Icao Flight Plan Form

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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 current valid OMB Control Number. The OMB Control Number for this information
collection is 2120-0026. Public reporting for this collection of information is estimated to be approximately 2.5 minutes per response, including the time for reviewing instructions,completing and reviewing the
collection of information. All responses to this collection of information are mandatory per14 CFR Part 91. Comments concerning the accuracy of this burden and suggestions for reducing the burden should
Form Approved: OMB No. 2120-0026
be directed to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110.
Exp. 12/31/2013
TIME STARTED
SPECIALIST
(FAA USE ONLY)
VNR
PILOT BRIEFING
INITIALS
FLIGHT PLAN
STOPOVER
1. TYPE
2. AIRCRAFT
3. AIRCRAFT TYPE /
5. DEPARTURE POINT
7. CRUISING
4. TRUE
6. DEPARTURE TIME
IDENTIFICATION
SPECIAL EQUIPMENT
ALTITUDE
AIRSPEED
VFR
PROPOSED (Z)
ACTUAL (Z)
NGF4827
IFR
DVFR
KTS
8. ROUTE OF FLIGHT
9. DESTINATION (Name of airport
10. EST. TIME ENROUTE
11. REMARKS
and city)
HOURS
MINUTES
ANGEL FLIGHT N421P
12. FUEL ON BOARD
13. ALTERNATE AIRPORT(S)
14. PILOT'S NAME, ADDRESS & TELEPHONE NUMBER & AIRCRAFT HOME BASE
15. NUMBER
ABOARD
HOURS
MINUTES
17. DESTINATION CONTACT/TELEPHONE (OPTIONAL)
16. COLOR OF AIRCRAFT
CIVIL AIRCRAFT PILOTS. FAR Part 91 requires you file an IFR flight plan to operate under instrument flight rules in
controlled airspace. Failure to file could result in a civil penalty not to exceed $1,000 for each violation (Section 901 of the
Federal Aviation Act of 1958, as amended).
Filing of a VFR flight plan is recommended as a good operating practice.
See
also Part 99 for requirements concerning DVFR flight plans.
FAA Form 7233-1
(8-82)
CLOSE VFR FLIGHT PLAN WITH
FSS ON ARRIVAL
Electronic Version (Adobe)
MILITARY STOPOVER (FAA USE ONLY)
REMARKS
AIRCRAFT
AIRCRAFT TYPE/SPECIAL
TYPE
IDENTIFICATION
EQUIPMENT
IFR
VFR
DESTINATION
ETA
DEPARTURE POINT
TAS
DEP. PT
ETD
ALTITUDE
ROUTE OF FLIGHT
DESTINATION
ETE
REMARKS
KTS
KTS
KTS
KTS
INITIALS
REMARKS
FAA Form 7233-1
Electronic Version (Adobe)
(8-82)

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