ACR Electronics 406 EPIRB, NOAA User Manual

Save Time! Register your beacon online at: www.beaconregistration.noaa.gov

Official 406 MHz BEACON Registration Form

Mail or Fax to: NOAA/SARSAT E/SP3, Room 3320, FB-4, 5200 Auth Road, Suitland, MD 20746-4304

EPIRB Information

Category I (Automatic Deployment)

Category II (Manual Deployment)

Beacon ID (Unique Identifier Number)

(15 digit character ID provided by EPIRB manufacturer)

EPIRB Manufacturer __________________________________

Model No. ________________________________________

Fax No. 301-568-8649

EPIRB Registration

New EPIRB Registration Replacement of EPIRB Decal

Renewal of EPIRB Registration Check here if this EPIRB is a replacement for a previously registered EPIRB.

Change of EPIRB Information or Ownership Please enter the old EPIRB unique ID number ________________________

Owner/Operator Information

Name______________________________________________

(Last, First, Middle Initial)

Mailing Address ______________________________________

___________________________________________________

City _____________________ State/Province _____________

ZIP (Postal) Code __________ Country ___________________

E-mail ______________________________________________

Telephone

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

Home Work

Home Work

Home Work

Home Work

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Vessel Information

Usage

Commercial Non-commercial
Government Military Government Non-military

Type

Sail: Number of Masts ____________________

Power: Fishing Tug Cargo Tanker Pleasure Craft

Other ____________________

Non-power: Life Boat Life Raft Other__________________

Vessel Name _____________________________________

Vessel Color______________________________________
Survival Craft(s) on Vessel

Is your EPIRB equipped with a Simplified Voyage
Data Recorder (SVDR)?

Life Boat

Yes No

____________________

Life Raft

____________________

No. ofNo. of

Radio Equipment (Check all that apply)

VHF MF HF SSB Other __________________

Vessel Telephone Numbers

Radio Call Sign ___________ INMARSAT _____________

Cellular ________________ MMSI Number ____________

Federal or State Registration Number ________________

Length Overall (ft) ____________Capacity _____________

Crew and Passengers

Homeport ________________________________________

Marina/Dock

________________________ ________________________

City State

Additional Data ___________________________________

_________________________________________________

Emergency Contact Information (Please indicate someone other than the owner)

Name of Primary 24-Hour Emergency Contact: Name of Alternate 24-Hour Emergency Contact:

__________________________________________________ ________________________________________________

Telephone

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

Home Work

Home Work

Home Work

Home Work

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Telephone

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

( )_____________________

Area Code

Home Work

Home Work

Home Work

Home Work

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Cellular Fax Other

Signature __________________________________________ Date ____________________________________________

If you have any questions about this form or with EPIRB 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

A1-20-0947 Rev. F

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

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 20746-4306

for beacon registration. This is a service provided by the U.S. Government.

Or call: 1-888-212-SAVE (7283) or 301-457-5678