Looking for a Faa Form 8710 Templates? Download it for free!

AIRMAN CERTIFICATE AND/OR RATING APPLICATION

INSTRUCTIONS FOR COMPLETING FAA FORM 8710-1

I. APPLICATION INFORMATION.

Block S. Date Issued.

Enter the date your medical certificate was issued.

Check appropriate blocks(s).

Block A. Name.

Enter legal name. Use no more than one middle name for

Block T. Name of Examiner.

Enter the name as shown on medical

record purposes. Do not change the name on subsequent applications unless it

certificate.

is done in accordance with 14 CFR Section 61.25. If you do not have a

middle name, enter “NMN”. If you have a middle initial only, indicate

Block U. Narcotics, Drugs.

Check appropriate block. Only check “Yes”

“Initial only.” If you are a Jr., or a II, or III, so indicate. If you have an FAA

if you have actually been convicted. If you have been charged with a

certificate, the name on the application should be the same as the name on the

violation which has not been adjudicated, check .“No”.

certificate unless you have had it changed in accordance with 14 CFR Section

61.25.

Block V. Date of Final Conviction.

If block “U” was checked “Yes”

give the date of final conviction.

Block B. Social Security Number.

Optional: See supplemental

Information Privacy Act. Do not leave blank: Use only US Social Security

Number. Enter either “SSN” or the words “Do not Use” or “None.” SSN’s

II. CERTIFICATE OR RATING APPLIED FOR ON BASIS OF:

are not shown on certificates.

Block A. Completion of Required Test.

1. AIRCRAFT TO BE USED. (If flight test required) – Enter the make and

Block C. Date of Birth.

Check for accuracy. Enter eight digits; Use

model of each aircraft used. If simulator or FTD, indicate.

numeric characters, i.e., 07-09-1925 instead of July 9, 1925. Check to see that

2. TOTAL TIME IN THIS AIRCRAFT (Hrs.) – (a) Enter the total Flight

DOB is the same as it is on the medical certificate.

Time in each make and model. (b) Pilot-In-Command Flight Time - In

each make and model.

Block D. Place of Birth.

If you were born in the USA, enter the city and

state where you were born. If the city is unknown, enter the county and state.

Block B. Military Competence Obtained In.

Enter your branch of

If you were born outside the USA, enter the name of the city and country

service, date rated as a military pilot, your rank, or grade and service number.

where you were born.

In block 4a or 4b, enter the make and model of each military aircraft used to

qualify (as appropriate).

Block E. Permanent Mailing Address.

Enter residence number and

street, P.O. Box or rural route number in the top part of the block above the

Block C. Graduate of Approved Course.

line. The City, State, and ZIP code go in the bottom part of the block below

1. NAME AND LOCATION OF TRAINING AGENCY/CENTER.

the line. Check for accuracy. Make sure the numbers are not transposed.

As shown on the graduation certificate. Be sure the location is entered.

FAA policy requires that you use your permanent mailing address.

2. AGENCY SCHOOL/CENTER CERTIFICATION NUMBER. As shown

Justification must be provided on a separate sheet of paper signed and

on the graduation certificate. Indicate if 142 training center.

submitted with the application when a PO Box or rural route number is

3. CURRICULUM FROM WHICH GRADUATED. As shown on the

used in place of your permanent physical address. A map or directions

graduation certificate.

must be provided if a physical address is unavailable.

4. DATE. Date of graduation from indicated course. Approved course

graduate must also complete Block “A” COMPLETION OF REQUIRED

Block F. Citizenship.

Check USA if applicable. If not, enter the country

TEST.

where you are a citizen.

Block D. Holder of Foreign License Issued By.

Block G. Do you read, speak, write and understand the English

1. COUNTRY. Country which issued the license.

language?

Check yes or no.

2. GRADE OF LICENSE. Grade of license issued, i.e., private, commercial,

etc.

Block H. Height.

Enter your height in inches. Example: 5’8” would be

3. NUMBER. Number which appears on the license.

entered as 68 in. No fractions, use whole inches only.

4. RATINGS. All ratings that appear on the license.

Block I. Weight.

Enter your weight in pounds. No fractions, use whole

Block E. Completion of Air Carrier’s Approved Training

pounds only.

Program.

1. Name of Air Carrier.

Block J. Hair.

Spell out the color of your hair. If bald, enter “Bald.”

2. Date program was completed.

Color should be listed as black, red, brown, blond, or gray. If you wear a wig

3. Identify the Training Curriculum.

or toupee, enter the color of your hair under the wig or toupee.

III. RECORD OF PILOT TIME.

The minimum pilot experience required

Block K. Eyes.

Spell out the color of your eyes. The color should be listed

by the appropriate regulation must be entered. It is recommended, however,

as blue, brown, black, hazel, green, or gray.

that ALL pilot time be entered. If decimal points are used, be sure they are

legible. Night flying must be entered when required. You should fill in the

Block L. Sex.

Check male or female.

blocks that apply and ignore the blocks that do not. Second In Command

“SIC” time used may be entered in the appropriate blocks. Flight Simulator,

Block M. Do You Now Hold or Have You Ever Held An FAA

Flight Training Device and PCATD time may be entered in the boxes

Pilot Certificate?

Check yes or no. (NOTE: A student pilot certificate is a

provided. Total, Instruction received, and Instrument Time should be entered

“Pilot Certificate.”)

in the top, middle, or bottom of the boxes provided as appropriate.

Block N. Grade of Pilot Certificate

. Enter the grade of pilot certificate

IV. HAVE YOU FAILED A TEST FOR THIS CERTIFICATE OR

(i.e., Student, Recreational, Private, Commercial, or ATP). Do NOT enter

RATING?

Check appropriate block.

flight instructor certificate information.

Block O. Certificate Number.

V. APPLICANT’S CERTIFICATION.

Enter the number as it appears on your

pilot certificate.

A. SIGNATURE. The way you normally sign your name.

B. DATE. The date you sign the application.

Block P. Date Issued.

Enter the date your pilot certificate was issued.

Block Q. Do You Now Hold A Medical Certificate?

Check yes or

no. If yes, complete Blocks R, S, and T.

Block R. Class of Certificate.

Enter the class as shown on the medical

certificate, i.e., 1

, 2

, or 3

class.

FAA Form 8710-1 (4-00) Supersedes Previous Edition

NSN: 0052-00-682-5007

Faa Form 8710-1 - Airman Certificate And/or Rating Application Supplemental Information And Instructions Page 2

Related Articles

Related forms

Related Categories