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pdf1. REQUEST DATE (YYYYMMDD)
REQUEST FOR FLIGHT APPROVAL
OMB No. 0704-0347
OMB approval expires:
YYYYMMDD
The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mcalex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
2. TO: (Activity Approving Flight)
3. FROM: (Name and Address of Contractor)
4. PRIME CONTRACT NUMBER or BAILMENT NUMBER (Under which aircraft assigned):
5. FLIGHT CREW PERSONNEL
a. POSITION
6. NON-CREW PERSONNEL
b. NAME AND TITLE OF PERSON
7. AIRCRAFT MISSION, DESIGN, SERIES
a. POSITION
b. NAME AND TITLE OF PERSON
8. DATE(S) OF FLIGHT(S)
9. AIRCRAFT SERIAL NUMBER(S)
10. FLIGHT DETAILS (Statement concerning flight objectives)
N E E D S
D D
6 7
11. CONTRACTOR REPRESENTATIVE: I CERTIFY that this flight is in accordance with the flight program authorized by the contract and will be
conducted in accordance with the approved flight operations procedures.
a. NAME (Last, First, Middle Initial)
b. TELEPHONE NUMBER
c. EMAIL ADDRESS
d. SIGNATURE
e. DATE/TIME
12. GOVERNMENT FLIGHT REPRESENTATIVE (MUST BE SIGNED TO BE APPROVED)
a. NAME (Last, First, Middle Initial)
b. TELEPHONE NUMBER
c. EMAIL ADDRESS
d. SIGNATURE
e. DATE/TIME
POST FLIGHT DETAILS
13. NUMBER OF FLIGHTS
14. HOURS FLOWN
15. REMARKS (Enter brief statements as to flight results, trouble encountered during flight, and weather, or other conditions which prevented completion of flight.)
16. CONTRACTOR REPRESENTATIVE
a. NAME (Last, First, Middle Initial)
b. TELEPHONE NUMBER
c. EMAIL ADDRESS
d. SIGNATURE
DD FORM 3062, 20190320 DRAFT
e. DATE/TIME
REPLACES DCMA FORM 644, WHICH IS OBSOLETE.
Adobe Designer 9.0
File Type | application/pdf |
File Title | DD Form X709, Request for Flight Approval, 20151116 draft |
Author | WHS/ESD/DD |
File Modified | 2020-06-05 |
File Created | 2015-11-17 |