Final Disciplinary Action records reporting form (web #3)

Reporting entity designator:	Designator (or PRD equivalent) of the air carrier or operator entering the record (automatically populates with assigned credential)
Reporting entity name:	Name of the certificate holder or operator as it appears on the certificate or is otherwise recorded in the FAA records. (automatically populates with assigned credential)
Pilot certificate number:	Certificate number of the pilot receiving the action.
Pilot last name:	Name of the pilot as it appears on their certificate
Date of action:	YYYYMMDD Valid values:
Action type:	The only disciplinary actions permitted to be entered in accordance with § 111.230 are: a written warning, suspension, or termination related to pilot performance. Other types of disciplinary actions are not to be entered. Valid values: Written Warning Suspension Termination
Removal from aircraft operations:	Did the disciplinary action result in permanent or temporary removal of the pilot from aircraft operations? Valid values: Yes No