DD 175 Military Flight Plan



PRIVACY ACT STATEMENT |DATE |AIRCRAFT CALL SIGN |AIRCRAFT DESG AND | |

|AUTHORITY: |10 USC 8012 and EO 9397. |ROUTINE USES: |To provide data required to process flight plans with |      |      |TD CODE |

|PRINCIPAL PURPOSE: |To aid in accurate |DISCLOSURE: |appropriate air traffic | | |      |

| |identification | |service authorities. A file is retained by the agency | | | |

| |of personnel participating in| |processing the flight plan. | | | |

| |the | |Voluntary; however, failure to provide the SSN could result in | | | |

| |filed flight. | |denial of flight | | | |

| | | |plan processing. | | | |

|BASE OPERATIONS USE |

| |TYPE FLT PLAN |TRUE |POINT |PROPOSED DEPARTURE TIME (Z) |ALTITUDE |ROUTE OF FLIGHT |

| | |AIRSPEED |OF | | | |

| | | |DEPARTURE | | | |

|       |      |      | | |

|       |      |      | | |

|RANK AND HONOR CODE | | | | | |

|       | | | | | |

|FUEL ON BD |ALTN AIRFIELD |ETE TO ALTN |NOTAMS |WEATHER |WT AND BALANCE |AIRCRAFT SERIAL NUMBER, UNIT, AND HOME STATION |

|      |      |      |      |      |      |      |

|SIGNATURE OF APPROVAL AUTHORITY |CREW/PASSENGER LIST |ACTUAL DEP TIME |BASE OPERATIONS USE |

| |  |ATTACHED |  |SEE PSGR MANIFEST |

|PILOT |      |      |      |      |

|IN | | | | |

|COMMAND | | | | |

|PI |      |      |      |      |

|FE |      |      |      |      |

|CE |      |      |      |      |

DD Form 175, MAY 86 Previous editions are obsolete. MILITARY FLIGHT PLAN

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download