REQUEST FOR ADVANCE AIRCRAFT RESERVATION
AND/OR OVERNIGHT APPROVAL
Request Information
Overnight Request Government TDY*
*(Less Than 1 Day)
Check Ride*
*(Less Than 1 Day) 		Member's Name:
Day Phone:
(123-456-7890)
 Eve Phone:
(123-456-7890)
E-Mail Address:
you@yourdomain.com
 Aircraft Requested:
Alternate Aircraft Acceptable?
Yes No 		If "YES", what type?
Trip Data
Departure Return
Time:(hhmm)

Date:(ddmmyy)
 Time:(hhmm)

Date:(ddmmyy)
Itinerary
Date
(ddmmyy) 		Departure Airport Destination Airport Contact Phone
(123-456-7890)
1)
2)
3)
4)
5)
Planning on Night Flight?
Yes No 		Planning on flying IFR?
Yes      No

"I have reviewed my pilot qualification record (PQR) and it reflects that I am current in the aircraft type requested and that my medical is current. I have reviewed the PIF, have attended or been briefed on the most recent safety meeting, am current on my written examinations, and the annual flight check."

Acknowledge the above statement by typing your initials here: