Form Afs Ce17 004 F1 PDF Details

Navigating the legal and procedural landscape of aviation requires strict adherence to regulations and form submissions, one of which includes the AFS CE17 004 F1 form, addressed to the Louisville Flight Standards District Office. This form is an essential document, specifically crafted for those seeking a Special Flight Permit, often necessitated under circumstances such as the aircraft being out of its annual inspection period or other situations that preclude regular operations. Detailed aircraft information, including registration details, make, model, serial number, and owner's information, form the crux of the document, ensuring that all requests are thoroughly backed with accurate data. Additionally, the form delves into the purpose of the Special Flight Permit, inquiring whether the aircraft has been involved in an accident, the extent of any damage, and any restrictions the applicant deems necessary for safe operation. It also outlines the intended itinerary, crew requirements, and provides space for the owner or an agent of the owner to detail their contact information, concluding with a signature to authenticate the request. Specially designed for compliance and safety, the form acts as a bridge for aircraft owners and operators to attain necessary permissions, underscoring the commitment of aviation authorities to maintain safety while accommodating the needs of the aviation community.

QuestionAnswer
Form NameForm Afs Ce17 004 F1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesAFS-CE17-004-F1, applicant, Louisville, KY

Form Preview Example

TO:

FAX:

RETURN ATTENTION:

Louisville Flight Standards District Office

Ormsby III, Suite 310

10200 Forest Green Blvd

Louisville, KY 40223

(502) 753-4200, Fax: (502) 753-4232

REQUEST FOR SPECIAL FLIGHT PERMIT

Fill all blanks / answer all questions

AIRCRAFT INFORMATION

AS SHOWN ON REGISTRATION CERTIFICATE

N___________________MAKE_____________________________MODEL_____________________

S/N____________________________OWNER’S NAME_____________________________________

OWNER’S ADDRESS_________________________________________________________________

___________________________________________________________________________________

FLIGHT PERMIT INFORMATION

Purpose for Special Flight Permit:

 

 

[ ]

Out of Annual.

Date of last Annual______________________.

[ ]

Other.

 

List Other______________________________________________

 

 

 

 

_________________________________

 

 

 

 

_________________________________

Has aircraft been in accident?

[ ]

[ ]

Restrictions the applicant feels necessary for safe operation:

 

 

Yes

No

___________________________________

Aircraft damage: [ ]

[ ]

[ ]

 

___________________________________

None

Minor

Major

 

 

REQUESTED ITINERARY

______________________

_____________________

____________________

 

DEPART FROM

ENROUTE STOP OR DIRECT

DESTINATION

___________________________

 

REQUIRED CREW:

DEPARTURE DATE

 

 

 

 

 

 

 

 

[ ]

PILOT

 

 

 

 

[ ]

OTHER______________

REQUESTER:

 

 

 

 

[ ]

OWNER

 

TELEPHONE__________________________________

[ ]

AGENT FOR OWNER

 

FAX_________________________________________

___________________________________________

______________________________________ ____________

 

Print Name

 

Signature

DATE

FAA USE ONLY

CHECK FERRY FLIGHT LOG ________________

FORM NUMBER AFS-CE17-004-F1

COMPLETE FAA FORM 8130-6 ______________

REV. 5 (07/08/2007)