8060-13 National Driver Register Records Request

INSTRUCTIONS
FAA FORM 8060-13, NATIONAL DRIVER REGISTER RECORDS REQUEST (PRIA)
Pilot Records Improvement Act Of 1996 (PRIA)
Title 49 U.S.C § 44703(h), RECORDS OF EMPLOYMENT OF PILOT APPLICANTS, as amended

Air carriers should use this for to request the appropriate records from the National Driver Registry as
contemplated under 49 U.S.C. § 44 703(h). Complete Instructions for the use of this form , as well as procedural
information concerning the request of NDR records, are provided on the official PRIA website as listed below.
NOTICE
Request will not be deemed valid unless Parts I, II, and III are completed as specified below.
This form may be photocopied for use.
This form is available on the Internet at http://www.faa.gov/pilots/lic_cert/pria/ or http://www.forms.faa.gov/
A separate form must be used for each airman whose records are requested.
Use of the date of birth, social security number, or other information for which there may be a reasonable
expectation of privacy, is optional. However, use of this information, at the applicant’s discretion, could facilitate
the retrieval of the appropriate records required by this request IAW PRIA. (See the Privacy Act Statement)
Part I – National Driver Register (NDR) Records Request: To be completed by the hiring Air Carrier.
All entries must be completed legibly with black or dark blue ink.
The hiring air carrier enters their name and air carrier certificate number. Personal information concerning the applicant
is then entered into the respective spaces, with the date-of-birth and social security number being disclosed ONLY at the
discretion of the applicant. The air carrier must ensure that complete mailing instructions are included with this request.
Part II – Consent To The Release Of Records: To be completed by the applicant.
All entries must be completed legibly with black or dark blue ink.
The applicant must read and understand the statement, and then authorize the request and release of the appropriate NDR
records by signing and dating the form in the indicated spaces. A notarized signature MAY be required by the state.
Part III – Notice To The Prospective Employee.
The air carrier representative must ensure that the applicant is aware that a request for the appropriate NDR records will
be made IAW PRIA, and that a copy of the records, once received, will be furnished to the applicant if they so desire. A
legible copy of this form must be furnished to the applicant after being completed and signed. ID verification in III(a) is
to be completed by the air carrier representative when the application is made in person. ID verification in III(b) is to be
completed when the application is NOT made in person. The respective state MAY also require a notarized signature.
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
currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0607. Public reporting for this collection
of information is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of
information are mandatory (Title 49 United States Code (49 U.S.C.) § 44703(h). Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions forreducing this burden to: Information Collection Clearance Officer, Federal Aviation
Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524

SEE PRIVACY ACT INFORMATION BELOW

FAA Form 8060-13 (10-05)

NATIONAL DRIVER REGISTER RECORDS REQUEST (PRIA)

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. The principal purpose for which the information is intended to be used is to
identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except for the Social Security
Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate and/or rating. 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), including:
(a) Providing basic airmen certification and qualification information to the public upon request; examples of basic information include:
• The type of certificates and ratings held, limitations, date of issuance and certificate number;
• The status of the airman’s certificate (i.e., whether it is current or has been amended, modified, suspended or revoked for any reason);
• The airman’s home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c);
• Information relating to an airman’s physical status or condition used to determine statistically the validity of FAA medical standards; and the date, class, and restrictions of the
latest physical
• Information relating to an individual’s eligibility for medical certification, requests for exemption from medical requirements, and requests for review of certificate denials.
(b) Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety.
(c) Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities.
(d) Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official investigation in which an airman is involved.
(e) Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the public upon request.
(f) Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. Department of Justice (DOJ) for collection pursuant to 31 U.S.C. 3711(g).
(g) Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected certificates to perform job responsibilities for
those employers.
(h) Making airmen records available to users of FAA’s Safety Performance Analysis System (SPAS), including the Department of Defense Commercial Airlift Division’s Air Carrier Analysis Support System (ACAS) for its use in identifying safety hazards and risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the
effectiveness of targeted oversight actions.
(i) Making records of an individual’s positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or refusal to submit to testing required under a
DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of individuals who, in their commercial capacity, administer the drug and alcohol testing programs of aviation entities.
(j) Providing information about airmen through the Civil Aviation Registry’s Comprehensive Airmen Information System to the Department of Health and Human Services, Office
of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identify airmen
to the child support agencies nationwide in enforcing child support obligations, establishing paternity, establishing and modifying support orders and location of obligors. Records
listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security Administration’s secure environment.
(k) Making personally identifiable information about airmen available to other Federal agencies for the purpose of verifying the accuracy and completeness of medical information
provided to FAA in connection with applications for airmen medical certification.
(l) Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine basis so that AMEs may render the best medical
certification decision.
(m) Making airman, aircraft and operator record elements available to users of FAA’s Skywatch system, including the Department of Defense (DoD), the Department of Homeland
Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events.
(n) Other possible routine uses published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses (65 F.R. 19477-78) For example, a record from
this system of records may be disclosed to the United States Coast Guard (Coast Guard) and to the Transportation Security Administration (TSA) if information from this system
was shared with either agency when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is necessary to
accomplish a DOT, TSA or Coast Guard function related to this system of records.
FAA Form 8060-13 (10-05)

Form Approved: OMB No. 2120-0607
Exp. 3/31/2020

NATIONAL DRIVER REGISTER RECORDS REQUEST (PRIA)
Pilot Records Improvement Act Of 1996 (PRIA)
Title 49 U.S.C. § 44703(h), RECORDS OF EMPLOYMENT OF PILOT APPLICANTS, as amended
Pursuant to 49 U.S.C. § 44703(h)(5), the NDR, as a person who receives a request for records under 49 U.S.C. § 44703(h)(1)(C),
shall furnish a copy of the requested NDR records concerning all applicants, not later than 30 days after receiving the request.
PART I: NATIONAL DRIVER REGISTER (NDR) RECORDS REQUEST
This request authorizes the National Highway Traffic Safety Administration (NHTSA) to perform a one-time file search of the
National Driver Register (NDR) for information pertaining to me, and to provide the results to the prospective employer listed
below. This search is to be limited to information about revocations or suspensions still in effect on the date of the request or
information entered into the NDR in the past 5 years from the date of the employment application. Upon my written request, the
prospective employer listed below shall make available to me any NDR information received as a result of this search.
_______________________________________________ , ________________________ , hereby requests records pertaining to:
(Air Carrier Name)
(Air Carrier Certificate #)

____________________________________ , ___________________________ , _____________________________
(Full Legal Name – first, middle, last)

(Date Of Birth)

(Social Security Number – optional)

________________________________________________________________________________________________
(Other Names Used – maiden prior name, nickname, professional name, other. If none, enter ‘none’)

______________________________________ , _______ , _______________ , _______________ , _____________
(Driver License Number and State)

(Gender)

(Eye Color)

(Height)

(Weight)

________________________________________________________________________________________________
(Mail the completed report to the requesting air carrier at this address)
PART II: CONSENT TO THE RELEASE OF RECORDS
Prospective Employee Understanding: I understand that the National Driver Register (NDR) search will result in a printed report,
which shall be sent only to the prospective employer listed on this form. The report will indicate either: (1) that the NDR does not
contain a records matching my identification; or, (2) that the NDR has a probable identification (pointer record) from one or more
states, which will be named on this report. A separate and additional check of state files, as a result of the pointer record, would be
required: (1) to verify the identification; or, (2) to obtain the driving record. Under the Privacy Act, I have the right to request
records pertaining to me from the NDR to verify their accuracy.
With my notarized signature, (If notarization is required) I hereby authorize a one-time file search of NDR related records
pertaining to me, with any and all resulting reports to be sent to the prospective employer named in Part I of this form.
__________________________________________________________________
(Signature Of Applicant)

______________________________
(Date Of Signature)

PART III: NOTICE TO THE PROSPECTIVE EMPLOYEE
Pursuant to Title 49 (U.S.C.) § 44703(h)(6) Records of Employment of Pilot Applicants, as amended, you are hereby notified, by
being provided with a completed copy of this form, that the above air carrier will submit an FAA Records Request (PRIA) for your
NDR related records. You are also notified of your right to receive a copy of any and all such records furnished by the NDR.
III(a). For Official ID Verification
Date Received:
Date Sent:
Internal Control:
___Valid Photo Driver License
___State Issued Photo ID
___Birth Certificate
___Valid Passport
___Valid Military ID
___Military Discharge
___Other ___________________________________________
(Indicate the specific type of identification used.)
___________________________________________________
Printed name and signature of person verifying identification.

III(b). Notarization
Required only if the NDR File Check Request is NOT made in
person by the prospective employee, or by the respective state.
Sworn to and ascribed before me this_____day of __________
In the city/county of_______________________state of_____
Signature of Notary Public_____________________________
Notary Public Seal: