~ Flight Planner I AIRCRAFT N TIME OFF BLOCK START BLOCK END

I ATIS CODE SKY TEMP WIND

Preflight I En Route ALTIMETER RUNWAY EST GPH

PLANNED PREDICTED WIND TEMP PLAN TAS WIND TRUE MAG I Checkpoints DIST GS ETE ETA FUEL VOR TRANS-CORR HEADING HEADING I COMPASS LEG EST

USED FREQ BEARING PONDERTRUE ALTITUDE DIRECTION VELOCITY ANGLE - E HEADING FUEL CODESCOURSE -L +R +W VAR ± DEV I DEPARTURE REM ACT ATE ATA REM. IDENT TO/FROM ·SQUAWKS"

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Terminal Information : ARRIVAL TOTALSI

Field Elevation Runways Radio Frequencies I Notes:IIII

I Pilot Report 1 Report Type 2 Location 3 Time (UTC) 4 AltitudeI FLIGHT WATCH 122.0 (PIREP, Uraent)

lOR NEAREST 5 Aircraft Type 6 Sky Cover 7 Weather 8 TemperatureI FLIGHT SERVICE

9 Wind 10 Turbulence 12 RemarksI STATION 11 IcingI © 1989-2005 Aviation Supplies and Academics, Inc. ASA-FP-2

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Flight Plan UTC Time ConversionPST +8 MST +7 CST +6 EST +5PDT +7 MDT +6 COT +5 EDT +4

TYPE 2. AIRCRAFT 3. AIRCRAFT TYPE! 4. TRUE 5. DEPARTURE 6. DEPARTURE TIME 7. CRUISING.--- IDENTIFICATION SPECIAL AIRSPEED POINT ALTITUDEIFR PROPOSED (Z) ACTUAL (Z)f-- EQUIPMENTVFR

I-DVFR KNOTS

8. ROUTE OF FLIGHT

9. DESTINATION (Name of airport and city) 10. EST. TIME EN ROUTE 11. REMARKS

HOURS MINUTES

12. FUEL ON BOARD 13. ALTERNATE AIRPORT(S) 14. PILOT'S NAME, ADDRESS, TELEPHONE NO. AND AIRCRAFT HOME BASE 15. NO. ABOARD

HOURS MINUTES

17. DESTINATION CONTACTrrELEPHONE (OPTIONAL)

16. COLOR OF AIRCRAFTCLOSE FLIGHT PLAN WITH FSS ON ARRIVAL

Special Equipment Suffix C - RNAV, Transponder With G - GPS or WAAS with enroute and M - TACAN Only, No Transponder R - RNPNo Mode C terminal capability N - TACAN Only, Transponder T - Transponder With No Mode C

A - DME, Transponder With D - DME, No Transponder I - RNAV, With Mode C With No Mode C U - Transponder With Mode CMode C E - FMS with DMEIDME and IRU J - IE with RVSM P - TACAN Only, Transponder w- RVSM

B - DME, Transponder With position updating K - IF with RVSM With Mode CNo Mode C F - FMS with DMEIDME position Q - RNP and RVSM X - No Transponder

updates L - IG with RVSM Y - RNAV, No Transponder