Follow the steps to complete your application accurately.

1. Press the 'Get Form' button to acquire the necessary document and open it for editing.
2. In the application, you must indicate whether you are applying for an airman medical certificate or a combination of medical and student pilot certificate by checking the appropriate box.
3. Select the class of medical certificate you are applying for by marking the corresponding option (first, second, or third class).
4. Provide your full name, including any previous names if applicable, in section 3.
5. If you choose to include your social security number in section 4, please note that it is optional but can help avoid errors in processing your application.
6. Enter your permanent mailing address in section 5, including the nine-digit ZIP code if known.
7. Fill in your date of birth in section 6 using the specified format (MM/DD/YYYY). Indicate your citizenship as well.
8. In sections 7 and 8, describe your physical attributes such as hair and eye color truthfully.
9. Indicate your gender in section 9.
10. List the type of airman certificates you currently hold in section 10. Mark all that apply.
11. Provide details about your occupation and employer in sections 11 and 12.
12. In section 13, disclose if any of your FAA airman medical certificates have been denied, suspended, or revoked, and provide the relevant dates if applicable.
13. Indicate your total pilot time in sections 14 and 15, ensuring to distinguish between total hours logged and estimated.
14. Complete section 16 by specifying the date of your last FAA medical examination in MM/DD/YYYY format.
15. In section 17, address current medication usage in two parts: specify if you are on any medications and share details in the provided spaces.
16. Respond to the medical history questions in section 18 by indicating 'yes' or 'no' for each item and provide explanations as needed.
17. For section 19, list all health professional visits within the last three years, including the dates and reasons for consultation.
18. Sign and date your application in section 20, certifying that the information provided is true and complete.
19. After filling in the application, save your changes and choose to download, print, or share the form as needed.

Complete your airman medical certificate application online today.