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Radio Issue Report Form
Harvey County Communications - (316)284-6850
Date
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YYYY
Name
*
First
Last
Unit #
*
Agency
*
Issue Date/Time
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YYYY
HH
:
MM
AM
PM
AM/PM
Location Issue Experienced
Equipment Type
Mobile
Base
Portable
Pager
Mobile radio make/model
Motorola CDM1250
Motorola CDM750
Motorola CM300
Motorola CM200
Motorola M1225
Motorola PM1500
Motorola XTL2500
Icom ICF121S
Icom ICF320S
Icom ICF521
Icom ICF5021
Kenwood TK7180
Kenwood TK7160
Kenwood TK7360
Other
Not Applicable
Portable radio make/model
Motorola HT1250LS+
Motorola HT1250LS
Motorola HT1250
Motorola HT750
Motorola PR1500
Motorola HT1000
Motorola CP200
Motorola XTS2500
Icom ICF14
Icom ICF33
Kenwood TK2160
Kenwood TK2170
Other
Not Applicable
Pager make/model
Minitor V
Nova
Watchdog
Other
Not Applicable
Where was equipment being used?
Outside
Building
Vehicle
If in vehicle, was vehicle in motion at the time of issue?
Yes
No
Describe type of structure or exterior surroundings as applicable.
Who were you trying to talk to at the time of issue? If known, where was he/she?
Radio channel issue on:
Newton PD
County Law
Fire/EMS
OPS 4
OPS 5
OPS 6
OPS 7
Tac 8
Tac 9
VTac
County Utility
Other
If applicable, did the tone trip alert on radio/pager?
Yes
No
If portable radio, was speaker microphone in use?
Yes
No
Describe issue in detail
*
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