Aviation Duty Acknowledgement Form
Please review your assigned duty details and confirm your readiness to perform your aviation responsibilities.
Full Name
*
First Name
Last Name
Position/Role
*
Please Select
Pilot
Co-Pilot
Flight Attendant
Ground Crew
Maintenance Crew
Other
Employee ID (if applicable)
Date of Duty
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assigned Duty or Flight Number
*
Duty Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Duty End Time
*
Hour Minutes
AM
PM
AM/PM Option
Please confirm you have reviewed your assigned duty details and are ready to perform your responsibilities.
*
I acknowledge and confirm my readiness.
I have questions or concerns (please specify below)
If you have questions or concerns, please specify:
Signature (required for acknowledgment)
*
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: