Exhibit A

To be completed by reporting Frequency Advisory Committee Originator Information Incident I.D. Number:_________________________ Date __________________________ ITA 1110 N. Glebe Road, Suite 600 Arlington, VA 22201-5720 Phone: (703) 528-5115         Fax: (703) 524-1074         E-mail: info@ita-relay.com

To be completed by licensee experiencing interference Interference Recipient Information Licensee Contact _____________________________________________________________________________ Licensee Name _____________________________________________________________________________ Address _____________________________________________________________________________ City___________________________ State_______ Zip________________ Phone__________________________ Fax___________________ E-mail_____________________ Service Provider Contact ____________________________________ Phone _____________________ Description and Location of System Affected Call Sign_______________________________ Station Class(es)__________________________________ Emission Designator_____________________ Receiving Frequency(s)_____________________________ Transmitter Address __________________________________________________________________________ Transmitter City/State _________________________________ Coordinates________________________ Equipment Manufacturer __________________________________________________________________________ Interference Identification and Description Date of Interference Commencement____________________ Type of Interference__________________________________________________________________________ Repetition________________________________ Duration_________________________________________

To be completed by licensee experiencing interference, if known Interferer Information Licensee Contact _____________________________________________________________________________ Licensee Name _____________________________________________________________________________ Address _____________________________________________________________________________ City___________________________ State_______ Zip________________ Phone__________________________ Fax___________________ E-mail_____________________ Service Provider Contact _____________________________________ Phone _____________________ Description and Location of Interfering System Call Sign__________________________ Station Class_____________________________ Emission Designator_________________ Transmitting frequency(s)________________________ Transmitter Address __________________________________________________________________________ Transmitter City/State_________________________________Coordinates_____________________________ Equipment Manufacturer ______________________________________________________________________

To be completed by FAC FAC Action Initiated to Resolve Interference Cause of Interference _____________________________________________________________________________ _____________________________________________________________________________ Actions Taken by Licensee _____________________________________________________________________________ _____________________________________________________________________________ Interference Resolution Recommendations _____________________________________________________________________________ _____________________________________________________________________________ Technical Assistance Received _____________________________________________________________________________ _____________________________________________________________________________ Request for FCC Compliance/Enforcement Action FCC Action Recommendation _____________________________________________________________________________ _____________________________________________________________________________ Recipient and Interferer Notification Date _________________________________________________________ Attachments:     Technical Exhibits     Correspondence Exhibits     Mediation Log Exhibit 4/14/98