Product Info

Official 406 MHz PLB Registration Form
Fax to: 301-568-8649 or Mail to: SARSAT Beacon Registration
NOAA
E/SP3, RM 3320, FB-4
5200 Auth Road
Suitland, MD 20746-4304
Check the appropriate box:
? New PLB Registration
? Renewal of PLB Decal
? Change of PLB Information or Ownership 1. Enter Unique Identifier Number
(15 digit number provided by PLB manufacturer)
PLB Information:
2. PLB Manufacturer:
3. Model No:
Owner Information:
4. Owners Name (Last, First, Middle Initial):
5. Mailing Address:
City: State/Province: Postal Code:
6. Country:
7. Telephone:
(Home) (Work)
General Use Data:
8. Usage (check one): Land Vehicle Hiking Hunting Fishing
Boating Aircraft Other:
9. Additional Data:
Emergency Contact Information (please indicate someone other than the owner):
10. Name of Primary 24-Hour Emergency Contact:
11. Telephone: (Home) (Work)
12. Alternate 24-Hour Emergency Contact:
13. Telephone: (Home) (Work)
? Check here if this PLB is a replacement for a previously registered PLB.
? Please enter the old PLB unique identifier number:
Signature: Date:
If you have any questions about this form or with PLB registration in general please call 1-888-212-SAVE or 301-457-5678.
For i
nformation on the U.S. Search & Rescue Satellite Aided Tracking system please visit:
www.sarsat.noaa.gov
OMB 0648-0295 / exp. 30 September 2004
When submitting by mail delivery,
please check here if this form was
also faxed to NOAA.