DD Form 2401 Civil Aircraft Landing Permit

CIVIL AIRCRAFT LANDING PERMIT

OMB No. 0701-0050
OMB approval expires
MMM DD, YYYY

Read Privacy Act Statement on back before completing this form.
If additional space is required, continue on back identifying by item number

The public reporting burden for this collection of information is estimated to average 10 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.mc-alex.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.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND COMPLETED FORM TO THE APPROPIATE ADDRESS ON BACK.
SECTION I - INFORMATION REQUIRED FROM USER
Permission is requested to use the listed military arifield(s). It is understood and agreed that:
a. Except for weather alternate use or
emergencies, I or my agent will contact each
installation commander at least 24 hours prior to
each landing for final clearance instructions.
The remarks section of the flight plan will include
user name and permit identification number.

c. Commanders of military installations may restrict civil
aircraft operations to preclude interference with military
activities or to protect national security.

f. Use is limited to the listed aircraft, period
indicated, purpose stated, and conditions shown,
and is not transferable

d. This permit does not necessarily entitle my aircraft to
receive aviation fuel, oil, or other services from U.S.
Government sources.

g. An approved copy of this permit must be
aboard each aircraft using the military airfield

b. When required, I or my agent will obtain
diplomatic or overflight clearance when
operating over international borders.

e. On-board personnel are not authorized activities except
for purposes directly connected with this permit.

1. USER
a. NAME

c. ADDRESS (Street, City, State, Zip Code, E-Mail)

2. NAMES OF AIRFIELD(S) TO BE USED

b. RELATIONSHIP TO PARENT ORGANIZATION
(If any)
YES

3. ARE PILOTS INSTRUMENT
RATED AND CURRENT? (X one)

NO

4. PURPOSE OF USE

5. AIRCRAFT DATA
d. CAPACITY
c.
a.
b.
REGISTRATION
MANUFACTURE MODEL
NUMBER

(1)
CREW

(2)
PASSENGER

e. MAX
GROSS
TAKE-OFF
WEIGHT
(Pounds)

f. EQUIPMENT
(1) TWO-WAY
RADIO
YES

NO

(2) STROBE
WARNING
LIGHTS
YES

NO

(3) TRANSPONDER
YES

NO

(4) IFR CAPABILITIES
YES

NO

6. CERTIFICATION BY INDIVIDUAL OR AUTHORIZED COMPANY REPRESENTATIVE
Applicant and agents have read, understand, and will comply with all pertinent parts of applicable regulations listed in Note 1 and local supplements, directives,
and orders. Such compliance is an express condition of this permit. I certify that the information contained in this permit is true to the best of my knowledge and
belief. As a corporate representative, I certify that I have authority to certify this information on behalf of the corporation and hereby designate the aircraft
commander as our agent on all matters arising from the use of this permit.
a. TYPED NAME (Last, First, Middle Initial)

DD FORM 2401, MAY 2021

b. TITLE

c. TELEPHONE NUMBER
(Include Area Code)

d. SIGNATURE

e. DATE SIGNED
(YYYYMMDD)

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PREVIOUS EDITION IS OBSOLETE.

SECTION II - FOR USE BY APRROVING AUTHORITY
8. FREQUENCY OF USE

7. PERIOD OF USE
a. FROM
(YYYYMMDD)

10. THIS PERMIT SUPERSEDES
PERMIT NO. (Identification No.)

9. IDENTIFICATION NO.

b. TO
(YYYYMMDD)

11. THIS PERMIT IS GRANTED ON PRIOR EXECUTION OF DD FORMS 2400 AND 2402
a. DD FORM 2400 (Dated and Filed)

12. CREDIT AUTHORIZED 13. LANDING
FOR FUEL ISSUES (X one) FEES (X one)

b. DD FORM 2402 (Dated and Filed)

YES

NO

YES

NO

14. APPROVING OFFICIAL
a. TYPED OR STAMPED NAME, TITLE AND ORGANIZATION

b. SIGNATURE

c. DATE SIGNED (YYYYMMDD)

IF ADDITIONAL SPACE IS REQUIRED, CONTINUE HERE (Refer to item number)

This form is available at http://www.esd.whs.mil/Directives/forms/dd2000_2499/
ARMY

AIR FORCE

COMMANDER, USAASA, ATTN: DAMO-AVA
BLDG 1466, 9325 GUNSTON RD, SUITE N319
FT BELVOIR, VA 22060-5582
(703) 806-0687
usarmy.belvoir.hqda-dcs-g-3-5-7.list.usaasaops@army.mil

HQ USAF/A3OJ
112 LUKE AVENUE, SUITE 340
JBAB, DC 20032-6400
calp@us.af.mil

AR 95-2 Can be viewed at: https://armypubs.army.mil/

AFI 10-1001 can be viewed at: https://www.e-publishing.af.mil/

NAVY
COMMANDER, NAVY INSTALLATIONS COMMAND
WASHINGTON NAVY YARD
716 SICARD ST SE
WASHINGTON, DC 20374
(202) 433-0120
calphq@us.navy.mil
CNIC Program Guidance can be viewed at:
https://www.cnic.navy.mil/om/calp.html

MARINES
COMMANDER, MARINE CORPS INSTALLATIONS COMMAND
3000 MARINE, CORPS PENTAGON RM 2D153A
WASHINGTON, DC 20350-3000
(703) 695-0105
mcicom_calp@usmc.mil
MCICOM guidance can be viewed at:
https://www.cnic.navy.mil/om/calp.html
PRIVACY ACT STATEMENT

AUTHORITY: 49 U.S.Code, Section 44502(d)
PRINCIPAL PURPOSE(S): When partially completed, indicates desire of an individual or corporation to operate civil aircraft into a military airfield; when
validated by a military approving authority, indicates that an individual or corporation has met the conditions required to request a PPR to land civil aircraft at a
military facility.
ROUTINE USE(S): None. For Internal Use Only.
DISCLOSURES: Voluntary; however, failure to provide this information will result in an individual or corporation being unable to operate civil aircraft info a
military airfield.

DD FORM 2401, MAY 2021

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PREVIOUS EDITION IS OBSOLETE.