
I DO DO NOT wear contact lenses while performing flying or special operational duty. SIGNATURE OF FLYER OR INDIVIDUAL AF IMT 1042 19920201 V2 PREVIOUS EDITION WILL BE USED.
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How to fill out the Af 1042 online
Filling out the Af 1042 form is essential for documenting medical recommendations for flying or special operational duty. This guide provides a detailed, step-by-step approach to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the Af 1042 form
- Press the ‘Get Form’ button to access the Af 1042 form and open it in your editing tool.
- Fill in the date in the designated field to indicate when this medical recommendation is being made.
- Enter the name of the individual (last name, first name, middle initial) in the appropriate section to identify the person for whom the medical recommendation is being completed.
- Specify the individual's rating for flying or special operational duty and record their grade in the corresponding fields.
- Indicate the individual's Social Security Number (SSN) securely in the designated spot.
- List the organization and Major Command (MAJCOM) associated with the individual.
- Check the appropriate box to indicate the medical status of the individual—medically restricted from flying, cleared after illness or injury, or cleared following an examination.
- Complete the section regarding the necessity of wearing vision correction devices while performing flying or special operational duty, if applicable.
- Note the actual date found as DNIF (Duty Not Including Flying) and the estimated duration of this status.
- Fill in any total days of DNIF due to the illness or injury in the provided space.
- Add any necessary remarks that will clarify the medical situation or recommendations.
- Indicate the date that medical clearance will expire.
- Complete the section that allows for a medical examination to be conducted in a specified month and year.
- Type or print the name and grade of the flight surgeon in the designated area.
- Ensure the flight surgeon's signature and the date are recorded to validate the medical recommendation.
- The individual for whom the form is being completed should acknowledge understanding by signing and dating the statement regarding contact lens use while performing flying or special operational duty.
- Once you have completed all sections, you can save changes, download, print, or share the completed Af 1042 form.
Complete your Af 1042 and manage your documentation online for a seamless filing experience.
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