Follow the steps to successfully complete your application.

1. Click 'Get Form' button to obtain the form and open it in your editor.
2. Fill out Section I - Pilot Information. Enter your name in the format of Last, First, and Middle Initial. Provide your date of birth, primary telephone number, home address, and email address.
3. Complete the employment details by specifying your current employer's name, address, and contact number. Provide information about your previous employers, including names, addresses, and contact numbers.
4. Indicate your employment periods in the specified format (m/yr) and attach a copy of your medical certificate. Make sure to note any limitations or restrictions and detail your most recent interagency pilot card.
5. Fill out your airman certificate details, including the type and number of the certificate. Attach copies where required and ensure to specify any other ratings you hold.
6. Document your flight evaluation by entering the date evaluated, inspector's name, and agency. Address any issues regarding previous interagency pilot card denials or FAA violations in the spaces provided.
7. Detail your flight time and types of operations for the past 12 months. Record your total helicopter flight hours, indicating if your aircraft weight is less or more than 12,500 lb and whether you have turbine or reciprocating engine experience.
8. Review and complete any details about special operations or training endorsements, attaching copies as necessary. Sign and date the form, certifying that your information is true and correct.
9. Once all sections are completed, you can save your changes, download, print, or share the completed form as required.

Begin the process of completing your Helicopter Pilot Qualifications and Approval Record online today.