Form 8710 Airman Certificate And Rating Application printable pdf download

AIRMAN CERTIFICATE And/Or

US Department

RATING APPLICATION

of Transportation

Supplemental Information and Instruction

Federal Aviation

Administration

Privacy Act Statement

The information on the accompanying form is solicited under the authority of Title 14, Code of Federal Regulations,

Parts 61 and 143.

Submission of all the data is mandatory except for the Social Security Number which is voluntary.

The purpose of the information is to establish eligibility for certification and/or airman rating. The data will be used to

identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating.

Certification cannot be completed unless the data is complete.

The information on this form will become part of the Privacy Act system of records DOT/FAA 847, General Air

Transportation Records on Individuals, and therefore subject to the conditions of that published system. The routine

uses are as follows: (a) to provide basic airmen certification and qualification information to the public upon request,

(b) to disclose information to the National Transportation Safety Board (NTSB) in connection with its investigation

responsibilities, (c) to provide information about airmen to Federal, state, and local law enforcement agencies when

engaged in the investigation and apprehension of drug law violators, (d) to provide information about enforcement

actions arising out of violations of the Federal Aviation Regulations to government agencies, the aviation industry,

and the public upon request, (e) to disclose information to another Federal agency, or to a court or an administrative

tribunal, when the Government or one of its agencies is a party to a judicial proceeding before the court or involved in

administrative proceedings before the tribunal, and (f) to disclose as described in the general routine uses listed in the

Prefatory Statement for the Department of Transportation. Disclosures may also be made from these systems to

consumer reporting agencies collecting on behalf of the U.S. Government.

Submission of your Social Security Number (SSN) is optional. If you provide your SSN, it will also be used as your

airman certificate number. This will facilitate the proper maintenance of your records, which are maintained in

alphabetical order and cross referenced with your SSN and airman number to provide accurate and prompt access. If

you do not provide your SSN, a unique number will be assigned to you as your airman certificate number.

Agency Display of Estimated Burden: The FM estimates that the average burden for this report form is

15 minutes per response. You may submit any comments concerning the accuracy of this burden estimate or any

suggestions for reducing the burden to the Office of Management and Budget. You may also send comments to the

Federal Aviation Administration, Flight Standards Service Division, AFS-840, 800 Independence Avenue, SW,

Washington, DC 20591, Attention: OMB number 2120-0021

Instruction for completing this form (FAA 8710-1) are on the reverse.

Tear off this cover sheet before submitting this form.

FAA Form 8710-1

NSN: 0052-00-682-5006

(7-95) Supersedes Previous Edition

Form 8710 Airman Certificate And Rating Application