Practical Test Appointment Form
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1PRACTICAL TEST APPOINTMENT FORM
Today’s Date: ____________________ Appointment made by: ______________________________
Applicant Name: ___________________________________________________________________
Address: ____________________________________________________________________
Telephone Number: ___________________________________________________________
E-mail address: ________________________ Fax number: __________________________
IACRA FTN Number: __________________________________________________________
Flight Instructor: _____________________________ Telephone No.: _________________________
E-mail address: ________________________ Fax number: __________________________
Practical Test (circle one): PRIVATE PILOT
INSTRUMENT RATING
COMMERCIAL PILOT
Training Curriculum (circle one): Part 61
Part 141
Retest?
Yes / No
(if yes, e-mail Notice of Disapproval to us)
Aircraft Make/Model: _________________________ Tail Number: ___________________________
Flight Training Device (if applicable) Make/Model: ________________________ Level: __________
Location of test: ___________________________________________________________________
Test Date: __________________________________ Time: ________________________________
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Confirm that applicant has the required documentation:
FAA Form 8710-1, Airman Certificate and/or Rating Application, completed via IACRA
and e-signed by the instructor
Applicant’s FTN, Username, Password, and Application ID No. for final completion of
the 8710 form via IACRA prior to the check ride
Identification - photo/signature I.D.
Pilot Certificate
Medical
Valid knowledge test results
Aircraft - certificates, logbooks, and weight and balance data
Flight time records
Required endorsements
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Ensure applicant is familiar with the appropriate Practical Test Standards
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E-mail or fax the appropriate Preparation Form to the applicant
COLLIN R. FAY
PO Box 23184, Glade Park, CO 81523
DPE NM072806911
ph: (970 260-6547 fx: (970) 254-0445 e-mail: crfay@topflight.aero
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