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Eagle Aircraft
Operations Manual and Safety Procedures
Student's/Renter's Name
Aircraft Make/Model
Dispatcher Actions
Valid Pilot Certificate Current
Current Medical Certificate
Identity Verified
Qualified In Aircraft
Meets Currency Requirements
Completed Rental Agreement
Covenant Not To Sue
GPS, VOR, Fire Ext. log up to date
Dispatcher's Signature
I have checked the weather for the intended flight and it is forecast to remain
above the minimums prescribed by Eagle Aircraft Operations Manual.
I have preflighted the aircraft and found it airworthy and have determined that it
has enough fuel on board to complete the intended flight, with a minimum of one
hour reserve fuel. NOTE any damages:
-Failure to note damage could result in your liability for
the damage.
I have read, understand, and agree to comply with the guidance in the Federal
Aviation Regulations, Aeronautical Information Manual, and Eagle Aircraft
Operations Manual.
My destination is
be
AM/PM. If for any reason I will not return at this time, I will contact Eagle
Aircraft by telephone or radio frequency PRIOR to my expected return time
Eagle Aircraft
Operation Manual and Safety Procedures
04/25/2012
Page 49 of 56
Eagle Aircraft
Dispatch Form
Date/Time
N Number
Current tach:
(CFI Endorsed)
Next Inspection type:
Due at tach:
GPS Update Due:
Fuel Card Received:
Date
Renter's Actions
Maintenance Verifications
(PIC initials)
and I estimate my return time to
FAA Approved
Date:
_
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