Drone Operator Identity Verification Form

Drone Operator Identity Verification Form
Please complete this form to verify your identity and credentials as a certified drone operator.
Full Name
First NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Residential Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Drone Operator License or Registration Number
Issuing Authority of License or Registration
Expiration Date of License or Registration
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Details of Drone(s) Operated
Upload a clear photo of your government-issued photo ID (do not include sensitive numbers)
Cancelof
Upload a copy of your drone operator license or registration
Cancelof
Upload a recent photo of yourself (headshot)
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Signature (please sign below to confirm your declaration)
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