SRG1210: Pilot Medical Declaration Form

Please find below details of the CAA Publication you have selected. Dependent on availability, you are able to download the file, or purchase a printed copy.

Title:Pilot Medical Declaration Form
Description:The Medical Declaration is an affirmation of your medical fitness to fly and to exercise the privileges of either:
• A National Private Pilot Licence (NPPL).
• A UK Private Pilot Licence (UK PPL).
• Or a UK Commercial Pilot Licence (CPL) Balloons that is restricted to commercial operation and the privileges of a UK PPL (Balloons and Airships).
By submitting this declaration you are confirming that you reasonably believe that you meet the medical requirements for a Group 1 Ordinary Driving Licence issued by the Driver and Vehicle Licensing Agency (DVLA) and are not subject to any disqualifying medical condition.

Not sure it self declaration applies to you? Take a look at CAP 1441

This form has been optimised to work with Internet Explorer and Adobe Acrobat Reader. Other browsers may work, but with limited functionality. Please read the instructions if you plan to use Windows 10, Google Chrome or Firefox browsers. There are also specific instructions if Mac or iPads are to be used to complete the form.

If an email with a pdf attachment of your completed form does not arrive in your inbox within 10 minutes, please check your spam/junk mail folder. If you do not receive an acknowledgement email, you should assume that your declaration has not reached us. If this happens, please try a different browser or platform to submit your declaration.

Mac or iPad users will receive a receipt only after the declaration has been processed by the CAA, which may take several working days.

There is no charge for this online service. We are unable to process declarations that are sent to us by post.

Please keep a copy of your completed declaration with your licence.

Review Comment:None
Date:23 November 2016
Purchase Copy:Printed copy not available for purchase

This form should be completed and submitted on-line. For further details on the CAA's policy regarding on-line applications, please read the On-Line Submission Policy. You should familiarise yourself with this before completing and submitting a form.
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