
Deviation Request
Pilot-in-Command (PIC): | |
PIC Telephone Number: | |
PIC Email Address: | |
Aircraft Identification: |
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Reason for Request: | |
Flight Classification: | |
ADS-B Equipment Status: | |
Operational Transponder with Altitude Encoding: (Note: Any request made without a working transponder will be DENIED) |
Comments (required when "Reason for Request" is 'Other'):
I hereby certify that all information entered on this form is true and accurate.