Checkride Registration - Seth Lake, DPE
Should be completed and submitted at least 24 hours prior to the requested checkride
Requested Date and Time
Applicant Phone Number
Applicant Certificate Number
Applicant Email Address
Use the email address associated with your
account. If you don't have a current account there, go create one before the checkride.
Recommending Instructor Name
First and last name only
Recommending Instructor Phone Number
Recommending Instructor Certificate Number
Private Pilot, ASEL
Private Pilot, AMEL
Commercial Pilot, ASEL
Commercial Pilot, AMEL
Airline Transport Pilot, AMEL
Instrument Rating, Airplane
Add-on Pilot Rating
Administrative Action; SIC type, SOE removal, CFI renewal
Retest after a Disapproval
Retest after a Discontinuance
CFI - Initial
CFI - Added Instrument Rating
CFI - Multi Engine Add-on
ATP - Multi Engine
Aircraft Make and Model
Is this a retest?
The following required documents MUST be available when we meet
* Current Pilot Certificate
* Photo ID* Medical Certificate/BasicMed Documentation
* Knowledge Test (if applicable)
* Log book / Flight Record
* Instructor Endorsements (in accordance with AC 61.65(X))
* IACRA Completed and Signed by your Instructor
* Your user name and password for IACRA.
Practical Test Checklist
Send me a copy of my responses.
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