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Get 8060-56 2001-2024

Check or money order for total fees payable to the FAA must accompany request. For Airman Certificate or knowledge test Report mail this request to Federal Aviation Administration Airmen Certification Branch AFS-760 Post Office Box 25082 Oklahoma City OK 73125-0082 For Medical or combined Student/Medical mail this request to Medical Certification Branch AAM-334 AC Form 8060-56 5/01 NSN 0052-00-555-2004 Supersedes previous edition For radio/telephone license Federal Communication Commission 1919 M Street NW Washington DC 20554. APPLICATION FOR REPLACEMENT OF LOST OR DESTROYED AIRMAN CERTIFICATE S AND KNOWLEDGE TEST REPORT S PRIVACY ACT This information is required under the authority of the Federal Aviation Act Section 602. Certification cannot be completed unless the data is complete. Disclosure of your Social Security Number SSN is optional* Routine uses of records maintained in the system include categories of users and the purposes of such uses i*e* to determine that airmen are certified in accordance with the provision of the Federal Aviation Act of 1958 repository of documents used by individual and potential employers to determine validity of airmen qualifications to support investigative efforts of investigation and law enforcement agencies of Federal State and local governments supportive information in court cases concerning individual status and/or qualifications in law suits to provide data for the Comprehensive Airman Information System CAIS and to provide documents for microfilm and microfiche backup records. Type of Certificate s Certificate Numbers s Date s of Issuance Type of Test Location Test Was Taken Date of Knowledge Test Complete name in which certificate was issued first Present mailing address middle last Physical address If applicable If address is a PO Box Rural Route General Delivery or Star Route please provide a physical address directions or map for locating your residence. Date and place of birth Date Place Physical Description Height Inches Weight Lbs. Social Security Number I enclose Hair Eyes Sex Citizenship check money order in the amount of. Signature The fee for each duplicate Airman or Medical Certificate is 2. The fee for each knowledge test report is 1. APPLICATION FOR REPLACEMENT OF LOST OR DESTROYED AIRMAN CERTIFICATE S AND KNOWLEDGE TEST REPORT S PRIVACY ACT This information is required under the authority of the Federal Aviation Act Section 602. Certification cannot be completed unless the data is complete. Disclosure of your Social Security Number SSN is optional* Routine uses of records maintained in the system include categories of users and the purposes of such uses i*e* to determine that airmen are certified in accordance with the provision of the Federal Aviation Act of 1958 repository of documents used by individual and potential employers to determine validity of airmen qualifications to support investigative efforts of investigation and law enforcement agencies of Federal State and local governments supportive information in court cases concerning individual status and/or qualifications in law suits to provide data for the Comprehensive Airman Information System CAIS and to provide documents for microfilm and microfiche backup records.

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