FAA Endorsement Labels - Pilot Examiner Home

1 FAA Endorsement LabelsThe following endorsements have been compiled from a combination of sources, including the ASA Logbooks, FAA Advisory Circular (AC) 61-65, and the regulations (14 CFR).Blank lines indicate where the instructor must fill in details. The parenthetical statement ahead of each of the blank lines explains what must be defined in this file has been set up as a PDF fill-in document. Instructors may complete the endorsements using a PDF reader by typing in the blanks. Alternately, the Endorsement may be printed out, and then written in with pen. Endorsements may be printed on Avery Labels #5163 (or compatible 2"x4" Labels ) and pasted into the recipient s logbook, as well as into the endorsing instructor s logbook for record-keeping purposes.

2 Print only the page(s) you need by selecting specific page numbers during Print : If you are viewing this within the ASA Reader app, the fill-in and print features are not available. Visit to download the PDF to your :Pg 2 Flight Review EndorsementsPg 3 Instrument Proficiency ChecksPg 4 5 Student Pilot EndorsementsPg 5 6 Sport Pilot EndorsementsPg 7 Recreational Pilot EndorsementsPg 8 private Pilot EndorsementsPg 9 Commercial Pilot EndorsementsPg 10 Instrument Rating EndorsementsPg 11 Flight Instructor EndorsementsPg 12 Additional EndorsementsAviation Supplies & Academics, | 1-800-ASA-2-FLYFLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date).

3 SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO.

4 EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date).

5 SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE FLIGHT REVIEW ENDORSEMENTI certify that (First name, MI, Last name) ,( Pilot certificate) , (certificate number) ,has satisfactorily completed the flight review required in (a) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date).

6 SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date).

7 SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date).

8 SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date) .SIGNED DATE CFI NO. EXPIRATION DATE INSTRUMENT PROFICIENCY CHECK (IPC)I certify that (First name, MI, Last name) , ( Pilot certificate) , (certificate number) , has satisfactorily completed the instrument proficiency check required in (d) in a (make and model of aircraft) on (date).

9 SIGNED DATE CFI NO. EXPIRATION DATE INITIAL SOLO ENDORSEMENTI certify that (First name, MI, Last name) , has satisfactorily completed the presolo knowledge exam of (b), received the required presolo training required by (c), and has demonstrated the proficiency of (d) and is proficient to make solo flights in (make and model aircraft) .SIGNED DATE CFI NO. EXPIRATION DATE INITIAL SOLO ENDORSEMENTI certify that (First name, MI, Last name) , has satisfactorily completed the presolo knowledge exam of (b), received the required presolo training required by (c), and has demonstrated the proficiency of (d) and is proficient to make solo flights in (make and model aircraft) .SIGNED DATE CFI NO.

10 EXPIRATION DATE ADDITIONAL AIRPORT WITHIN 25NM SOLO ENDORSEMENTI certify that (First name, MI, Last name) , has received the required training of (b)(1). I have determined that he/she is proficient to practice solo takeoffs and landings at (airport name) subject to the following conditions: .SIGNED DATE CFI NO. EXPIRATION DATE ADDITIONAL AIRPORT WITHIN 25NM SOLO ENDORSEMENTI certify that (First name, MI, Last name) , has received the required training of (b)(1). I have determined that he/she is proficient to practice solo takeoffs and landings at (airport name) subject to the following conditions: .SIGNED DATE CFI NO. EXPIRATION DATE NIGHT SOLO ENDORSEMENTI certify that (First name, MI, Last name) , has received the required presolo training in a (make and model aircraft) and determined he/she has demon-strated the proficiency of (o) and is proficient to make solo flights at night in a (make and model aircraft).