Get Canada 26-0010 E 2007

Filling out the Canada 26-0010 E form is an essential step for individuals seeking a civil aviation medical examination. This guide provides a clear and step-by-step approach to help users effectively complete the form online.

Follow the steps to successfully complete your form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your current mailing address. If your mailing address has changed since your last examination, indicate 'Yes' or 'No'. Enter your 'Given Names' and 'Family Name,' along with your 'Permit or Licence number.' If applicable, include any former surnames.
3. Fill in your home address, specifying the city, province, country, and postal code. If your home address differs from your mailing address, indicate so and provide the new mailing address details.
4. Provide your contact information, including your telephone number, business telephone number, cell number, and email address.
5. Enter your date of birth in the format yyyy-mm-dd. Indicate your sex, citizenship, and language preference for correspondence.
6. List your employer and educational background. State whether you have undergone a practical flight test since your last medical, and if yes, provide details.
7. Indicate if you have experienced any aircraft or vehicle accidents since your last exam, and provide the total pilot flying time in the last 12 months and overall.
8. Answer questions regarding refusals for the issuance or renewal of your medical certificate as well as any consultations with health care providers since your last medical examination.
9. Continue to the Review of Systems section. Mark 'Yes' or 'No' for each medical condition listed and elaborate on any positive responses, providing additional details for any relevant past surgical history or serious illnesses.
10. Complete the physical examination section, including your height, weight, blood pressure, and pulse. Indicate the results of your urinalysis and any abnormalities in the various systems checked.
11. Fill out the visual and hearing examination sections, detailing the tests performed and results found.
12. Review all components of Part C, including any recommendations by the Civil Aviation Medical Examiner after your evaluation, and ensure the examiner has signed and dated the form.
13. Finally, complete the 'Statement of Applicant' section, confirming that all information is accurate. Provide your signature and the date.
14. Once all sections are completed, review your entries for accuracy. You can then save changes, download, print, or share the completed form.

Start completing your Canada 26-0010 E form online today.