7233-4 FAA International Flight Plan

Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required torespond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to therequirements of the Paperwork Reduction Act
unless that collection of information displays a currently valid OMB ControlNumber. The OMB Control Number for this information collection is
2120-0026. Public reporting for this collection ofinformation is estimated to be approximately 2.5 minutes per response, including the time for
reviewing instructions,searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection
ofinformation. All responses to this collection of information are required to obtain or retain a benefit per 14 CFR Part 91. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestionsfor reducing this burden to the FAA at:
800 Independence Ave. SW, Washington, DC 20591, Attn: Information CollectionClearance Officer, ASP-110.

Pre-Flight Pilot Checklist
Aircraft Identification

Time of Briefing
Remarks

Weather

Form Approved OMB No. 2120-0026
Exp. 12/31/2013

Present

Report Weather Conditions Aloft

Forecast

Report immediately weather conditions encountered---particularly cloud tops, upper cloud layers,
thunderstorms, ice, turbulence, winds and temperature
Time
Weather Conditions
Position
Altitude

(Destination)
(Alternate)

Present
Weather
(En Route)

Forecast

Pireps
Winds
Aloft

Nav. Aid
&
Comm.
Status.

Airport

Best Crzg. Alt.

Destination

En Route

Destination

Conditions

Alternate

ADIZ

Airspace
Restrictions

Civil Aircraft Pilots
FAR Part 91 states that each person operating a civil aircraft of U S. registry over the high seas shall comply with
Annex 2 to the Convention of International Civil Aviation, International Standards - Rules of the Air. Annex 2 requires
the submission of a flight plan containing items 1-1 9 prior to operating any flight across international waters. Failure
to file could result in a civil penalty not to exceed $1,000 for each violation (Section 901 of the Federal Aviation Act
of 1958, as amended).
International briefing information may not be current or complete. Data should be secured, at the first
opportunity, from the country in whose airspace the flight will be conducted.

Form Approved OMB No. 2120-0026
Exp. 12/31/2013

International Flight Plan

U S Department of Transportation
Federal Aviation Administration

PRIORITY

ADDRESSEE(S)

<=FF

FILING TIME

<=

ORIGINATOR

<=

SPECIFIC IDENTIFICATION OF ADDRESSEE(S) AND / OR ORIGINATOR
7 AIRCRAFT IDENTIFICATION

3 MESSAGE TYPE

<=(FPL

9 NUMBER

TYPE OF AIRCRAFT

15 CRUISING SPEED

LEVEL

10 EQUIPMENT

WAKE TURBULENCE CAT.

13 DEPARTURE AERODROME

TIME
ROUTE

TYPE OF FLIGHT

8 FLIGHT RULES

/

/

HR

MIN

<=
ALTN AERODROME

2ND ALTN AERODROME

<=

18 OTHER INFORMATION

19

E/

SUPPLEMENTARY INFORMATION (NOT TO BE TRANSMITTED IN FPL MESSAGES)
ENDURANCE
EMERGENCY RADIO
HR MIN
VHF
ELBA
PERSONS ON BOARD
UHF

P/

SURVIVAL EQUIPMENT
POLAR DESERT MARITIME JUNGLE

/

D /
A/
N /
C/

DINGHIES
NUMBER CAPACITY COVER

COLOR

<=

<=

TOTAL EET
16 DESTINATION AERODROME

<=

JACKETS

/

<=

R/

LIGHT FLUORES

UH
F

VHF

<=

AIRCRAFT COLOR AND MARKINGS
REMARKS

<=

PILOT-IN-COMMAND
FILED BY

FAA Form 7233-4 (7-93)

)<=
ACCEPTED BY

ADDITIONAL INFORMATION