Who uses the Eligible Facilities Request Checklist?

Applicants seeking Section 6409 approval for proposed equipment changes at an existing wireless tower or base station use this checklist and provide supporting materials.

What materials must accompany the checklist?

The checklist calls for items including owner authorization, a project description, an RF compliance report, existing facility approvals, photos and simulations, and development plans.

Do I need a notary for the Eligible Facilities Request Checklist?

No. This document is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.

Antioch, CA · Contra Costa County

No notary required

Eligible Facilities Request Checklist

This checklist helps wireless project applicants seeking an eligible facilities approval identify required application materials and assess FCC Rule 6409 criteria.

What this form is

Use this checklist when requesting approval to collocate, replace, or remove transmission equipment at an existing wireless tower or base station under Section 6409. It lists required submittal materials and asks applicants to assess project details, including facility type, proposed changes, concealment, and prior approval conditions. Applicants answer the FCC Rule 6409 questions and provide supporting documentation where indicated.

Who needs it

Applicants seeking Section 6409 approval for wireless equipment changes at an existing tower or base station should use this checklist.

How to submit it

Submit the application and supporting materials through the EnerGov/EPL City of Antioch Civic Access Portal. Wireless applications are accepted Monday through Wednesday before 3 p.m. Pacific Time on working days.

About notarization

This document is signed and dated without a notary; the checklist does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Checklist
Download the Eligible Facilities Request Checklist for your wireless equipment project.
2
Complete The Checklist
Answer the FCC Rule 6409 questions and sign and date the applicant section.
3
Gather Required Materials
Prepare the listed supporting items, including owner authorization, project description, RF report, photos, and development plans.
4
Submit To The City
Upload the application and materials through the EnerGov/EPL City of Antioch Civic Access Portal.

Frequently asked questions

Who uses the Eligible Facilities Request Checklist?: Applicants seeking Section 6409 approval for proposed equipment changes at an existing wireless tower or base station use this checklist and provide supporting materials.
How do I submit the eligible facilities request?: Submit the application and materials through the EnerGov/EPL City of Antioch Civic Access Portal. Wireless applications are accepted Monday through Wednesday before 3 p.m. Pacific Time on working days.
What materials must accompany the checklist?: The checklist calls for items including owner authorization, a project description, an RF compliance report, existing facility approvals, photos and simulations, and development plans.
Do I need a notary for the Eligible Facilities Request Checklist?: No. This document is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.

Need something notarized?

This Eligible Facilities Request Checklist doesn’t need a notary — but if you have another Antioch form that does, a commissioned online notary can help.