Appendix G G-13 Email Address: Enter your email address. (Optional.)
Current Mailing Address, City, State, ZIP Code: Enter your mailing address, city, state, and ZIP code as displayed on your FAA pilot certificate. If you need to change your address printed on your certificate, contact the Airmen Certification Branch at 866-878-2498. Entering a different address here will not update your FAA address on record and may delay consent or revocation being granted via the PRD. Copies of your PRD Airman Record (PAR) will be mailed to the address of record only. (Required.)
Granting or Revoking Consent Statement: Select if you intend to grant consent or withdraw a previously provided consent to air carriers/operators. If you do not make a selection, consent will not be granted or withdrawn in the PRD for this company.
(Required.)
Air Carrier Name(s) and Designator(s): Enter the full name of the air carrier or operator that will be allowed to review your PAR. Ask the air carrier or operator what should be entered, as it may not be the same as the commonly used company name. Also enter the FAA designator assigned to the air carrier or operator. Ask the air carrier or operator what should be entered. You may list up to four carriers/operators. If you require more carrier/operator entries, please submit any number of separate FAA Forms 8060-14.
(Required if granting or revoking consent.)
Consent Time Period: Select how long you would like your PAR to be available for download for each air carrier or operator. Do not make a selection if you are using this form to withdraw consent. If left unchecked, the carrier/operator access period will be 30 days. (Optional.)
Perjury Statement: Your signature below this statement declares that you understand the penalties for making a false statement on this form.
Requesting a Copy of Your Records: Mark this box if you only need to request a copy of your records in the PRD and do not want to grant or revoke consent. The records will be mailed to your address of record.
Signature: You must sign and date the form for consent or withdrawal to be granted. A typed or electronic signature is not acceptable. (Required.)
Previous Employer(s): Enter your current and/or former employers for which you were employed as a pilot within the previous 5 years. It is considered a falsification and subject to enforcement action if current and/or former employers are omitted. Note: Submitting employment history information via this form will replace any previous employers previously submitted to the PRD. After this request is processed, your employment history will match what is submitted via this form. If you leave this form empty, no changes will be made to your employment history. Submit additional pages if you need more space to add previous employers.
Appendix G G-14 G.8 Overview and Use of FAA Form 8060-15, Pilot Records Database Pilot Record Dispute.
PURPOSE: This form is used by pilots who cannot access the PRD themselves to dispute a record and request corrections. This form is not used for FAA records.
Name: Enter your last name, first name, and middle name as displayed on your FAA pilot certificate. (Required.)
Date of Birth: Enter your date of birth in the format MM/DD/YYYY. (Required.)
FAA Pilot Certificate Number: Enter your certificate number as displayed on your FAA commercial pilot or ATP pilot certificate. If you do not hold a commercial pilot or ATP certificate, enter the number from your remote pilot certificate. (Required.) Other pilot certificates are not supported by the PRD.
Email Address: Enter your email address. (Optional.)
Current Mailing Address, City, State, ZIP Code: Enter your mailing address, city, state, and ZIP code as displayed on your FAA pilot certificate. If you need to change your address printed on your certificate, contact the Airmen Certification Branch at 866-878-2498. Entering a different address here will not update your FAA address on record and may delay or prevent this form from being processed. (Required.)
Section 1: Dispute an existing record displayed in your PRD Airman Record (PAR).
Complete this section if a record is displayed in your PAR that is not accurate. Marking a record as disputed will notify the record owner that you do not think it is accurate. They will then contact you to investigate via the contact information you entered on this form.
Date of Disputed Record: Enter the event start date as shown in the PAR.
Operator Name Who Entered the Record: Enter the name of the operator who entered the record as shown in the PAR.
Record ID: Enter the record ID for the record as shown in the PAR.
Brief Description: Enter a brief description of the inaccuracy. The operator may contact you for additional details.
Section 2: Report a Missing Record. Complete this section if you believe a record is missing from your PAR. Reporting a missing record will initiate the dispute process and the operator you list will be notified. They will then contact you to investigate via the contact information you entered on this form.
Operator Name: Enter the name of the operator who holds the record you believe needs to be entered into the PRD.
Operator Designator: Enter the FAA designator for the operator, if applicable.
Appendix G G-15 Date of Record: Enter the start date of the record.
Brief Description: Enter a brief description of the missing record. The operator may contact you for additional details.
Section 3: Mark a previously opened dispute as resolved. Complete this section if a record is currently marked as disputed, but the issue has been resolved. This will remove the disputed flag from the PAR.
Date of Disputed Record: Enter the event start date as shown in the PAR.
Operator Name Who Entered the Record: Enter the name of the operator who entered the record as shown in the PAR.
Record ID: Enter the record ID for the record as shown in the PAR.
Perjury Statement: Your signature below this statement declares that you understand the penalties for making a false statement on this form.
Signature: You must sign and date the form for the dispute process to start. A typed or electronic signature is not acceptable. (Required.)
Advisory Circular Feedback Form If you find an error in this AC, have recommendations for improving it, or have suggestions for new items/subjects to be added, you may let us know by contacting the Regulatory Support Division or the Flight Standards Directives Management Officer at 9-AWA-AFB-120-Directives@faa.gov.
Subject: AC 120-68J, Pilot Records Improvement Act and the Pilot Records Database Date: _____________________ Please check all appropriate line items:
An erro r (pro ce dural or typographical) has been noted in paragraph ____________ on page _______.
Recommend paragraph _____________ on page __________ be changed as follows:
______________________________________________________________________ ______________________________________________________________________ In a future change to this AC, please cover the following subject:
(Briefly describe what you want added.)
______________________________________________________________________ ______________________________________________________________________ Other comments:
______________________________________________________________________ ______________________________________________________________________ I would like to discuss the above. Please contact me.
Submitted by: Date: ______________________