Faa Form 8500 7 PDF Details

Are you familiar with Faa Form 8500 7? If not, you should be. This form is used by the Federal Aviation Administration to document the termination of an airman's medical certificate. It's important that pilots are familiar with this form and what it entails, so they can take the necessary steps to terminate their medical certificate if necessary. In this blog post, we'll provide a brief overview of Faa Form 8500 7 and explain what steps pilots need to take in order to terminate their medical certificate.

Below is some information that may be handy in case you are aiming to learn just how long it'll take you to complete faa form 8500 7 and what number of PDF pages it has.

QuestionAnswer
Form NameFaa Form 8500 7
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesform faa 8500 pdf, faa medical form 8500, form faa 8500, faa form 8500 7

Form Preview Example

INFORMATION FOR APPLICANT

REPORT OF EYE EVALUATION

See Privacy Act Information below.

Paperwork Reduction Act Statement:

The information collected on this form is necessary to ensure applicants meet the minimum requirements as set forth under the authority of 49 U.S.C. (Transportation). This information will be used to determine applicant eligibility for a medical certificate, medical and student pilot certificate, or ATCS eligibility for employment. When all requirements have been met, an appropriate medical certificate, medical and student pilot certificate, or medical clearance will be issued. It is estimated that it will take each applicant 15 minutes to complete this form and provide all the information called for (includes providing medical history information and physical examination). The information is required to obtain a certificate and is confidential. The information will become part of the Privacy Act system of records DOT/FAA 847, Aviation Records on Individuals. Note that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The control number for this collection of information is 2120-0034. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

Tear off this cover sheet before submitting this form

FAA FORM 8500-7 (3-06) Supersedes Previous Edition

REPORT OF EYE EVALUATION

PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a:

The authority for collecting this information is contained in 49 U.S.C. §§ 40113, 44702, 44703, 44709 and 14 C.F.R. Part 6 7. The principal purpose for which the information is intended to be used is to identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except for the Social Security Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate and/or rating. The information collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 847, titled “Aviation Records on Individuals” and will be subject to the routine uses published in the System of Records Notice (SORN) for DOT/FAA 847 (see www.dot.gov/privacy/privacyactnotices), including:

(a)Providing basic airmen certification and qualification information to the public upon request; examples of basic information include:

The type of certificates and ratings held, limitations, date of issuance and certificate number;

The status of the airman’s certificate (i.e., whether it is current or has been amended, modified, suspended or revoked for any reason);

The airman’s home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c);

Information relating to an airman’s physical status or condition used to determine statistically the validity of FAA

medical standards; and the date, class, and restrictions of the latest physical

Information relating to an individual’s eligibility for medical certification, requests for special issuance, and requests for review of certificate denials. (b) Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety.

(c) Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities.

(d) Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official investigation in which an airman is involved. (e) Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the public upon request.

(f) Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. Department of Justice (DOJ) for collection pursuant to 31 U.S.C. 3711(g).

(g) Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected certificates to perform job responsibilities for those employers.

(h) Making airmen records available to users of FAA’s Safety Performance Analysis System (SPAS), including the Department of Defense Commercial Airlift Division’s Air Carrier Analysis Support System (ACAS) for its use in identifying safety hazards and risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the effectiveness of targeted oversight actions.

(i) Making records of an individual’s positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or refusal to submit to testing required under a DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of individuals who, in their commercial capacity, administer the drug and alcohol testing programs of aviation entities.

(j) Providing information about airmen through the Civil Aviation Registry’s Comprehensive Airmen Information System to the Department of Health and Human Services, Office of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identify airmen to the child support agencies nationwide in enforcing child support obligations, establishing paternity, establishing and modifying support orders and location of obligors. Records listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security Administration’s secure environment.

(k) Making personally identifiable information about airmen available to other Federal agencies for the purpose of verifying the accuracy and completeness of medical information provided to FAA in connection with applications for airmen medical certification.

(l) Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine basis so that AMEs may render the best medical certification decision.

(m) Making airman, aircraft and operator record elements available to users of FAA’s Skywatch system, including the Department of Defense (DoD), the Department of Homeland Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events.

(n) Other possible routine uses published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses (65 F.R. 19477-78) For example, a record from this system of records may be disclosed to the United States Coast Guard (Coast Guard) and to the Transportation Security Administration (TSA) if information from this system was shared with either agency when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is necessary to accomplish a DOT, TSA or Coast Guard function related to this system of records.

FAA FORM 8500-7 (3-06) Supersedes Previous Edition

08/31/2014

How to Edit Faa Form 8500 7 Online for Free

Our PDF editor which you'll use was made by our top programmers. You may submit the eye evaluation document immediately and efficiently with this software. Merely try out this procedure to get started.

Step 1: Select the orange button "Get Form Here" on the following webpage.

Step 2: At the moment, you can start editing the eye evaluation. Our multifunctional toolbar is available to you - insert, delete, change, highlight, and perform similar commands with the words and phrases in the form.

To be able to fill out the file, type in the content the platform will request you to for each of the following parts:

step 1 to writing form faa 8500 pdf

Type in the appropriate details in the segment.

form faa 8500 pdf  blanks to insert

Note all information you may need in the box .

part 3 to finishing form faa 8500 pdf

The area will be where you insert all sides' rights and obligations.

form faa 8500 pdf  blanks to fill

Finalize by analyzing all of these areas and completing the required information: .

Entering details in form faa 8500 pdf stage 5

Step 3: As soon as you are done, press the "Done" button to upload the PDF document.

Step 4: You can create copies of your file toprevent any potential future difficulties. You should not worry, we cannot disclose or monitor your data.

Watch Faa Form 8500 7 Video Instruction

Please rate Faa Form 8500 7

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .