FAA Type Rating Worksheet
Click here for a printable version of this form
For help with this form please refer to the example

This information is required in order to setup your FAA type rating application in the FAA computers. If any
of the information changes before your class date, we will need the changes also.

NOTE: The fields are already filled in as an example please fill in your own information or leave the field blank before submitting

Name:
(as it appears on your FAA pilot's license)

Address on file with FAA:
(normally address on medical)
street
apt. #
city
state
zip -
Is this your current address?


If you want a NEW or DIFFERENT address used, what is the address :
street
apt. #
city
state
zip code -
IF NEITHER address is your current residence (ie: a P.O. Box or RR#) please give detailed directions to your residence
Social Security Number:
Phone Number (including area code):

Email:
MEDICAL class, date & physician name (including MD or DO):
HEIGHT (inches) & WEIGHT (lbs) from medical
Date of birth, birth city, state, country
NATIONALITY - are you a dual citizen of another country?
Government Issued Photo ID:
type of ID
ID number
expiration date
FAA license held:
ATP Commercialal
License #
Date Issued
All RATINGS and LIMITATIONS as shown on your most current license:
Is this your initial ATP? (you have a commercial presently)
If this is your initial ATP, what is your ATP WRITTEN AIRMAN KNOWLEDGE EXAM ID NUMBER:

Exam ID #:

Exam date:

IF you have a new FAA license or CFI renewel recently through the FAA IACRA (computer) system, the following will be needed:
New FAA license #:
FTN #:
username
password
Flight Times (estimate)
Total Flight Time
Cross Country Solo
Cross Country Inst. Recv'd
Night Time (SIC)
Total Pilot In Command Time (PIC)
Cross Country PIC Time
Actual Instrument Time
Number of Night T/OFFS & Landings
Total Second In Command Time (SIC)
Cross Country SIC Time
Night Time (PIC)
Night Inst. Recv'd