Marine Distress Communications Form DO NOT MAILTHIS SHEET TO THEFCC

Instructions: Completethis formnow (except for items 6 through ~)and post nearyour radiotelephone foruse if you are in DISTRESS.
SPEAK: SLOWLY .CLEARLY CALMLY
I. Make sureyour radiotelephoneis on.2. SelecteitherVHF Channel16(156.8MHz) or 2182kHz.
3. Press microphone button and say: "MA YD A Y-MAYD AY-MA YD AY."
4. Say: "THIS IS: "
Your call signj boat name repeated three times.
5. Say: "MA YD.{\ Y "
6. TELL WHERE YOU ARE (Whatnaviga(ionalaidsor landmarks are near?).7. STATE THE NATURE OF YOUR DISTRESS. ..
8. GIVE NUMBER OF PERSONS ABOARD AND CONDITIONS OF ANY INJURED.
9. ESTIMATE PRESENT SEAWORTHINESS OF YOUR BOAT. .
10. BRIEFLY DESCRIBE YOUR BOAT: FEET;
Your Boat Name
Length Type Calor HULL;

TRIM; MASTS;

Calor Number .Anything else you think wi//help rescuers find you.

"I WILL BE LISTENING ON CHANNEL 16/2182."

d I. Say:
Cross out one which does not apply
12. End Message by saying: "THIS IS .OVER"
Your callsignjboat name
13. Release microphone button and listen: Someone should answer.

IF THEY DO NOT, REPEAT CALL, BEGINNING AT ITEM NO. 3 ABOVE.

If there is still no answer, switch to anoth~r channel and begin again.
a
Radiotelephone Reminders
. Post Station license and have operator license,if required, availa.ble.
. Whenever the radio is turned on, keep the receiver tuned to the distress fr.equency (2182 kHz or 156.8 MHz).
. Use2182 kHz and 156.8 MHz for distress, urgency, safety or calling.
.
. Listen before transmitting on,any frequency to avoid interfering with other communications:
. Ifyou hear a MA YDA Y, talk only if you can help. Beprepared to render assistance or relay the distress plessageif necessary.
. Identify bycall sign at the beginning and end ofeach communication.
'. Keep your radio equipment shipshape. Haveit checked periodically by a qualified, licensed technician.
. NotifyFCC ofchangesto mailingaddress, licensee'snameand vesselname.. Falsedistresssignalsare prohibited.
. Radiocommunications are private and divulgence of content without permission is prohibited.
. Don'tuse profaneor indecent language.
FCC Form 506A, Page 2
February 1991
UTVY54000ZC
Printed by UNICqR, Federal PrisonIndustries, Petersburg. Va.