Flight Plan Form - Flight Training Centers

1 WEATHER LOG. Ceiling, Visibility and Precipitation Icing Turbulence Position of Fronts, Winds Aloft Reported Forecast and Freezing Level and Cloud Tops Lows and Highs Departure Enroute Destination Alternate Notes and NOTAMs Flight plan . 1. Type 2. Aircraft 3. Aircraft Type/ 4. True 5. Departure 6. Departure Time VFR Identification Special Equipment Airspeed Point Proposed (Z) Actual (Z) Altitude IFR. DVFR Knots 8. Route of Flight 9. Destination (Name of airport and city) 10. Est. Time Enroute 11. Remarks Hours Minutes 12. Fuel on board 13. Alternate Airport(s) 14. Pilot's Name, Address, Tel # & Aircraft Home Base 15. # Aboard Hours Minutes 16. Color of Aircraft 17. Destination Contact / Telephone (Optional). CLOSE VFR Flight plan WITH _____ FSS ON ARRIVAL Position Report Special Equipment Suffix /C-RNAV, transponder with no altitude encoding Acft. Position Time Alt. IFR/ Est. Name Ident. VFR Next Fix Following Fix capability /X-No Transponder /B-DME, transponder with no altitude encoding capability /W-RNAV, no transponder /T-Transponder with no altitude encoding capability /A-DME, transponder with altitude encoding capability /G-Global Positioning System (GPS)/Global Report Conditions Aloft - Cloud Tops, Bases, Layers, /U-Transponder with altitude encoding capability /R-RNAV, transponder with altitude encoding capability Navigation Satellite System (GNSS) equipped Visibility, Turbulence, Haze, Ice, Thunderstorms /D-DME, no transponder aircraft with ocianic, enrout, terminal, and GPS.

2 Approach capability. NAVIGATION LOG. All Rights Reserved 55 Inverness Drive East, Englewood, CO 80112-5498. Jeppesen Sanderson, Inc. 1974, 1977, 1982, 1989, 1993, 1996. Aircraft Number N Notes VOR Wind CAS Dist. GS Time Off GPH Airport & ATIS Advisories Check Points TC TH MH. Ident Course Leg Departure Destination (Fixes) Altitude Dir. Vel. CH Est. Freq. (Route) Rem. ETE ETA Fuel ATIS Code -L / +R -E / +W. Dev. Temp TAS WCA Var. Act. Ceiling & Visibility ATE ATA Rem. Wind Altimeter Approach Runway Time Check Airport Frequencies Departure Destination ATIS ATIS. Ground Approach Tower Tower Departure Ground CTAF CTAF. FSS FSS. UNICOM UNICOM. MU436183H. Field Elev Field Elev Totals Block In Log Time Flight plan and Weather Log on Reverse Side Block Out