Data Element |
Description |
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) |
Other DOT Agency entity name*: |
|
Regulating Agency (Non-FAA)*: |
|
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 test or occurrence: |
Date |
Record Type: |
Valid options:
|
Report Type*: |
See Table B-2 (these options change based on selection above) |
Type of Test*: |
See Table B-2 (these options change based on selection above) |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Morris, Christopher (FAA) |
File Modified | 0000-00-00 |
File Created | 2024-11-09 |