Get Dot Faa Form 3900-40 2019-2026

The DOT FAA Form 3900-40 is an essential document used to request a copy or portion of an Employee Medical Folder (EMF) by employees of the FAA. This guide provides step-by-step instructions to assist you in completing this form online efficiently and accurately.

Follow the steps to complete the FAA Form 3900-40 online.

1. Press the ‘Get Form’ button to access the FAA Form 3900-40 online. This will allow you to open the form in an editable format.
2. Fill in your full legal name in the designated field. Be sure to include any nicknames or maiden names in brackets. This information is marked as required.
3. Enter your date of birth in the format XX/XX/XXXX. This field is also required for processing.
4. Provide your FAA work phone number, formatted as XXX-XXX-XXXX. This is a required field.
5. Input your Social Security Number as requested. Note that this is optional, but failure to provide it may require additional identity verification.
6. Indicate your mobile phone number in the specified field.
7. Type your FAA work email address in the corresponding section. This information is required.
8. If you wish to have records sent to a designated representative, provide the full mailing address of that representative. This is only required if you selected that option later in the form.
9. Specify whether you are requesting all of your Occ Med records or select specific records by checking the appropriate box(es). This is a required step.
10. Indicate the period for which you are requesting records, such as the last five years or a specific date range.
11. List your FAA work locations during the specified period. If applicable, provide additional details as needed.
12. Identify known medical providers you have visited for occupational medical services. If unsure, indicate ‘N/A’.
13. Select your preferred method for receiving your Occ Med records, either electronically or via postal service.
14. Sign the form, either by hand or digitally, in the designated signature field.
15. Enter the date you signed the form in the specified field.
16. Save your completed form. Due to the sensitive nature of the information, send the signed form in a password-protected zip file to the appropriate FAA email address, following up with a second email containing the password.

Complete your DOT FAA Form 3900-40 online today to ensure prompt processing of your EMF request.