AIRCRAFT INFORMATION
Please complete this form for the aircraft you will use for the practical test. If your aircraft is not airworthy due to obvious reasons on the day of the practical test, we will not conduct the test and you will be charged $200 for a logbook audit plus any travel fees.
Sign in to Google to save your progress. Learn more
Applicant's Name
Type of Aircraft (Be as specific as possible i.e. C-172E) and Registration Number
Does your aircraft has its Airworthiness Certificate in it?
Clear selection
What is the expiration date of your aircraft registration certificate. Your registration must be in the aircraft!
MM
/
DD
/
YYYY
Date of last Annual Inspection
MM
/
DD
/
YYYY
Hours remaining until next 100 Hour inspection (if required)
How will you show that all Airworthiness Directives have been complied with?
Date of last ELT Inspection (if installed)
MM
/
DD
/
YYYY
ELT battery expiration date (if installed)
MM
/
DD
/
YYYY
Date of last Transponder Inspection
MM
/
DD
/
YYYY
Date of last Pitot Static Inspection (if required)
MM
/
DD
/
YYYY
GPS database expiration date if required
MM
/
DD
/
YYYY
Date of last VOR check (if required)
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms