Appendix A A.50 Passing the flight instructor flight proficiency check to provide training in a different category or class of aircraft−(additional category/class): §§ 61.409 and 61.419.
I certify that [First name, MI, Last name] has met the requirements in accordance with §§ 61.409 and 61.419. I have determined that [he or she] is proficient and authorized for the additional [aircraft category and class] flight instructor privilege.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.51 Flight instructor practical test: §§ 61.409 and 61.411.
I certify that [First name, MI, Last name] has received the required training of § 61.409 and met the aeronautical experience requirements of § 61.411. I have determined that [he or she] is prepared for the flight instructor with a sport pilot rating practical test in a [aircraft category and class].
/s/ [date] S. P. Examiner 987654321 Exp. 12-31-19 Note: The endorsement for a practical test is required in addition to the § 61.39 endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2).
A.52 Passing the flight instructor practical test: §§ 61.409 and 61.411.
I certify that [First name, MI, Last name] has met the requirements in accordance with §§ 61.409 and 61.411. I have determined that [he or she] is proficient and authorized for the [aircraft category and class] flight instructor privilege.
/s/ [date] S. P. Examiner 987654321 Exp. 12-31-19 Note: This endorsement is required by § 61.417 and is issued by a Designated Pilot Examiner (DPE).
A.53 Spin training: § 61.405(b)(1)(ii).
I certify that [First name, MI, Last name] has received the required training of § 61.405(b)(1)(ii). I have determined that [he or she] is competent and possesses instructional proficiency in stall awareness, spin entry, spins, and spin recovery procedures.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: This spin training endorsement is only required of flight instructor applicants for the airplane and glider ratings.
A-17
Appendix A
GROUND INSTRUCTOR ENDORSEMENT A.54 Ground instructor who does not meet the recent experience requirements:
§ 61.217(b).
I certify that [First name, MI, Last name] has demonstrated satisfactory proficiency on the appropriate ground instructor knowledge and training subjects of § 61.213(a)(3) and (4).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: Signed by CFI or certificated ground instructor, as appropriate;
the expiration date would apply only to a CFI.
SPECIAL FEDERAL AVIATION REGULATION (SFAR) 73, ROBINSON R-22/R-44
SPECIAL TRAINING AND EXPERIENCE REQUIREMENTS, ENDORSEMENTS A.55 R22/R44 awareness training: SFAR 73, section 2(a)(1) or (2).
I certify that [First name, MI, Last name, Pilot Certificate No. ] has received the Awareness Training required by SFAR 73, section 2(a)(3)(i–v).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.56 R22 solo endorsement: SFAR 73, section 2(b)(3).
I certify that [First name, MI, Last name, Pilot Certificate No. ] meets the experience requirements of SFAR 73, section 2(b)(3) and has been given training specified by SFAR 73, section 2(b)(3)(i–iv). [He or She] has been found proficient to solo the R22 helicopter.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.57 R22 pilot in command endorsement: SFAR 73, section 2(b)(1)(ii).
I certify that [First name, MI, Last name, Pilot Certificate No. ] has been given training specified by SFAR 73, section 2(b)(1)(ii)(A–D) for Robinson R22 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by [date 12 calendar-months after date of this endorsement] unless the requirements of SFAR 73, section 2(b)(1)(i) are met.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.58 R22 flight instructor endorsement: SFAR 73, section 2(b)(5)(iv).
I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i–ii) and (iii)(A–D), and has demonstrated an ability to provide A-18
Appendix A instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R22 helicopter.
/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-19; or /s/ [date] I. M. Inspector FAA Aviation Safety Inspector Note: This endorsement may only be issued by an FAA aviation safety inspector (ASI) or authorized Designated Examiner (DE) per SFAR 73, section 2(b)(5)(iv).
A.59 Flight review in an R22 helicopter: SFAR 73, section 2(c)(1) and (3).
I certify that [First name, MI, Last name, Pilot Certificate No. ] has satisfactorily completed the Flight Review required by § 61.56 and SFAR 73, section 2(c)(1) and (3), on [date of flight review].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.60 R44 solo endorsement: SFAR 73, section 2(b)(4).
I certify that [First name, MI, Last name, Pilot Certificate No. ] meets the experience requirements of SFAR 73, section 2(b)(4) and has been given training specified by SFAR 73, section 2(b)(4)(i–iv). [He or She] has been found proficient to solo the R44 helicopter.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.61 R44 pilot in command endorsement: SFAR 73, section 2(b)(2)(ii).
I certify that [First name, MI, Last name, Pilot Certificate No. ] has been given training specified by SFAR 73, section 2(b)(2)(ii)(A–D) for Robinson R44 helicopters and is proficient to act as pilot in command. An annual flight review must be completed by [date 12 calendar-months after date of this endorsement] unless the requirements of SFAR 73, section 2(b)(2)(i) are met.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.62 R44 flight instructor endorsement: SFAR 73, section 2(b)(5)(iv).
I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the experience requirements and has completed the flight training specified by SFAR 73, section 2(b)(5)(i–ii) and (iii)(A–D), and has demonstrated an ability to provide instruction on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified in SFAR 73, section 2(b)(5)(iii) in a Robinson R44 helicopter.
/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-19; or /s/ [date] I. M. Inspector FAA Aviation Safety Inspector A-19
Appendix A Note: This endorsement may only be issued by an FAA ASI or authorized DE as per SFAR 73, section 2(b)(5)(iv).
A.63 Flight review in an R44 helicopter: SFAR 73, section 2(c)(2) and (3).
I certify that [First name, MI, Last name, Pilot Certificate No. ] has satisfactorily completed the Flight Review required by 14 CFR, § 61.56 and SFAR 73, section 2(c)(2) and (3), on [date of flight review].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19
ADDITIONAL ENDORSEMENTS A.64 Completion of a flight review: § 61.56(a) and (c).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has satisfactorily completed a flight review of § 61.56(a) on [date].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: No logbook entry reflecting unsatisfactory performance on a flight review is required.
A.65 Completion of any phase of an FAA-sponsored Pilot Proficiency Program (WINGS): § 61.56(e).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has satisfactorily completed Level: [Basic/Advanced/Master, as appropriate], Phase No. [ ] of a WINGS program on [date].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.66 Completion of an instrument proficiency check: § 61.57(d).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has satisfactorily completed the instrument proficiency check of § 61.57(d) in a [M/M of aircraft] on [date].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: No logbook entry reflecting unsatisfactory performance on an instrument proficiency check is required.
A-20
Appendix A A.67 To act as pilot in command in a complex airplane: § 61.31(e).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training of § 61.31(e) in a [M/M of complex airplane]. I have determined that [he or she] is proficient in the operation and systems of a complex airplane.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.68 To act as pilot in command in a high-performance airplane: § 61.31(f).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training of § 61.31(f) in a [M/M of high-performance airplane].
I have determined that [he or she] is proficient in the operation and systems of a highperformance airplane.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.69 To act as pilot in command in a pressurized aircraft capable of high-altitude operations: § 61.31(g).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training of § 61.31(g) in a [M/M of pressurized aircraft]. I have determined that [he or she] is proficient in the operation and systems of a pressurized aircraft.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.70 To act as pilot in command in a tailwheel airplane: § 61.31(i).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training of § 61.31(i) in a [M/M of tailwheel airplane]. I have determined that [he or she] is proficient in the operation of a tailwheel airplane.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.71 To act as pilot in command of an aircraft in solo operations when the pilot does not hold an appropriate category/class rating: § 61.31(d)(2).
I certify that [First name, MI, Last name] has received the training as required by § 61.31(d)(2) to serve as a pilot in command in a [specific category and class of aircraft].
I have determined that [he or she] is prepared to solo that [M/M] aircraft.
Limitations: [optional].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A-21
Appendix A A.72 Retesting after failure of a knowledge or practical test: § 61.49.
I certify that [First name, MI, Last name] has received the additional [flight and/or ground, as appropriate] training as required by § 61.49. I have determined that [he or she] is prepared for the [name of] knowledge/practical test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: In the case of a failed knowledge test, the instructor may complete the endorsement in the space provided at the bottom of the applicant’s Airman Knowledge Test Report (AKTR). The instructor must sign the block provided for the instructor’s recommendation on the reverse side of FAA Form 8710-1, Airman Certificate and/or Rating Application, for each retake of a practical test.
A.73 Additional aircraft category or class rating (other than ATP): § 61.63(b) or (c).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training for an additional [aircraft category/class rating]. I have determined that [he or she] is prepared for the [name of] practical test for the addition of a [name of] [specific aircraft category/class/type] type rating.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.74 Type rating only, already holds the appropriate category or class rating (other than ATP): § 61.63(d)(2).
I certify that [First name, MI, Last name] has received the required training of § 61.63(d)(2) for an addition of a [name of] type rating.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.75 Type rating concurrently with an additional category or class rating (other than ATP): § 61.63(d)(2).
I certify that [First name, MI, Last name] has received the required training of § 61.63(d)(2) for an addition of a [name of] [specific category/class/type] type rating.
I have determined that [he or she] is prepared for the [name of] practical test for the addition of a [name of] [specific aircraft category/class/type] type rating.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.76 Type rating only, already holds the appropriate category or class rating (at the ATP level): § 61.157(b)(2).
I certify that [First name, MI, Last name] has received the required training of § 61.157(b)(2) for an addition of a [name of] type rating.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A-22
Appendix A A.77 Type rating concurrently with an additional category or class rating (at the ATP level): § 61.157(b)(2).
I certify that [First name, MI, Last name] has received the required training of § 61.157(b)(2) for an addition of a [name of the specific category/class/type] type rating.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.78 Launch procedures for operating a glider: § 61.31(j).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required training in a [glider M/M] for [launch procedure]. I have determined that [he or she] is proficient in [list the launch procedure].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.79 Glider and unpowered ultralight vehicle towing experience: § 61.69(a)(5).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has accomplished at least three flights in an aircraft while towing [a glider or unpowered ultralight vehicle, or while simulating towing flight procedures, as applicable].
/s/ [date] J. J. Jones 987654321 Note: This endorsement is made by the pilot who is qualified per § 61.69(c) and (d) and who conducted the flights. This endorsement does not have to be made by a flight instructor.
A.80 Glider and unpowered ultralight vehicle towing ground and flight: § 61.69(a)(3).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], has received the required ground and flight training in [a glider or unpowered ultralight vehicle, as applicable]. I have determined that [he or she] is proficient in the techniques and procedures essential to the safe towing of [gliders or unpowered vehicles, as applicable] including airspeed limitations; emergency procedures; signals used;
and maximum angles of bank.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.81 Review of a home study curriculum: § 61.35(a)(1).
I certify I have reviewed the home study curriculum of [First name, MI, Last name].
I have determined that [he or she] is prepared for the [name of] knowledge test.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 Note: This endorsement cannot be used for the ATP Airplane Multiengine Knowledge Test.
A-23
Appendix A A.82 Experimental aircraft only − additional aircraft category or class rating (other than ATP): § 61.63(h).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], as required by § 61.63(h), is proficient to act as pilot in command in a [category, class, make, and model] of experimental aircraft and has logged at least 5 hours flight time logged between September 1, 2004, and August 31, 2005, while acting as pilot in command in [aircraft category/class rating and M/M] that has been issued an experimental certificate.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.83 Experimental aircraft only − additional aircraft category or class rating ATP:
§ 61.65(g).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number], as required by § 61.65(g) is proficient to act as pilot in command in a [category, class, make, and model] of experimental aircraft and has logged at least 5 hours flight time logged between September 1, 2004, and August 31, 2005, while acting as pilot in command in [aircraft category/class rating and M/M] that has been issued an experimental certificate.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.84 Aeronautical experience credit − ultralight vehicles: § 61.52.
I certify that I have reviewed the records of [First name, MI, Last name], as required by § 61.52(c). I have determined that [he or she] may use [number of hours] aeronautical experience obtained in an ultralight vehicle to meet the requirements for [certificate/rating/privilege].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.85 Endorsement required to provide training for Night Vision Goggle (NVG) operations: § 61.195(k)(7).
I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the Night Vision Goggle Instructor requirements of § 61.195(k) and is authorized to perform the night vision goggle pilot-in-command qualification and recent flight experience requirements under §§ 61.31(k) and 61.57(f) and (g). This endorsement does not provide the authority to endorse another flight instructor as a night vision goggle instructor.
/s/ [date] I. M. Inspector 987654321CFI Exp. 12-31-19 Position Note: “Position,” as mentioned in the signature block of the endorsement, is a person who is authorized by the FAA to provide that logbook endorsement.
Refer to Order 8900.1.
A-24
Appendix A
ENHANCED FLIGHT VISION SYSTEM (EFVS) A.86 Endorsement for EFVS ground training: § 61.66(a).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the ground training required by § 61.66(a) appropriate to the [appropriate aircraft category] category of aircraft.
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31 A.87 Endorsement for EFVS flight training: § 61.66(b).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has received the flight training required by § 61.66(b) and is proficient in the use of EFVS in the [appropriate aircraft category in which the flight training was conducted] category of aircraft for EFVS operations conducted under [§ 91.176(a), § 91.176(b), or both § 91.176(a) and (b)].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A.88 Endorsement for EFVS ground and flight training: § 61.66(a) and (b).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the ground training required by § 61.66(a) and has received the flight training required by § 61.66(b) for EFVS operations and is proficient in the use of EFVS in the [appropriate aircraft category in which the ground and flight training was conducted] category of aircraft for EFVS operations conducted under [§ 91.176(a), § 91.176(b), or both § 91.176(a) and (b)].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31 A.89 Endorsement for EFVS supplementary training: § 61.66(c).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has satisfactorily completed the required ground and flight training required by § 61.66(c) for EFVS operations and is proficient in the use of EFVS in the [the appropriate aircraft category in which the supplementary ground and flight training was conducted] category of aircraft for EFVS operations conducted under [§ 91.176(a), § 91.176(b), or both § 91.176(a) and (b)].
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 A-25
Appendix B APPENDIX B. PILOT CERTIFICATE APPLICANT IDENTITY VERIFICATION B.1 General Identity Document Review Guidelines:
B.1.1 Applicant must present a government-issued photo identification. Refer to suggested list below.
B.1.2 Confirm that the applicant matches the photo on the identification document.
B.1.3 Identity document must be valid. Please note that a select number of states do not provide an expiration date on certain documentation.
B.1.4 Name on the identity document must substantially match the name on the application.
B.1.4.1 Use best judgment when comparing the identity documents and application data as a person may reasonably identify him or herself through the use of multiple variations of his or her legal, given, and/or nicknames (e.g., Robert Michael Smith Jr; Robert M Smith Jr; Robbie M Smith; or Bob/Bobbie Smith).
B.1.4.2 Additionally, there may be a suffix on the identity document (e.g., JR, SR, II, or III) that may not be present on the application. Ensure the applicant’s name on the application matches his or her identification.
B.1.5 If date of birth is present on the document provided, it must match the date of birth on the application.
B.1.6 If address is present on the document provided, compare to the address on the application. If the address is different, please request that the applicant provide a current address.
B.1.7 If gender is present on the document provided, it must match the gender on the application.
B.1.8 If an identity document appears to be fraudulent or shows signs of tampering, or if any of the identifying information on the identity document does not satisfactorily match the information on the application as explained in this guidance, do not challenge the individual; complete the application process, copy presented documents, and record the person’s name, address, and contact information (to include phone numbers, emails, etc.).
Provide this information to supervisory, security, investigative, or law enforcement personnel as soon as possible.
B.2 List of Acceptable Documents or Combination of Documents:
1. Unexpired U.S. passport (book or card).
2. Unexpired Enhanced Tribal Card (ETC).
3. Unexpired Free and Secure Trade (FAST) Card.
B-1
Appendix B
4. Unexpired Global Entry Card.
5. Unexpired U.S. Enhanced Driver’s License (EDL) or unexpired Enhanced Identification Card (EID).
6. Permanent Resident Card (I-551), commonly referred to as a “Green Card.”
7. Unexpired foreign passport.
8. Unexpired Permit to Reenter the United States (I-327).
9. Unexpired driver’s license issued by a state or outlying possession of the United States.
10. Unexpired temporary driver’s license plus expired driver’s license.
11. Unexpired photo ID card issued by a state or outlying possession of the United States. This must include a state or state agency seal or logo
(e.g., a state university ID). Permits are not considered valid identity documents (e.g., a gun permit).
12. Unexpired photo ID card issued by a regional, county, or city/municipal governmental authority, to include but not limited to law enforcement, governmental, education, transportation, and utility authority.
13. Unexpired U.S. military ID card.
14. Unexpired U.S. retired military ID card.
15. Unexpired U.S. military dependent’s card.
16. Native American tribal document with photo.
17. Unexpired Department of Homeland Security (DHS)/Transportation Security Administration (TSA) Transportation Worker Identification Credential (TWIC).
18. Unexpired Merchant Mariner Credential (MMC).
19. U.S. Birth Certificate and an unexpired government-issued ID.
20. U.S. Naturalization Certificate with a raised seal, or Certificate of Naturalization issued by U.S. Citizenship and Immigration Services (USCIS) or the Immigration and Naturalization Service (INS) (Form N-550 or N-570) with a government-issued ID.
21. Certificate of Birth Abroad with raised seal, Department of State (DOS) Form FS-545, or DS-1350 with government-issued ID.
22. Certificate of U.S. Citizenship with raised seal, or Certificate of Citizenship issued by USCIS or INS, or Certificate of Repatriation issued by USCIS or INS, together with a government-issued ID.
23. A Federal agency’s written certification to its employee’s U.S. citizenship, if the training is being conducted on behalf of that agency.
B-2
Appendix B B.3 Recordkeeping Requirements. To meet the TSA’s requirements under Title 49 of the Code of Federal Regulations (49 CFR) § 1552.3, the flight training provider or certificated flight instructor (CFI) must do one of the following:
1. Keep a copy of the documents used to provide proof of citizenship for 5 years; or
2. Make an endorsement in both the student’s logbook and instructor’s logbook, or other record used by the instructor to record flight student endorsements, with the following statement:
I certify that [First name, MI, Last name] has presented me a [insert type of document presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or sequential number on the document, if any] establishing that [he or she] is a U.S. citizen or national in accordance with 49 CFR § 1552.3(h).
/s/ [date] J. J. Jones 987654321CFI Exp. 12-31-19 B-3