Item(s) | Description |
---|---|
1-2 | Application For: Class of Medical Certificate Applied For |
3-10 | Items 3-10 on the FAA Form 8500-8 must be entered as identification. While most are self-explanatory (as indicated in the MedXPress drop-down menus next to individual items) specific instructions include: Last Name; First Name; Middle Name Social Security Number (SSN) Address and Telephone Number Date of Birth Color of Hair Color of Eyes Sex Type of Airman Certificate(s) You Hold |
11-12 | Occupation, Employer |
13 | Has Your FAA Airman Medical Certificate Ever Been Denied, Suspended, or Revoked? |
14-15 | Total Pilot Time |
16 | Date of Last FAA Medical Application |
17 a | Do You Currently Use Any Medication (Prescription or Nonprescription)? |
17 b | Do You Ever Use Near Vision Contact Lens(es) While Flying? |
18 | Medical History |
19 | Visits to Health Professional Within Last 3 Years |
20 | Applicant's National Driver Register and Certifying Declaration |
Page Last Modified: 09/28/12 12:48 EDT
This page can be viewed online at: http://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/app_process/app_history/