a larger entity, you may provide the entity's name here.

• EAS Equipment Make and Model

If your EAS Participant uses multiple types of equipment, please provide them all.

• EAS Equipment Software Version

If your EAS Participant uses multiple types of equipment, please provide them all.

• Community Unit IDs served by this equipment

For cable, IPTV, and wireline video providers.

• EAS Designation

Please select all applicable EAS Designations for this facility. Most EAS Participants only serve as 

Participating Nationals. Please review your state's EAS Plan to determine whether any additional 

designations apply to your EAS Participant.
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• First EAS Monitoring Assignment

Your EAS Participant's first monitoring assignment can be found in your state's EAS Plan.

• Second EAS Monitoring Assignment

Your EAS Participant's second monitoring assignment can be found in your state's EAS Plan.

• Are either of these sources monitored pursuant to a Commission waiver? Indicate whether the EAS 

Participant has been authorized to monitor sources other than those in its state EAS Plan. If these are the 

sources assigned by your state EAS Plan, select "no." 

• Other Monitored Sources

Your EAS Participant's other monitoring assignments can be found in your state's EAS Plan.

• Does this equipment monitor FEMA IPAWS?

• Primary Language(s) in Service Area Drop down choices or You can add additional languages after the 

first by clicking on the field again.

• Geographic Zones of Service

In your state EAS Plan, you will find that your state is divided into several operational areas. Please enter 

the operational area(s) to which your EAS Participant provides service.

• Transmitter Latitude (NAD83)

Please provide the facility's latitude using the North American Datum of 1983 in decimal format.

Enter the latitude and the longitude of your EAS Participant`s antenna that transmits emergency alerts to 

the public. Latitude and longitude are accepted in Decimal Degrees. If you need to convert your latitude or 

longitude from Degrees Minutes Seconds or NAD27, click here.

• Transmitter Longitude (NAD83)

Please provide the facility's longitude using the North American Datum of 1983 in decimal format.

• Transmitter City

If your EAS Participant's transmitter is not located within a city or other municipality, enter "N/A."

• Transmitter County

• Transmitter State

• Receiver Address Line 1

Please enter the location of the antenna that your EAS Participant uses to monitor for emergency alerts 

transmitted by other EAS Participants.

• Receiver Address Line 2 • Receiver City

• Receiver County • Receiver State

• Receiver Zip Code

• Filer First Name • Filer Last Name

• Filer Phone (Ex: xxx-xxx-xxxx) • Filer Mobile Phone (Ex: xxx-xxx-xxxx)

• Filer Email • Filer Alternate Email
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• Filer Address Line 1 • Filer Address Line 2

• Filer City • Filer Zip Code

• Is this person the EAS Participant's Day of Test 

Contact?

• Day-of-Test Contact (DoTC) First Name • DoTC Last Name

• DoTC Phone (Ex: xxx-xxx-xxxx) • DoTC Mobile Phone (Ex: xxx-xxxxxxx)

• DoTC Email • DoTC Alternate Email

• DoTC Address Line 1 • DoTC Address Line 2

• DoTC City • DoTC State

• DoTC Zip Code