Request edit access
Checkride Confirmation Form
Please submit this form at least 2 weeks before your checkride. Thao will email the completed form to the FAA Designated Pilot Examiner (DPE) to upload your information into the FAA system. A few days before the checkride, you will receive an email with instructions about your checkride.
Sign in to Google to save your progress. Learn more
Email *
Checkride date and time
*
MM
/
DD
/
YYYY
Time
:
Checkride location *
Checkride type
*
Is this a retest?
*
Flight School Location
*
Aircraft Make, Model, Tail Number
*
Applicant's Full Name (Please verify that your name is identical on all documents: Photo ID, Pilot Certificate, Medical Certificate, and IACRA Application)
*
Applicant's Pilot Certificate Type
*
Applicant's Pilot Certificate Number
*
Applicant's FTN Number
*
Applicant's IACRA Application Number
*
Applicant's Phone Number
*
Applicant's Email
*
Applicant's Total Flight Time
*
Applicant's Instrument Time
*
Recommending CFI's Full Name
*
Recommending CFI's Certificate Number
*
Recommending CFI's Expiration or Renewal Date
*
MM
/
DD
/
YYYY
Recommending CFI's Phone Number
*
Recommending CFI's Email
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of aerodynamicaviation.biz.

Does this form look suspicious? Report