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Flight Plan Form

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FixNameFollowing FixDepartureEnrouteDestinationAlternateC eiling, Visibility and PrecipitationReportedForecastActual (Z)Position of Fronts, Lows and HighsWEATHER LOGTurbulenceand Cloud TopsWinds AloftIcingand Freezing LevelNotes and NOTAMs3. Aircraft Type/Special Equipment5. DeparturePoint4. TrueAirspeed Knots2. AircraftIdentificationFLIGHT Departure TimeProposed (Z) 8. Route of Flight 9. Destination (Name of airport and city) 10. Est. Time EnrouteHoursMinutes 11. Remarks15. # Aboard 14. Pilot's Name, Address, Tel # & Aircraft Home Base 12. Fuel on board13. Alternate Airport(s)MinutesHours 16. Color of Aircraft 17. Destination Contact / Telephone (Optional)Position ReportCLOSE VFR Flight PLAN WITH _____________________ FSS ON ARRIVAL/X-No Transponder/T-Transponder with no altitude encoding capability/U-Transponder with altitude encoding capability/D-DME, no transponder/C-RNAV, transponder with no altitude encoding capability/W-RNAV, no tra

1. Type VFR IFR DVFR Acft. Ident. Position Time Alt. IFR/ VFR Est. Next Fix Name Following Fix Departure Enroute Destination Alternate Ceiling, Visibility and Precipitation

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1. Type VFR IFR DVFR Acft. Ident. Position Time Alt. IFR/ VFR Est. Next Fix Name Following Fix Departure Enroute Destination Alternate Ceiling, Visibility and Precipitation

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