ACR Electronics ELT, NOAA User manual

Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Beacon ID (Unique Identifier Number)
ELT Information
(15 digit character ID provided by ELT manufacturer)
ELT Manufacturer ________________________________ Model No. ___________________________________________
New ELT Registration Replacement of ELT Decal
Renewal of ELT Registration Check here if this ELT is a replacement for a previously registered ELT.
Change of ELT Information or Ownership Please enter the old ELT unique ID number ______________________
Official 406 MHz ELT Registration Form
Aircraft Information
Emergency Contact Information (Please indicate someone other than the owner)
Name of Primary 24-Hour Emergency Contact: Name of Alternate 24-Hour Emergency Contact:
__________________________________________________ ________________________________________________
If you have any questions about this form or with ELT registration in general, please call 1-888-212-SAVE (7283) or 301-457-5678.
For information on the U.S. Search & Rescue Satellite-Aided Tracking system, please visit: www.sarsat.noaa.gov
OMB 0648-0295/exp. 30 Nov. 2004
Owner/Operator Information
Name______________________________________________
Mailing Address______________________________________
___________________________________________________
City _____________________ State/Province _____________
ZIP (Postal) Code __________ Country ___________________
(Last, First, Middle Initial) E-mail ___________________________________________
Registration (Tail) Number__________________________
Usage
Commercial Non- commercial
Government Military Government Non-military
Type
Single-engine Propeller Single-engine Jet Multi-engine Propeller
Multi-engine Jet Helicopter Other _________________________
Aircraft Manufacturer ______________________________
Model ___________________Color __________________
Seating Capacity _________________________________
Radio Equipment (Check all that apply)
VHF MF HF SSB Other ___________________
Survival Equipment
Deployable _____________________________________
Fixed __________________________________________
Principal Airport _________________________________
________________________ ________________________
Additional Data ___________________________________
________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Home Work Cellular Fax Other
Signature __________________________________________ Date ____________________________________________
Describe and List Quantity
Describe and List Quantity
Save Time! Register your beacon online at: www.beaconregistration.noaa.gov
City State
Mail or Fax to: NOAA/SARSAT E/SP3, Room 3320, FB-4, 5200 Auth Road, Suitland, MD 20746-4304 Fax No. 301-568-8649
ELT Registration
A1-20-1180 Rev. A

Important Notice - Please Read Before Completing Registration
The information you furnish is mandatory and is intended to assist search and rescue teams in locating you or your craft in
the event of beacon activation. The information will be provided to the United States Coast Guard, United States Air Force,
and other Search and Rescue (SAR) teams as appropriate in the event of beacon activation. It will also be used to
conserve SAR resources by helping to eliminate false alert deployments, as an inadvertent activation can be resolved with
a phone call.
Failure to register, re-register, or to notify NOAA of a change in the status for a 406 MHz beacon could result in penalties
and/or fines being issued to the owner. An owner is required to notify NOAA of any changes to the registration
information. Please note, NOAA will complement or update the datebase accordingly when a beacon owner’s registration
expires and credible information is provided from SAR sources. NOAA will also seek information from other databases to
update and/or complement the existing information for a beacon registration. Solicitation of this information is authorized
by Parts 80 and 87, Title 47 of the Code of Federal Regulations (CFR).
There is no charge for beacon registration. This is a service provided by the U.S. Government.
All online registrations will be entered into the National 406 MHz Beacon Registration Database on the same day of entry.
Registration forms received via the postal mail service will be entered into the National 406 MHz Beacon Registration
Database within 2 business days of receipt. For online registrations, a letter with an attached registration information sheet
will be sent immediately via e-mail or fax (if provided), or via postal mail within two weeks. Once your registration
confirmation is received, please review all information. Any changes or updates to your registration information can be
done via the internet, fax, e-mail or postal mail. If you do not receive your registration confirmation from NOAA on the
same day you submit it over the internet or within two weeks if you submit it by postal mail, please call NOAA toll-free at:
1-888-212-SAVE (7283) or 301-457-5678 for assistance.
After initial registration (or re-registration) you will receive a NOAA Proof of Registration Decal by postal mail. It is required
that you affix the registration decal to your beacon. If for some reason you do not receive the registration decal within two
weeks, please call NOAA toll-free at: 1-888-212-SAVE (7283) or 301-457-5678, for assistance. Additional registration
forms can be found on the NOAA SARSAT website at: www.sarsat.noaa.gov or at: www.beaconregistration.noaa.gov.
Although the information provided will become a matter of public record, there is no intent to circulate the data furnished
beyond its intended purpose, i.e., to assist SAR forces in carrying out their mission of rescue assistance and false alert
abatement. Public reporting burden for the collection of this information is estimated to average 15 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden should be sent to:
NOAA/SARSAT
E/SP3, FB4, Room 3320
5200 Auth Rd
Suitland, MD 20746-4304
Or call: 1-888-212-SAVE (7283) or 301-457-5678