The information for applicant and instructions for completion of the application pages must also be given to the applicant. The following numbered instructions apply to the numbered headings on the application form that follows this page. Faa form 8500 8 pdf fill online, printable, fillable, blank. Form and instruction, 8500 8, application for airman medical certificate or airman medical.
The way to complete the online faa form 8500 7 on the internet. Faa 850014 title ophthalmological evaluation for glaucoma edition date september 01, 1997 orientation portrait unit of issue ea responsible office aam200 contact information shawna adkins shawna. Faa form 850014, ophthalmological evaluation for glaucoma. Medical certificate to electronically complete the faa form 85008. Download printable faa form 85008 in pdf the latest version applicable for 2020. New paperless application for airman medical certificate fdx alpa. Application for medical certification items 1 20 of faa form 85008 this section contains guidance for items on the medical history and general information page of faa form 85008. Failing to disclose can exacerbate the problem and cause more serious and more recent disciplinary results to pilot licenses and dui action against drivers licenses. Messed up medicalbackground question page 2 airline.
Faa medxpress allows applicants to complete and submit their faa form 85008 online. Federal aviation administration medxpress user guide. Questions 18w mentions history of nontraffic convictions misdemeanors or felonies. Faa medical forms and guidelines 8 gg edition, application for airman medical certificate faa. Messed up medicalbackground question welcome to airline pilot forums connect and get the inside scoop on airline companies if this is your first visit, be sure to check out the faq. Nfaa shop charter application new and renewal state. Form 85008 application for airman medical certificate or. Faa medical form 8500 9 pdf documents docs archive.
Nfaaendorsed archery insurance program sadler sports. They are adding a new item in the medical history, 18y. Faa form 8500 8 fill online, printable, fillable, blank. Airman, student pilots, and controllers who have scheduled appointments for faa medical examinations class ii and iii must complete faa medical form 8500 8 using the faa medxpress online tool. Form 85008 application for airman medical certificate. Electronically transmit the form after it is complete. The application for airman medical certificate faa form 85008 is used by the faa office of aerospace medicine and designated aviation medical examiners ames for periodic medical examinations of controllers to determine initial and.
Pilot instructions for faa form 8500 8 medical history statement. Some things may not be significant while others will require explanation. Maintaining faa form 85008 for applicants to complete manually is burdensome not only. The faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. Both the yellow and white certificates and their instructions must be removed before the application is given to the applicant. Pilot side ame side download a pdf copy of faa form 85008 pdf copy may be viewed or printed complete form contains both physician and airman pages download form 1page complete document7pgs fax your form. Why would you advocate over disclosure when the form. Cover sheet for 8500 8 additional information instructions 1 click the printer icon on the browser tool bar to print a copy of this page. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form 85008. The legal consequences of undisclosed medical conditions on. Use this stepbystep guideline to complete the faa form 8500 7 promptly and with excellent precision. The information on the attached faa form, application for airman medical certificate or airman medical and. Since 2007, faa medxpress has evolved considerably, streamlining faa medical certification. I would suggest that if you are unsure of how to answer these questions in item 18, you discuss them with your ame before you complete the form.
If the applicant answers yes, the examiner should counsel the applicant that. Faa form 8500 14 fill online, printable, fillable, blank. Faa 8500 14 form, faa form 8500 8 fillable, faa form 8500 8 application, faa form 8500 9 pdf. There are several changes to faa form 85008, the application for a medical certificate you complete at the ames office. Faa medxpress program for pilots your express lane to. Make check payable to nfaa and mail with this form to your state association. Faa form 8500 7 fill out and sign printable pdf template. Pilot indicted for lying on faa medical forms aeronews network. The application for an airman medical certificate faa form 85008 is used by the faa s office of aerospace medicine and their designated aviation medical examiners ames to record historical. Request an account federal aviation administration. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete the faa form 8500 8. This is the old form that you used to fill out at the doctors office.
I love saving things as a pdf i have a folder in the dropbox cloud service that i keep all of my important papers so i dont lose it. The application for an airman medical certificate faa form 85008 is used by the. Users guide for the federal aviation administration. Complete the form below to request an faa medxpress account. The agency launched an online faa form 85008 application known as faa medxpress beginning in 2007. Faa form 850020, medical exemption petition operational questionnaire the following guidelines may also be useful. Application for airman medical certificate federal aviation. Preconstruction environmental and occupational safety and health checklist faa form 390018 03 electronic version pdf page 4 of 8 have been identified.
Faa aviation medical examinations and link to faa medxpress. The advanced tools of the editor will lead you through the editable pdf. Jul 31, 2012 we plan to go through all of the medical history items in section 18 on the front of form 8500 8 over the next several months. Faa medical certification airman medical application.
Medxpress now has a trapdoor, there isnt anything you can put on an electronic 8500 8 that an ame cannot remove. Instructions for completion of the application for airman. If more space is required to respond to yes answers for numbers 17, 18. Faa medical application 85008 pilot medical solutions leftseat. Information entered into medxpress will be transmitted to the faa. I have a shoplifting arrest from 2001 and i have pled guilty to disorderly conduct as a result. Airman medical exam form practice faa medical other faa forms. Faa 85007 title report of eye evaluation edition date march 01, 2006 orientation portrait unit of issue ea responsible office aam200 contact information shawna adkins shawna. Form and instruction, 85008, application for airman medical certificate or airman medical. Upon receipt of the approved renewal form and renewal fee at nfaa headquarters, affiliation will be extended for an additional year. Please note that the faa s official forms page can be found by clicking this hyperlink.
When an airman physical examination is performed and faa form 85008 is completed, where is the. Answer yes for every condition you have ever had in your life. Application for medical certification items 1 20 of faa form 85008 this section contains guidance for items on the medical history and general information page of faa form 85008, application for airman medical certificate or airman medical and student pilot certificate. What you need to know about question 18v on the faa 85008. Nfaa club charter application new and renewal club name. Mar 29, 2016 i am in the process of filling out 8500 8. Dec 02, 2005 pilot indicted for lying on faa medical forms. Tear off this cover sheet before submitting this form faa form 8500 7 306 faa form 8500 7 eaa members only 1 2 3 lowell finley, sbn 104414 law offices of lowell finley 1604 solano avenue berkeley, california 947072109 tel. Fill out the application for airman medical certificate online and print it. What you need to know about question 18v on the faa 85008 what you need to know about question 18v on the faa 85008 january 26, 2015 by warren silberman the 85008 is the faa s medical history and physical examination form. Faa medical application 85008 pilot medical solutions.
An email containing your initial password and instructions for completing the account request process will be. Transportation sections 1099, 401a, 4470144703, and 44709 094 formerly codified in the federal aviation act of 1958, as. Faa form 85008 download printable pdf or fill online application. Appeals and waivers special issuance are possible for affirmative answers. Ame procedures for handling the faa form 85008 airmen medical certificate are discussed. Perform your role in assuring the security of the faa form 85008 and the. Information entered into medxpress is available to your faa. Id also ask your particular ame before you touch the form.
The following instructions provide the procedures for completing faa form 8. The information on the attached faa form 85008, application for airman. Tips for reporting physician visits on the faa medical. Medical history have you ever in your life been diagnosed with, had, or do you presently have any of the following. It will be mandatory for all faa form 8500 8 be competed using med x press. New faa medical process with medxpress desert pilot. Transportation sections 1099, 401a, 4470144703, and 44709 1994 formerly codified in the federal aviation act of 1958, as. The federal aviation administrations medxpress system allows anyone requiring an faa medical certificate or student pilot medical certificate to electronically complete their medical application faa form. The format of this version of the guide provides instant access to information regarding regulations, medical history, examination procedures, disposition, and protocols, necessary for completion of the faa form. Guide for aviation medical examiners version v february 2008. After filling it out online you can print it out and save it as a pdf file. The faa medxpress system allows anyone requiring an faa medical certificate or student pilot. The consequences vary from being placed on probation to termination or revocation of your pilot licenses and dui punishment in addition. I obviously do not want to withhold important information since false information on 85008 could get me denied but at the same time i dont want to volunteer information that is not being asked.
The form you fill out online is identical to the 85008 faa form that you fill out in. Pilot licenses and dui orange county dui attorneys. The information on the attached faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate, is solicited under the authority of title 49, united states code u. Faa 8500 7 form, aviation medical form 8500 9, faa 8500 8 pdf form, faa eye exam form 8500 7, faa medical form pdf, faa class 3 medical form, faa medical application form, navsupinst 4200. Sep 10, 2012 effective october 1, 2012, the faa will discontinue the use of the paper version of faa form 8500 8 for pilot medical applications. I hereby certify that all statements and answers provided by me on this application form are complete and true to the best of my. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly. Welcome to airline pilot forums connect and get the inside scoop on airline companies if this is your first visit, be sure to check out the faq. The ame is a private physician who is approved by the faa to perform this function. Preconstruction environmental and occupational safety and. Faa form 85008 pdf the faa medxpress system allows anyone requesting an faa medical clearance or medical certificate to electronically complete an application. Form 85008, and performance of a medical examination of the applicant by an faa designated aviation medical examiner ame. Disorderly conduct is neither a misdemeanor or a felony under ny state law.
Faas medxpress to replace paper medical application. Medical requirements, tips and information on the aeromedical examination required by faa for aviators. Form faa 850014 ophthalmological evaluation for glaucoma. Successful installation of the appropriate readerfiller will allow you to view, save, fill in, email, or print a form, depending on the tools available for a particular version of a form and the version of the readerfiller software. Application for medical certification items 1 20 of faa form 8500 8 this section contains guidance for items on the medical history and general information page of faa form 8500 8, application for airman medical certificate or airman medical and student pilot certificate. The following numbered instructions apply to the numbered headings on the application form.