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
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