Aviation Color Vision Waiver Application Form
Use this form to apply for an aviation color vision waiver and provide the details needed to review your request. The title must remain exactly “Aviation Color Vision Waiver Application Form” throughout the form.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Aviation Role / Position
*
Please Select
Pilot
Co-pilot
Flight Instructor
Flight Engineer
Air Traffic Controller
Maintenance Technician
Cabin Crew
Other
Aviation and Qualification Details
Employer / Organization or Flight School Name
*
Aircraft Type or Operation Type
*
Please Select
Fixed-wing
Rotorcraft
Glider
Turboprop
Jet
Unmanned Aircraft
Other
Current Certificate / Rating Status
*
Please Select
Student Pilot
Private Pilot
Commercial Pilot
Airline Transport Pilot
Certified Flight Instructor
Instrument Rating
Multi-Engine Rating
Other
Brief Description of How the Color Vision Waiver Relates to Your Duties
*
Waiver Declaration and Authorization
Applicant Signature
*
Submit Application
Submit Application
Should be Empty: