Name *

First Name

Last Name

ARN *

(###)

###

####

Date *

MM

DD

YYYY

TEAM Equipment

Tie-Down Kits

Covers

Headsets

Aircraft Defects from Daily Inspection? *

Yes

No

DECLARATION *

As Pilot in Command of the aircraft today, I declare the following in accordance with my responsibilities:

I hold a current Medical Certificate

My Flight Review is current

I am fit for flight - IMSAFE

Weather conditions have been checked and accepted including GAF, GPWT and TAFs

I have checked all NOTAMS

MR signed and sighted

Trip Sheet completed

Weight and Balance completed

I have sufficient oil onboard

Sufficient fuel onboard for the flight, or intention to refuel enroute if necessary