Online FCC Form

The information below will be used by the Visiplex FCC Coordinator to apply for an FCC license on your behalf. All of the information provided should reflect the physical location where the system 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 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, so please do not reply to any payment requests. No payments should be made until your 10-year license is up for renewal. Please contact Visiplex before responding to any FCC-related material.