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Name:

Flight Plan Form


1. Type 2. Aircraft Identification 3. Aircraft Type/ Special 4. True 5. Departure 6. Departure Time 7. Cruising
VFR Equip. Airspeed (kts) Point Proposed Actual Altitude
IFR
DVFR
8. Route

9. Destination (Name of Airport and City) 10. Est. Time Enroute 11. Remarks
Hours Minutes

12. Fuel on Board 13. Alternate Airport(s) 14. Pilot’s Name, Address, Phone #, & Aircraft Home Base 15. No. On
Hours Minutes Board

16. Aircraft Color 17. Destination Contact / Telephone (Optional)

Close VFR Flight Plan with _________ FSS on Arrival


Special Equipment Suffix /B – DME, Transponder with no altitude encoding capability /R – RNAV, Transponder with altitude encoding capability
/X – No Transponder /A – DME, Transponder with altitude encoding capability /W – RNAV, No Transponder
/T – Transponder with no altitude encoding capability /C – RNAV, Transponder with no altitude encoding capability /G – Global Positional System (GPS) Global Navigation Satellite
/U – Transponder with altitude encoding capability System (GNSS) Equipped aircraft with oceanic, en route, terminal,
/D – DME, No Transponder and GPS approach capability

Navigation Log
Aircraft Number N Notes

VOR Wind Dist. GS


CAS Time Off GPH
Ident Dir. Vel. TC TH MH Leg Est.
Check Points Course
Altitude CH
(Fixes) (Route) -L -L ETE ETA Fuel
±
Freq. Temp. TAS +R +R Rem. Act.
Dev. ATE ATA Rem.
WCA Var.

Totals >

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