Aviation Regulatory Waiver Request Form
Request a waiver for an aviation regulatory requirement by providing your operation details, the regulation involved, the reason for the request, and any proposed safety mitigations.
Applicant and Operation Details
Applicant / Organization Name
*
First Name
Middle Name
Last Name
Contact Person
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Operation / Company Name
*
Type of Aviation Operation
*
Please Select
Commercial Air Transport
General Aviation
Air Ambulance
Cargo Operations
Flight Training
Aerial Work
Private/Recreational
Unmanned Aircraft Systems (UAS)
Other
Aircraft Identifier or Aircraft Type
*
Regulation or Requirement for Waiver
*
Waiver Request Details
Waiver Request Title / Subject
*
Regulation or Requirement to Be Waived
*
Reason for Requesting the Waiver
*
Operational Context
*
Requested Waiver Period / Effective Dates
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Safety Mitigations, Compensating Measures, or Alternative Procedures
*
Review Acknowledgment and Submission
Submission Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Waiver Request
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