Form 7233-1 FAA Flight Plan

PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a: The authority for collecting this information is contained in 49 U.S.C. §§ 40113, 44702, 44703, 44709, and 14 C.F.R.
Part 6 - [Part 61, 63, 65, or 67. The principal purpose for which the information is intended to be used is to allow you to submit your flight plan. Submission of the data is voluntary. Failure to provide all required information may
result in you not being able to submit your flight plan. The information collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 847, titled “Aviation Records on Individuals” and will be subject
to the routine uses published in the System of Records Notice (SORN) for DOT/FAA 847 (see www.dot.gov/privacy/privacyactnotices).

Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of
information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information
collection is 2120-0026. Public reporting for this collection of information is estimated to be approximately 2.5 minutes per response, including the time for reviewing instructions,completing and reviewing the
collection of information. All responses to this collection of information are mandatory per14 CFR Part 91. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be
Form Approved: OMB No. 2120-0026
directed to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110.
Exp. 05/31/2017

FLIGHT PLAN

(FAA USE ONLY)

PILOT BRIEFING

2. AIRCRAFT
IDENTIFICATION

VFR

SPECIALIST
INITIALS

STOPOVER

86'(3$570(172)75$163257$7,21
)('(5$/$9,$7,21$'0,1,675$7,21

1. TYPE

TIME STARTED

VNR

3. AIRCRAFT TYPE /
SPECIAL EQUIPMENT

5. DEPARTURE POINT

4. TRUE
AIRSPEED

6. DEPARTURE TIME
PROPOSED (Z)

ACTUAL (Z)

7. CRUISING
ALTITUDE

IFR
DVFR

KTS

8. ROUTE OF FLIGHT

9. DESTINATION (Name of airport
and city)

12. FUEL ON BOARD
HOURS

10. EST. TIME ENROUTE
HOURS

11. REMARKS

MINUTES

13. ALTERNATE AIRPORT(S)

14. PILOT'S NAME, ADDRESS & TELEPHONE NUMBER & AIRCRAFT HOME BASE

MINUTES

15. NUMBER
ABOARD

17. DESTINATION CONTACT/TELEPHONE (OPTIONAL)

16. COLOR OF AIRCRAFT

CIVIL AIRCRAFT PILOTS. FAR Part 91 requires you file an IFR flight plan to operate under instrument flight rules in
controlled airspace. 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). Filing of a VFR flight plan is recommended as a good operating practice.
See
also Part 99 for requirements concerning DVFR flight plans.

FAA Form 7233-1 (8-82)
Electronic Version (Adobe)

CLOSE VFR FLIGHT PLAN WITH

FSS ON ARRIVAL

MILITARY STOPOVER (FAA USE ONLY)
AIRCRAFT
IDENTIFICATION

TYPE

IFR

AIRCRAFT TYPE/SPECIAL
EQUIPMENT

REMARKS

VFR
DEPARTURE POINT

TAS

DEP. PT

DESTINATION

ETD

ETA

ALTITUDE

ROUTE OF FLIGHT

DESTINATION

ETE

REMARKS

KTS

KTS

KTS

KTS
INITIALS

REMARKS

FAA Form 7233-1 (8-82)

Electronic Version (Adobe)