2. 

   TELLER COUNTY OFFICE OF EMERGENCY MANAGEMENT

   COLORADO

   
   

4. First Name*
5. Last Name*
7. Agency
9. Phone Number*
11. Email Address*
13. Request *

    Please provide detailed information about the radio issue/request and its impact and urgency.

15. Radio Make and Model (If applicable)
17. Channel/Talkgroup/Frequency/Radio Tower (If applicable)
19. Requested Date of Completion
    Requested Date of Completion

    Provide the date on which you would need this radio service completed. 

21. Priority Level*

    1. Critical (Priority 1) - Immediate threat to public safety, security, or life. Examples: Complete system failure or emergency situation in a dead zone.

    1. High (Priority 2) - Significantly impacts the functionality and efficiency of radio systems but do not pose an immediate threat to life or safety. Examples: Major system degradation affecting mission critical operations or loss of communication in key operational areas.

    1. Medium (Priority 3) - Affects radio service functionality but minimal impact on critical operations. Examples: Non-critical equipment malfunctions or installs.

    1. Low (Priority 4) - Minor issues or requests that do not significantly impact radio services. Examples: Routine maintenance requests and general inquiries.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field