Pilot’s bill of rights written notification of investigation



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PILOT’S BILL OF RIGHTS WRITTEN NOTIFICATION OF INVESTIGATION
The information you submit on the attached FAA Form 8610-1, Mechanic’s Application for Inspection Authorization, will be used by the Administrator of the Federal Aviation Administration as part of the basis for issuing an airman certificate, rating, or inspection authorization to you under Title 49, United States Code (USC) section 44703(a), if the Administrator finds, after investigation, that you are qualified for, and physically able to perform the duties related to the certificate, rating, or inspection authorization for which you are applying. Therefore, in accordance with the Pilots Bill of Rights, the Administrator is providing you with this written notification of investigation of your qualifications for an airman certificate, rating, or inspection authorization:


  • The nature of the Administrators investigation, which is precipitated by your submission of this application, is to determine whether you meet the qualifications for the airman certificate, rating, or inspection authorization you are applying for under Title 14, Code of Federal Regulations (CFR) parts 61, 63, or 65.




  • Any response to an inquiry by a representative of the Administrator by you in connection with this investigation of your qualifications for an airman certificate, rating, or inspection authorization may be used as evidence against you.




  • A copy of your complete airman file is available to you upon your written request addressed to:


Federal Aviation Administration

Airmen Certification Branch, AFS-760

P.O. Box 25082

Oklahoma City, OK 73125-0082

Applicant retains this portion

-----------------------------------------------------------------------------------------------------------------



Separate and Attach to FAA Application Form
ACKNOWLEDGMENT OF RECEIPT OF

PILOT’S BILL OF RIGHTS WRITTEN NOTIFICATION

I acknowledge that I received the Pilot’s Bill of Rights Written Notification of Investigation at the time of this application.


DATE:


_____________________________________________________________________________________ ________________________________________________________________

Signature of Applicant MM/DD/YYYY



EA23(Airman)005

Revision 1

11/6/2012






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