Telecommunications & Regulatory Affairs

I-NET LIVE FEED REQUEST

	Requestor Information
	Date of Request	(mm/dd/yyyy)
	* Organization Name
	* Contact Person
	* Phone Number
	Producer

	Facility Information
	* Facility Name
	Location
	Contact Person
	Phone Number

	Technical Information
	Live Feed Requested for:	* Date (mm/dd/yyyy) * Time (hh:mm) AM PM
	Point of Origination
	Channel Assignment
	Routing Information
	Location has:	I-Net service Sub-Net service
	Duration Of Live Feed	(hh:mm:ss)
	Comments