§214 Earth Station STA Application - Instructions
"Enter a description of this application to identify it on the main menu:" Enter here a description of this application that we/IB can use to identify your application.
#1. Applicant section –
Name: Here we would like for you to give us the name of your company or entity. We will use this name on the authorization.
Phone number: Please provide the official phone number of your company or entity.
DBA Name: Here we would like your "Doing Business As" Name IF its different from the "Applicant" Name. If no DBA name, please leave blank.
Fax Number: Please provide the official fax number of your company or entity.
Street:/City:/State:/Country:/Zipcode: Here, use your official address. If you know your 9 digit zip code, please fill in completely. If not, your 5 digit zip code will suffice.
Regarding "Country", please use the drop-down arrow and select your country from the list provided.
[When using drop-downs in IBFS, all you need do is type the first letter of the name of the State or Country to advance through the alphabet to your choices. Repeat the same letter over again until the option you need appears in the box. For example, for the Country of Ireland, you would hit the "I" x times to bring up "Ireland" from the drop-down list. For a country not listed, select "Other:" and type in the box.]
Attention: Please provide the name of a contact person, the one person in your organization, or at the law firm representing you, or the engineering firm representing you, that we can contact regarding information provided in your application. In addition, this contact person is the person who should retain an originally-signed document once this application is completed, and submitted as identified in item 13. See item 13 for further assistance.
Name/Phone Number/Company/Fax Number/Street/E-Mail/City/State/Country/Zipcode:
Please provide the International Bureau with the one person in your organization that we can contact directly should we have to obtain more information about your application, or provide us with an explanation should we have questions about your filing. It can be the same person listed in the "Attention" box in the "Applicant" section above.
As for the "Company" box, provide information if different from the "Applicant" name in Part 1; otherwise, repeat "Company Name" here. Again, if you know your 9 digit zip code, please fill in completely. If not, your 5 digit zip code will suffice. Regarding "Country", please use the drop-down arrow and select your country from the list provided.
Contact Title: Please provide us with the contact person’s official title within your organization.
Relationship: Please use the drop-down button and select from the choices provided. The option "Same" means ‘Same as the Applicant Name’ in Part 1 of this form.
#3. Reference File Number: This is the file number of the pending Earth Station application. Repeat here.
#4a. Is a fee submitted with this application? If yes, check the radio button and complete and attach FCC form 159 as requested. If no, check the appropriate radio button. If your not sure if you qualify for fee exempt status, see 47 U.S.C. § 1.1114.
#4b. Fee Classification: Use drop-down arrow and select the appropriate type of station/service from the 5 options provided.
#5. Type Request: Select the appropriate radio button. Use Attachment #1 to explain the option "other". A narrative form of explanation is preferred.
#6. Requested Use Prior Date: This means please provide the date you would like to commence operation of the station prior to grant.
#7. City: Please provide the name of the city where the station is located.
#8. Latitude (dd /mm/ss.s/h): please provide coordinates accordingly.
#9. State: Please provide the name of the state where the station is located.
#10. Longitude (dd/mm/ss.s/h): please provide coordinates accordingly.
#11.1. Attachment 1. Please use this attachment to explain the option "other" in item #5. Leave blank if you have selected either of the other two options in that item.
#11.2. Attachment 2. If you need to submit additional material in support of your STA, please use Attachment 2 for any information you feel we need to know to aid us in processing this STA application. For example, additional information from item 12 can be attached here. Please identify it as such.
#11.3. Attachment 3. Please use Attachment 3 for any information you feel we need to know to aid us in processing this STA application that this is NOT covered in any other part of this request (i.e., exhibits, statements, etc.).
#12. Description: Please use this item to describe why you are requesting a STA. If more space is needed, use Attachment 2 (if necessary).
#13. Type IN (instead of Typed) Name of Person Signing
#14. Title of Person Signing: Please remember to obtain an original signature that matches the name typed in this block, and keep a copy of it in your files for future reference. An original signature should be readily obtainable from the person who’s name is provide in the "ATTENTION" block in the Applicant Section at the beginning of this application.
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).
A signed certification is required to be attached to this STA which complies with §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §852a . If you fail to provide this certification, it will delay grant of your STA. Please use attachments 2 or 3 to attach this certification.
Last step: Please review your STA application one last time, and then Save/Validate NOW.
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