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Get FAA MEDA Results Form 2001-2024

_____________________ Aircraft Type: _________________________________ Engine Type: _________________________________ Reg. #: ___ ___ ___ ___ ___ ___ ___ Fleet Number: ___ ___ ___ ___ ___ ___ ATA #: ___ ___ ___ ___ Aircraft Zone: _________________________________ Ref. # of previous related event: ___ ___ ___ ___ ___ Interviewer’s Name:_____________________________ Interviewer’s Telephone #: __ __ __ __ __ __ __ __ __ Date of Investigation: __ __ / __ __ / __ __ Date of Event: __ __ / __ __ .

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