Flight Test Request Form

Applicants Full Name    _________________________________

Type of Test Requested _________________________________

Certificate Number _____________________________________

Phone Number ________________________________________

Email Address ________________________________________

FTN number __________________________________________


Recommending Instructor _______________________________

Certificate Number _____________________________________

Phone Number ________________________________________

Email Address _________________________________________

Airport/Flight School ____________________________________

Part 61 or 141 _________________________________________

Aircraft to be used (Make/Model/N number) ___________________


Date requested _________________________________________

Morning or Afternoon? ____________________________________


(You must be signed off and in IACRA prior to completing this form)  This form

must be complete for me to enter required data to obtain an FAA approval for the test.


When completed please forward this form to martin@haski.com