Clearance For Pilots / US Military Personnel

Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Notes

Please attach FAA form or Doctor's Clearance Request here(Required)

Max. file size: 150 MB.

CAPTCHA

Have you had LASIK or lens implant surgery in the past?