8060-11A Airman Notice and Right to Receive Copy – Air Carrier an

INSTRUCTIONS
FAA FORM 8060-11A, AIRMAN NOTICE AND RIGHT TO RECEIVE COPY – AIR
CARRIER AND OTHER RECORDS (PRIA)
Pilot Records Improvement Act Of 1996 (PRIA)
Title 49 U.S.C § 44703(h), RECORDS OF EMPLOYMENT OF PILOT APPLICANTS, as amended
NOTICE
Request will not be deemed valid unless completed as specified below.
This form may be photocopied for use.
This form is available at http://www.faa.gov/pilots/lic_cert/pria/ or http://forms.faa.gov/
A separate form must be used for each airman whose records are requested.

Part I – Airman Notice and Right To Receive Copy: To be completed by the Air Carrier or Person receiving the Air
Carrier And Other Records Request (PRIA).
All entries must be completed legibly with black or dark blue ink.
1. Airman’s name and certificate number – enter the name and certificate number of the individual who is the subject
of the request on FAA Form 8060-11, Air Carrier And Other Records Request (PRIA).
2. Air carrier name and certificate number – enter the name and certificate number of the air carrier making the request
on Air Carrier And Other Records Request (PRIA).
3. Date – enter the date of the request listed on FAA Form 8060-11, Air Carrier And Other Records Request (PRIA).

Part II – Airman Request or Non-Request For Records: To be completed by Airman/Applicant.
All entries must be completed legibly with black or dark blue ink.
1. YES or NO – check the appropriate box to indicate whether you DO or DO NOT want a copy of the records
furnished. If requested, copies will be mailed to the mailing address provided.
2. Signature and date – sign in ink using your legal signature and enter the date.
3. *Mailing address -- This information is required to provide notice to the airman that a request for records has
been received and of the airman’s right to receive a copy of the records provided to the carrier
4. Return completed copy to air carrier or person.

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 for
reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood
Parkway, Fort Worth, TX 76177-1524

FAA Form 8060-11A (10-05)

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

AIRMAN NOTICE AND RIGHT TO RECEIVE COPY – AIR CARRIER AND OTHER
RECORDS (PRIA)
Pilot Records Improvement Act Of 1996 (PRIA)
Title 49 U.S.C. § 44703(h), RECORDS OF EMPLOYMENT OF PILOT APPLICANTS, as amended
NOTICE
Title 49 U.S.C. § 44703(h)(6) requires the person receiving a records request to notify the individual who is the
subject of the request within 20 days after receiving the request, and further entitles the individual the right to
receive a complete copy of all Air Carrier And Other Records furnished in response to the request within 30-days
after receiving the request.
Title 49 U.S.C. § 44703(h)(7) allows for a reasonable charge for the cost of processing the request and
furnishing copies of the requested records.
PART I: AIRMAN NOTICE AND RIGHT TO RECEIVE COPY
(Airman Name – First, Middle, Last)

(Airman Certificate Number)

Pursuant to 49 U.S.C. § 44703(h)(6), you are hereby notified that
(Air Carrier Name)

submitted an Air Carrier And Other Records Request (PRIA) dated,
(Air Carrier Certificate Number)

for your records as required under 49 U.S.C. § 44703(h)(1)(B), as amended.
(Date)

You are hereby notified of your right to receive a copy of any and all records furnished by the Air Carrier or Person in
response to the aforementioned records request, and that you may request a copy of such records by checking yes,
signing, and dating in Part II below. You are also notified that an air carrier that maintains, or requests and receives, the
records of an individual under 49 U.S.C. § 44703(h)(1) shall provide you with a reasonable opportunity to submit
written comments to correct any inaccuracies contained in the records. (See 49 U.S.C. § 44703(h)(9)).
PART II: AIRMAN REQUEST OR NON-REQUEST FOR RECORDS
YES, I want a copy of the furnished records.
(Signature)

NO, I do not want a copy of the furnished records.
(Date)

(Not valid unless signed and dated)

*Mailing address:
(*Indicates required information. See Instructions: Part II, item 3)

Telephone:

FAA Form 8060-11A (10-05)