Get Dmedpre Form

Filling out the Dmedpre Form is an important step in the application process for various aviation-related designations. This guide will provide clear and supportive instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Dmedpre Form effectively.

1. Press the ‘Get Form’ button to access the Dmedpre Form and open it in a suitable editor.
2. Begin by entering your legal name in Block 1, ensuring to include your last name first, followed by your first and middle names. If applicable, indicate 'NMN' for no middle name.
3. In Block 2, provide your permanent mailing address, including the street number, city, state, and zip code. If using a P.O. Box, include an additional statement with directions to your residence.
4. Check 'Yes' or 'No' in Block 3 to indicate your U.S. citizenship status and provide the country of citizenship if not a U.S. citizen in Block 3A.
5. Optional: Complete Block 4 with your Social Security Number, or enter 'DO NOT USE' or 'NONE' if you prefer not to provide it.
6. Enter your date of birth in Block 5 using six-digit numeric format (MM-DD-YY).
7. Provide both a home and work telephone number in Block 6, including area codes.
8. In Block 7, select the designation you are seeking by checking the appropriate box(es) for Designated Mechanic Examiner, Designated Parachute Rigger Examiner, or others as relevant.
9. Fill out Block 8 with your educational background, listing the institutions attended along with the dates of attendance and the degrees or certificates received.
10. Detail your FAA certificates relevant to the designation in Block 9, including type, certificate numbers, and dates of issue.
11. Enumerate your work experience in Block 10 with each entry detailing the employer, job title, employment dates, and a description of your duties, using additional sheets if necessary.
12. For DME and DPRE designees, specify the location where functions will be performed in Block 11, and include the FSDO or IFO jurisdiction in Block 11a.
13. Complete Blocks 12 to 21, responding 'Yes' or 'No' to each question and providing explanations on an attached sheet for any 'Yes' answers.
14. In Block 22, complete information regarding any participation in the Maintenance Technician Awards Program.
15. Sign and date the application in Block 23 after thoroughly reading the statements provided, and type or print your name in Block 23a.
16. Finally, review your completed form carefully. Save your changes, print a copy, or share the form as needed.

Complete the Dmedpre Form online to move forward with your application process.