Unmanned Aircraft System Declaration of Compliance Form
Use this form to declare and document that a UAS/drone operation complies with the required operational checks, configuration, and mission details for the specific operation.
Operator Information
Operator / Organization Name
*
Primary Contact Full Name
*
First Name
Middle Name
Last Name
Role / Title
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
UAS / Aircraft Identification
UAS/Drone Make
*
Model
*
Serial Number or Fleet ID
*
Aircraft Type / Category
*
Multirotor
Fixed-Wing
Single-Rotor
Hybrid
Other
Number of Aircraft Covered by This Declaration
*
Operation Details
Operation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Operation Location / Site
*
Mission Purpose
*
Operating Environment
*
Visual Line of Sight (VLOS)
Extended Visual Line of Sight (EVLOS)
Beyond Visual Line of Sight (BVLOS)
Other
Maximum Planned Altitude (ft)
*
Compliance Declaration and Supporting Information
Compliance Review Checklist
*
Did any deviation, incident, malfunction, or non-compliance occur?
*
Yes
No
If yes, describe the deviation/incident and corrective actions
Supporting Documentation
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