Flight Plan Form
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1
2Flight Plan Status
Departure Airport
Arrival Airport
Leg Number
FDL#
A/C
:
Filed
Activated
Closed
ROUTE
DIST
FUEL
GS
TIME
FUEL
WIND
HEADING
NAVAID
Total
Taxi
Time Off (UTC)
Fuel On Board
:
:
CHECKPOINT
gal
Dir.
TC
TH
MH
MH
Freq.
LEG
EST.
ETE.
ETA
BURN
REM.
ALT.
TAS
Date:
CH
ID REM.
ACT.
ATE.
ATA
Vel.
WCA
Var.
Dev.
Pilot Name
:
Instructor Name:
gal
Departure Airport
Arrival Airport
:
ID
gal
ATIS
:
Clnc. Del
gal
Ground
:
Tower/CTAF
gal
Dep. Ctrl.
App. Ctrl.
:
gal
UNICOM
FSS Name
:
FSS Freq.
gal
TPA
:
Field Elev.
gal
Cruise Performance
:
Ind. Alt.
% Power
gal
Baro. Press.
MP
:
Press. Alt.
RPM
gal
Temp. Aloft
KTAS
:
Density Alt.
GPH
gal
Fuel On Board
:
Total Fuel
gal
gal
Trip Fuel
gal
Fuel Remaining
gal
:
Fuel Remaining
:
gal
Trip Time
:
Fuel On Board
:
TOTALS:
VFR NAVIGATION LOG
Time Limits
Time
HDG
DIST
ETE
ETA
FOB
Clearance Void Time
:
AIR-BOSS
(631) 420-2522
Diversion
FSC Due Back Time
:
FLIGHT WATCH
122.0
Sunset
:
FLIGHT SERVICE STATION
122.2 / 122.6
A.IM HIGH
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