CAPF 161 Form – Fill Out and Use This PDF

Updated: Oct 29, 2026

The CAPF 161 form is a crucial document used to record emergency information, including insurance and physician details, emergency contacts, and consent information for minors, within the Civil Air Patrol (CAP) framework. It consolidates personal and medical details necessary for efficient response in emergencies, covering everything from insurance policies to the contact details of a designated emergency contact and the unit commander. Ready to ensure you're prepared for any situation? Click the button below to start filling out your CAPF 161 form.

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CAPF 161 Form PDF Details

The CAPF 161 form is the Civil Air Patrol's standard Emergency Information Form for all active CAP members. The form requires personal identification data (name, grade, CAPID, and charter number), primary insurance details (carrier name, policy number, group code, and co-pay amount), the member's physician name and contact number, and at least one emergency contact with a full address and all phone numbers. For members under 18, a parent or guardian signature in the consent section is required before the member can join CAP activities.

Unit commanders collect and retain a completed CAPF 161 for every cadet and senior member. Members submit a new form annually or when contact or insurance information changes. A copy of the member's insurance card must be attached to the submitted form.

CAPF 160 is another Civil Air Patrol form commonly submitted alongside CAPF 161 during initial member processing. Members who also need a general emergency contact form for other settings will find a free template at FormsPal.

The current CAPF 161 was last revised in June 2013 and is a one-page document.

Question	Answer
Form Name	Capf 161 Form
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	capf 161 pdf, cap 161 form, 161 download, capf 161 information

How to Fill Out CAPF 161

CAPF 161 at a glance

What it is: EMERGENCY INFORMATION (Insurance/Physician Information, Emergency Contacts, Minor Consents).

A filled-in CAPF 161 example: a member fills out the emergency information

CAPF 161 example filled out, example: a member fills out the emergency information — Jamie Sample fills out CAPF 161, the emergency information form. Jamie has only medical insurance, so Prescription Coverage stays empty. The picture shows the filled form; its names and figures are sample values.

How to fill out CAPF 161, box by box

Name, Mailing Address and Phones

Enter Name (Last, First, Middle), Grade, CAPID, Charter Number, Mailing Address (Number and Street), City, State, Zip Code, (Area Code) Home Phone and (Area Code) Cell Phone.

Primary Insurance Information

Under Primary Insurance Information, attach a copy of insurance cards, front and back, and enter Medical Insurance Company, Policy Number, Group Code/Number and Co-Pay Amount $.

Prescription Coverage

For Prescription Coverage, enter Company, Policy Number, Group Code/Number and Co-Pay Amount $.

Family Physician

Under Family Physician, enter Name, (Area Code) Phone, Mailing Address (Number and Street), City, State and Zip Code.

Emergency Contact

For the Emergency Contact (Parent, guardian or closest relative to be notified in case of emergency), enter Name, Relationship to Applicant, Mailing Address (Number and Street), City, State and Zip Code.

For the Emergency Contact, enter (Area Code) Pager, (Area Code) Cell/Mobile Phone, (Area Code) Day Phone and (Area Code) Night Phone.

Unit Commander Name and Grade

Enter Unit Commander Name and Grade, Unit Name, (Area Code) Unit Commander Day Phone and (Area Code) Unit Commander Night Phone.

Sources

[1] CAPF 161, Emergency Information, Civil Air Patrol (the Official source link on this page).