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Marine Distress Communications Form
DO NOT MAILTHIS SHEET TO THE FCC
Instructions: Complete this form now (except for items 6 through ~) and post near your radiotelephone for use ifyou are in DISTRESS.
SPEAK:
SLOWLY
.CLEARLY
CALML Y
I. Makesureyour radiotelephoneison.
2. SelecteitherVHF Channel 16(156.8MHz)or 2182kHz.
3. Press microphone button and say: "MA YD AY-MA YD AY-MA YD AY."
4. Say: "THIS IS:
"
Your call signj boat name repeated three times.
5. Say:
"MA YD.{\ Y
"
6. TELL WHERE YOU ARE (Whatnaviga(ionalaidsor landmarksare near?).
7.
STATE THE NATURE OF YOUR DISTRESS. . .
8. GIVE NUMBER OF PERSONS ABOARD AND CONDITIONS OF ANY INJURED.
9. ESTIMATE PRESENT SEAWORTHINESS OF YOUR BOAT. .
10. BRIEFLY DESCRIBE YOUR BOAT: FEET;
Your Boat Name
Length Type
Calor
HULL;
TRIM; MASTS;
Calor Number . Anything else you think wi//help rescuers find you.
"I WILL BE LISTENING ON CHANNEL 16/2182."
d I. Say:
Cross out one which does not apply
12. End Message by saying:
"THIS IS
. OVER"
Your callsignjboat name
13. Release microphone button and listen: Someone should answer.
IF THEY DO NOT, REPEAT CALL, BEGINNING AT ITEM NO. 3 ABOVE.
If there is still no answer, switch to anoth~r channel and begin again.
a
Radiotelephone Reminders
. Post Station license and have operator license, if required, availa.ble.
. Whenever the radio is turned on, keep the receiver tuned to the distress fr.equency (2182 kHz or 156.8 MHz).
. Use 2182 kHz and 156.8MHz for distress, urgency, safety or calling.
.
. Listen before transmitting on ,any frequency to avoid interfering with other communications:
. If you hear a MA YDA Y, talk only if you can help. Be prepared to render assistance or relay the distress plessage ifnecessary.
. Identify by call sign at the beginning and end of each communication.
'. Keep your radio equipment shipshape. Have it checked periodically by a qualified, licensed technician.
. NotifyFCC ofchangesto mailingaddress,licensee'snameandvesselname.
. Falsedistresssignalsareprohibited.
. Radiocommunications are private and divulgence of content without permission is prohibited.
. Don't useprofaneor indecentlanguage.
FCC Form 506A, Page 2
February 1991
UTVY54000ZC
Printed by UNICqR, Federal Prison Industries, Petersburg. Va.