U.S. DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
REQUEST FOR COPIES OF MY COMPLETE OR PARTIAL AIRMAN FILE TO BE
RELEASED TO A THIRD PARTY
PRIVACY ACT: This information is required under the authority of Transportation Title 49 U.S.C. Section 44703 et. seq. Your request cannot be processed unless the data
below is complete. Disclosure of your Social Security Number (SSN) and/or date of birth (D.O.B.) is optional. Refusal to furnish your SSN and/or D.O.B. will not result in the
denial of any right, benefit, or privilege provided by law; however, failure to provide the SSN and/or D.O.B. may result in the delay of a response or the processing of your
inquiry. Routine uses of records maintained in the system include; categories of users and the purpose of such uses i.e., to determine that airmen are certified in accordance
with the provision of the Federal Aviation Regulations; repository of documents used by individuals and potential employers to determine validity of airmen qualifications; to
support investigative efforts of Federal, State, and local law enforcement agencies; supportive information in court cases concerning individual status and/or qualifications in
law suits; to provide data for the Comprehensive Airmen Information System.
Full Name (As it appears on your airman certificate/Please print)
(Date-of-Birth) (Month/Day/Year) (Place-of-Birth)
(Certificate No., Class of Certificate)
(Current Permanent Residential Street Address, Apt./Suite No., PO Box/Rural Route No.)
(City) (State) (Zip Code)
This form may be used to request a complete airman file or to request a partial file which is a copy of a specific airman application
within the complete file. Certification of a file is often used for official purposes such as a court appearance or hearing. Certification
is optional and does require a separate fee. The fees for these copies are 10 cents per printed page and an optional $10 for
Certification of the file. Upon receipt of the requested complete airman file, the airman will be notified of the total fees due and the
options of payment unless “third party” is indicated on this form. Please allow 6 to 8 weeks for processing.
Mail this request to:
Federal Aviation Administration
Airmen Certification Branch
P.O. Box 25082
Oklahoma City, OK 73125-0082
Please check the appropriate box for the records you would like to obtain:
Airmen Certification Complete File
Accidents, Incidents, or Enforcement Information
Airmen Certification Partial File
(Specify the applications or documents requested)
Certified File (Additional Fee)
The total fees for service will be paid by:
Airman Third Party
Please mail copies of my records to the following name and address:
I authorize the Federal Aviation Administration to release copies of my records to the person or company listed above.
I swear, under penalty of perjury, that the identification information I have provided to the Federal Aviation Administration is true and
correct and accurately identifies me.
Signature (Typed or Printed signature is not acceptable)
Date
AC 8060-69 (09/18)
