Online FCC Form

The information below will be used by Visiplex to apply for an FCC license on your behalf for your system base station's transmit frequency. All of the information provided should reflect the physical location where the base station will be installed. For questions, you can email coordinator@visiplex.com or call Visiplex and ask to speak with the FCC Coordinator.

Legal Name of Organization *

Assumed Name/DBA

Type of Business

Federal Tax ID Number (EIN) *

Organization Type *

Address of System Location *

City *

State *

Zip Code *

County *

Country

First Name *

Last Name *

Job Title

Email *

Phone *

Visiplex Quote/Order Number

Comments / Additional Information

Signature (Type First & Last Name) *

Note: By submitting this application, you are granting Visiplex the authority to create an FCC Registration Number (FRN) on your behalf and to complete the FCC Notice of Construction on your behalf. These are both required to finalize your license of the base station's transmit frequency with the FCC. Outside companies may send you payment requests to complete this or other FCC-related material for you. However, we will complete these processes at no charge. No payments should be made until your 10-year license is up for renewal. Please contact Visiplex before responding to any FCC-related material.