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@Heading[
CMU Pilot Registration Form

]

This form must be completed once per year by CMU employees wishing to use
private aircraft for business travel.  A copy of this form must be on file
with Tom Horner, Office of the Controller, prior to beginning the trip.

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Name:@\Date:


Dept:@\Extension:


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@Checklist[
A copy of my pilot's license is attached.

A copy of my airman's medical certificate is attached.

A copy of my certificate of insurance, with not less than $2,000,000 combined 
single-limit liability coverage, is attached.

My pilot's license was issued within the last 24 calendar months, or

A copy of my Biennial Flight Review endorsement is attached, or

A copy of my FAA Pilot Proficiency Award certificate, which doubles
as a biennial flight review, is attached.
 ]

@subheading[Certifications (initial each one):]
@Checklist[
I certify that my pilot's license and medical certificates have not been
suspended or revoked.

I certify that I have read the CMU policy on use of private aircraft for
business travel (reprinted on the back of this form), and will conduct all
flights in accordance with this policy.
 ]


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