Form 85008 gathered during pilot medical recertification. I would like to make you aware of two additions to the flight physical application faa form 8500 8. Internal substance abuse branch aam210, will decide if the attendant. Review this history section carefully to understand the affirmations you must make. Form 85008 application for airman medical certificate. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot. They are adding a new item in the medical history, 18y. Faa form 8500 8, application for airman medical certificate. Form 85008 application for airman medical certificate or.
The information entered into the faa medxpress online version of the form 8500 8, application for airman medical certificate or airman medical and student pilot certificate, is solicited under the authority of title 49, united states code u. Is that at any time, or within a certain time frame. To navigate through the guide pdf by item number or subject matter, simply click on the bookmark tab in the left column to search specific certification decisionmaking criteria. I am going to create a new account and fill a new form. Use this stepbystep guideline to fill out the faa form 8500 14 promptly and with ideal precision. Access to prior 85008s, and reporting prior doctor visits. Form 84208 application for pilot school certificate. Faa form 8500 8 pdf the faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. When i request a medical flight test from okc to receive my soda, do i. The following numbered instructions apply to the numbered headings on the application form that follows this page. To navigate through the guide pdf by item number or subject matter, simply click. Assist the applicant in the completion of the applicants history component of the faa form 8500 8 and check for errors or omissions. Administration faa medical requirements to hold a medical certificate or.
The records may be expunged, or not even available. If not previously furnished to the faa, a copy of pertinent hospital records as well as out patient. Department of transportation federal aviation administration, business, united states federal legal forms and united states legal forms. The current version of the pdf fillable inspection checklists are. I had a carbon copy of my last 8500 8 which was paper, but i have since then misplaced it. Download printable faa form 8500 8 in pdf the latest version applicable for 2020. Forred, im looking to reapply for a new first class medical this year. The format of this version of the guide provides instant access to information regarding regulations, medical history, examination procedures, disposition, and protocols, necessary for completion of the faa form 8500 8, application for airman medical certificate or airman medical and. I know on my 8500 8, i need to disclose the past 3 years of doctors visits.
Faa medxpress is a web application pilots must use to submit their certification applicant information items 1 through 20 of the faa form 8500 8. Faa medxpress federal aviation administration pilot. Medxpress instruction federal aviation administration. Federal aviation administration medxpress user guide. Pilots need only a valid email address to create a medxpress account to use faa medxpress. Faa form 8500 14 pdf fill out and sign printable pdf. The faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. Nearv the fastest, most trusted aeromedical faa service. Department of justice doj for collection pursuant to 31 u. The advanced tools of the editor will lead you through the editable pdf template.
Faa form 8500 8 is often used in faa 8500 forms, u. Tear off this cover sheet before submitting this form. Form 8500 8 form 8500 8 requires the pilot to complete and sign the front side of the form page 3. This section contains guidance for items on the medical history and general information page of faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate.
Faa form 85008, application for airman medical certificate. Medical certificate to electronically complete the faa form 8500 8. If you have received benefits, you will need to explain them in the explanation box. The faa medxpress system allows anyone requiring an faa medical clearance or medical certificate to electronically complete the faa form 8500 8. There are several changes to faa form 8500 8, the application for a medical certificate you complete at the ames office. The following numbered instructions apply to the numbered headings on the 8500 8 application form. Navaids alternative browsing for the ame guide pdf. Instructions for completion of the application for airman. The ame reports the results of the medical examination, makes any comments and signs on the back side of the form page 4. The application for an airman medical certificate faa form 8500 8 is used by the faa s office of aerospace medicine and their designated aviation medical examiners ames to record historical information provided by the pilot or controller applicant and. Notice intentional falsification may result in federal criminal prosecution. Your signature at the bottom authorizes the faa to search the national drivers registry for violations involving alcohol or illegal drugs, for instance, so you may want to think twice about trying to conceal a.
Please consult an amas physician to determine if it might be appropriate to utilize one of the following. Instructions for completion of the application for airman medical certificate or airman medical and student pilot certificate, faa form 8500 8. This is the question that asks for a yes or no response if the airman has a history of any arrests, convictions, and or administrative actions involving. Faa form 8500 20, medical exemption petition operational questionnaire the following guidelines may also be useful in medical certification. Faa 8500 7 title report of eye evaluation edition date march 01, 2006 orientation portrait unit of issue ea responsible office aam200 contact information shawna adkins shawna. This is in response to a situation that arose recently.
The ame reports the results of the medical examination, makes any comments, and signs on the back side of the form page 4. Fill out the application for airman medical certificate online and print it out for free. Question 18v has caused airmen more aggravation than most other questions on the faa medical history. Effects of training school type and examiner type on. Achieve accuracy in completing faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form 8500 8. Intentional falsification may also result in suspension or revocation of all airman, ground instructor, and medical. Accident investigation and prevention avp210 provided a.
Faa form 85008 download printable pdf or fill online. Applicant must fill in completely numbers 1 through 20 of the application. Pilot certificate, faa form 8500 8 applicant must fill in completely numbers 1 through 20 of the application. Form 8500 8 the form 8500 8 requires the controller to complete and sign the front side of the form page 3. Aam fillable fill online, printable, fillable, blank. Legal responsibilities of designated aviation medical examiners title 49, united states code u. Faa medxpress allows applicants to complete and submit their faa form 8500 8 online. What you need to know about question 18v on the faa 85008. The ames office then inputs the applicants responses on the front of the form and its findings on the back of the. Tips for reporting physician visits on the faa medical. Illumination should be 1025 foot candles f4 at 115 sec asa 100, but no more than f6. Faa medical application 85008 pilot medical solutions. Hello, i have a few questions about the faa eye evaluation form 8500 7 and the statement of demonstrated ability process. I was going to use that for making sure i reported.
Users guide for the federal aviation administration. The information on the attached faa form 85008, application for airman. The format of this version of the guide provides instant access to information regarding regulations, medical history, examination procedures, dispositions, and protocols necessary for completion of the faa form 8500 8, application for airman medical certificate. Faa form 85008, application for airman medical certificate or. If the applicant answers yes, the examiner should counsel the applicant that. Electronically transmit the form after it is complete. Please note that the faa s official forms page can be found by clicking this hyperlink. Faa form 8500 8 accept what the agency is trying to doprotect everyones best faa form 8500 8 play by its lessthanperfect rules. Welcome to the guide for aviation medical examiners. To navigate through the guide pdf by item number or subject matter, simply click on. A medical certificate must never be issued to an applicant who refuses to answer item, page 26. Once the form is live, the ame and the faa can only approve or deny, there is no middle ground. Faa form 8500 19 04072006 supersedes previous edition. If more space is required to respond to yes answers for numbers 17, 18, or 19.
The way to complete the online faa form 8500 14 pdf on the internet. The 8500 1 card provides sloan letters from 2020 to 20200 at 40 cm plus various aeronautical chart symbols and gures. My dui was over 30 years ago when i was 16 years old 1986. Discussion in medical topics started by darkstar, mar 5, 20. Guide for aviation medical examiners version v february 2008. Faa form 8500 19 110402 supersedes previous edition v. Completes form 85008, application for airman medical certificate, by using the. Department of transportation federal aviation administration 800 independence avenue, sw washington, dc 20591 866 tell faa 866 8355322. Faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. Blood chemistries values and normal ranges of the laboratory. Total cholesterol, hdl, ldl, and triglycerides after 12 to 16hour fast. Transportation sections 1099, 401a, 4470144703, and 44709 1994 formerly codified in.
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