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Trip Request Form
The FN LLC Trip Request Form
Fields marked with an asterisk are required. Email address is required only if submitting online.
* NAME:
* EMAIL:
* CONFIRM EMAIL:
* AIRCRAFT:
* REQUEST DATE:
* DEPARTURE DATE:
* RETURN DATE:
* DEST.1/RON AIRPORT & CITY:
* DATE:
DEST.2/RON AIRPORT & CITY:
DATE:
* NUMBER ON BOARD:
* WEIGHT & BALANCE CHECKED?
Yes
No
* LONGEST HOURS NON-REFUELED LEG PLANNED:
CURRENCY REQUIREMENTS:
* VFR (3 TO&LDG IN 90 DAYS)?:
Yes
No
* IFR (ACCORDING TO FARS)?:
Yes
No
N/A
* NIGHT (3 NIGHT TO&LDG IN 90 DAYS)?:
Yes
No
N/A
* CLUB PAYMENTS CURRENT?:
Yes
No
* 180 DAY INSURANCE REQUIREMENT CURRENT?:
Yes
No
* DATE OF LAST PROFICIENCY CHECK IN THIS AIRCRAFT?:
* DATE OF LAST MEDICAL CERTIFICATE:
REMARKS:
OPERATIONS OFFICER APPROVAL:
________________________________________
NOTE:
IF AIRCRAFT WILL BE GONE OVER THE END OF THE MONTH, START A NEW TIME SHEET BY FORWARDING LAST READINGS FROM OLD SHEET TO NEW SHEET AND LEAVE THE CURRENT MONTH TIME SHEET ON BULLETIN BOARD IN CLUB ROOM.
Click SUBMIT to email this form to the person handling The FN LLC Trip Requests (a copy will also be emailed to you), or click PRINT to print out this form and put it in the Trip Request book in the clubhouse.