Air Force Form 1181 PDF Details

The Air Force is responsible for many vital operations and tasks, one of which is the management and maintenance of its fleet of aircraft. To help with this, the Air Force uses a form known as AF Form 1181. This form is used to document all aspects of an aircraft's life cycle, from acquisition through disposal. In order to ensure that aircraft are operated safely and efficiently, it is important that all personnel involved in the process are familiar with AF Form 1181.

QuestionAnswer
Form NameAir Force Form 1181
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1181 form, 1181 permanent maintained pdf, us air force application form, 1181 permanent record

Form Preview Example

AIR FORCE YOUTH FLIGHT PROGRAM PATRON REGISTRATION

PRIVACY ACT STATEMENT

AUTHORITY: 10 USC 8013; 44 USC 3101; EO 9397

PRINCIPAL PURPOSES: To provide Youth Flight Programs with authorization for medical treatment in emergency situations; authorization for field trips; identify children and sponsor, record required immunizations; record known allergies; record income data; record special needs requirements; and record special instructions.

ROUTINE USES: Form may be furnished to civilian doctors or hospitals in course of obtaining emergency medical attention for children. Information furnished may be disclosed, upon request, to other Federal, state or local governmental agencies in the pursuit of their official duties. Finally, it may be used for other lawful purposes including law enforcement and litigation.

DISCLOSURE IS VOLUNTARY: Failure to furnish information, including SSN, will result in denial of admission of child(ren) to Youth Flight Programs. SSN is used for positive identification of individuals and records.

CHILD'S NAME

HOME PHONE

ADDRESS

MARITAL STATUS

SPONSOR (Last, First, Middle Initial)

SPOUSE (Last, First, Middle Initial)

 

 

RANK/GRADE

RANK/GRADE

 

 

DUTY PHONE

DUTY PHONE

 

 

ORGANIZATION

EMERGENCY CONTACT

 

 

SPONSOR'S SSN

SPOUSE'S SSN

 

 

FEES

DEROS/ID EXPIRES

BRANCH OF SERVICE

EMERGENCY PHONE

HOSPITAL PHONE

PHYSICIAN'S NAME

VACCINE /

 

2

4

6

12

15

18

4-6

11-12

14-16

SEX

MALE

DATE OF BIRTH (Day, Month, Year)

BIRTH

 

 

DATE RECEIVED

MOS

MOS

MOS

MOS

MOS

MOS

YRS

YRS

YRS

(X One)

FEMALE

 

 

 

 

 

 

Hepatitis B

 

 

 

 

 

 

 

 

 

 

I authorize emergency treatment for the children

 

 

 

 

 

 

 

 

 

 

named hereon:

 

1st

 

Hep B-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd

 

 

Hep B-2

 

 

Hep B-3

 

 

Hep B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diphtheria-Tetanus,

 

 

 

 

 

 

 

 

 

 

SIGNATURE

DATE

Pertussis

 

 

 

 

 

 

 

 

 

 

1st

 

 

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DTP

 

 

 

 

3rd

 

DTP

DTP DTIP

DTP

Td

 

SPECIAL INSTRUCTIONS

 

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

4th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DTAP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5th

6th

H.Influenzane type b

1st

2nd

3rd

 

Hib

Hib

Hib

Hib

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Polio

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL NEEDS CARE /CHRONIC ILLNESSES /ALLERGIES

1st

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPV OPV

 

 

 

 

 

 

 

 

 

 

OPV

 

3rd

 

 

 

 

OPV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Measles, Mumps,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rubella

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

 

 

 

 

 

 

 

 

 

 

 

 

 

MMR

 

 

 

 

 

MMR OR MMR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Varicella

Zoster

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Virus Vaccine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VZV

 

 

 

 

 

 

VZV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER IMMUNIZATIONS AS REQUIRED:

 

 

 

NAMES OF ADDITIONAL CHILDREN

ADULTS AUTHORIZED TO SIGN CHILDREN IN / OUT

 

 

 

ENROLLED IN PROGRAM:

VACCINE TYPE:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VACCINE TYPE:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VACCINE TYPE:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VACCINE TYPE:

 

 

 

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTHORIZATION FOR FIELD TRIPS

FAMILY INCOME (Adjusted

gross--most

recent 1040):

 

 

 

 

 

 

 

 

 

 

PROVIDE ONLY IF REDUCED FEES ARE REQUESTED.

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

SINGLE / DUAL INCOME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Circle One)

 

 

 

 

 

 

 

 

 

IT IS THE RESPONSIBILITY OF EACH SPONSOR TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENSURE IMMUNIZATIONS AND EMERGENCY

PARENT SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION IS UP TO DATE. FAILURE TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UPDATE MAY RESULT IN REFUSAL OF SERVICE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AF FORM 1181, 19960501 (EF-V3)

PREVIOUS EDITION IS OBSOLETE.

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1181 permanent maintained pdf conclusion process clarified (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Polio, th Measles Mumps Rubella st, nd Varicella Zoster Virus Vaccine, SPECIAL NEEDS CARE CHRONIC, OPV, OPV, OPV, OPV, MMR, MMR OR MMR, VZV, VZV, OTHER IMMUNIZATIONS AS REQUIRED, NAMES OF ADDITIONAL CHILDREN, and ADULTS AUTHORIZED TO SIGN CHILDREN with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

VZV, OTHER IMMUNIZATIONS AS REQUIRED, and OPV of 1181 permanent maintained pdf

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