 
 
 
Question Mark Icons display the following when hovering over:
| Icon number | Text Displayed Upon Hovering | 
| Responsible Person Information | |
| 1 | Name of the proponent | 
| 2 | Organization of the proponent | 
| 3 | Address of the proponent | 
| 4 | Additional address of the proponent | 
| 5 | City of the proponent | 
| 6 | State of the proponent | 
| 7 | Zip code of the proponent | 
| 8 | Phone number of the proponent | 
| 9 | Email of the proponent | 
| Authorization Information | |
| 1 | Whether there are any waiver(s) approved | 
| 
			 | Note: when the applicant selects “YES,” a box appears stating, “Please attach approved waiver(s):” adjacent to an “Attach File” button and a “Browse” button. Once attached successfully, a link to the document appears at the end of the form adjacent to a field heading titled “Support Documents.” | 
| 2 | Detailed description of the proposed operation. Attach supplement if needed (after the draft saved). | 
| 
			 | Latitude and Longitude entry blocks display brief instructions upon clicking in each block (e.g., “Please enter a valid number between -10 and 73”) | 
| 3 | Circle radius of the location in nautical miles (NM). | 
| 4 | The nearest airport if available. This information will be populated by the system automatically. | 
| 5 | Describe the altitude the UAS will operate (example: at or below 400ft AGL) | 
| 6 | Beginning date and time | 
| 7 | Ending date and time | 
| Unmanned Aircraft and Pilot Information | |
| 1 | Enter the aircraft type. Please include the make and model. | 
| 2 | A valid registration number is required. TBD is not acceptable. | 
| 3 | Name of the pilot/operator | 
| 4 | Organization of the pilot/operator | 
| 5 | Address of the pilot/operator | 
| 6 | Additional address of the pilot/operator | 
| 7 | City of the pilot/operator | 
| 8 | State of the pilot/operator | 
| 9 | Zip code of the pilot/operator | 
| 10 | Phone number where air traffic control can reach the remote pilot/operator if necessary | 
| 11 | Email address of the pilot/operator | 
| 12 | Certificate number of the pilot/operator | 
| 13 | Certificate rating of the pilot/operator | 
| 
			 | At the bottom of the form, once all necessary fields are complete, a green box stating “Valid” appears, as well as a blue button stating “Submit to FAA →” Applicants will also have the following options at the end of the form: “← Back” “Update Draft” | 
| File Type | application/msword | 
| Author | Gardner, Scott (FAA) | 
| Last Modified By | Thompson, Ronda (FAA) | 
| File Modified | 2016-08-02 | 
| File Created | 2016-08-02 |