NDR records reporting form (web #4)

Pilot Records Improvement Act of 1996/ Pilot Record Database

NDR Records IC list

NDR records reporting form (web #4)

OMB: 2120-0607

Document [docx]
Download: docx | pdf

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.

Pilot last name:

Name of the pilot as it appears on their certificate

Date when NDR search and evaluation was completed:

The date the NDR record was received and evaluated: YYYYMMDD



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMorris, Christopher (FAA)
File Modified0000-00-00
File Created2023-08-31

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