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FAA Practical Tests
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Contact
N62BS
Practical Test Request
Fill out the form below to request an FAA Practical Test.
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Applicant Name
*
First
Middle
Last
Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Layout
Telephone
*
Pilot Certificate #
*
Email
*
IACRA FTN#
*
Name of Recommending Instructor
*
Layout
Recommending Instructor's Telephone Number
*
Recommending Instructor's Certificate Number
*
Recommending Instructor's Email
*
Flight School (if applicable)
Practical Test Requested
*
Private Pilot ASEL
Private Pilot AMEL
Instrument Rating - Airplane
Commercial Pilot ASEL
Commercial Pilot AMEL
Flight Instructor - Instrument add-on
Type of Test
*
First Attempt
Retest after Failure
Continue after Discontinuance
Date of Notice of Disapproval / Letter of Discontinuance
Graduate of Part 141 School?
*
No
Yes
Graduation Date from Part 141 School (if applicable)
*
Layout
Aircraft Make & Model
*
Aircraft N#
Type of GPS installed in Aircraft (if applicable)
No GPS Installed
Garmin GNS 430/530
Garmin GTN 650/750
Avidyne IFD 440/540/550
Other
Type of Aircraft Instrumentation installed in Aircraft
Analog Six Pack (steam gauges)
Aspen Evolution
Avidyne Entegra
Dynon SkyView HDX
Garmin G3x
Garmin G500/600
Garmin G1000
Garmin GI275
Other
Flight Review
Date of 61.56 Flight Review or date of successful Practical Test for a Pilot Certificate or Rating, whichever is most recent (if applicable).
Medical Certificate
*
First Class
Second Class
Third Class
Basic Med
Do you have a certificate from an FAA approved Medical Education Course (MEC)
No
Yes
If yes, the certificate must be brought to the Practical Test in either electronic or paper form.
Have you held a medical certificate at any point after 7/14/2006 and the certificate has not been suspended or revoked?
No
Yes
Has your most recent application for an airman medical certificate submitted to the FAA been completed and has not been denied?
No
Yes
If an authorization for a Special Issuance medical was issued, has it been withdrawn?
N/A
No
Yes
Test Location
*
ABE (Lehigh Valley Int'l)
Other (additional travel fee)
Check only one box
Test Location - Other
*
Preferred Location for Practical Test - Airport Identifier only
Preferred Date of Test
*
Availability on Saturday and Sunday ONLY
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