PPR Request Form (L54-L78-L90)

Requesting Official

First Name

*

Last Name

*

Phone Number (Domestic)

###-###-####

Phone Number (International)

Email

*

Military Branch

*

i.e., Marines, Navy, etc

Military Base of Operations

*

i.e., NFG, NKX, NYZ

Type of Aircraft in Operation

*

i.e., MV-22 / UH-1 / UH-60

Number of Aircraft in Operation

*

i.e., (3) 1-MV22 / 1-UH1 / 1-UH60

Total Number of Take-offs and Landings

*

One, MV-22, UH-1, and UH-60 each conduct 5 landings and 5 departures. Total sum of aircraft operations = 30

Landing/Departure Area

*

Tilt-Rotor Area, Runway ( _ ) or Hover over (area requested)

Description of Type of Operation

*

i.e., Night Vision Training while conducting approaches to tilt-rotor area.

Date Requested for Operation/Mission

*

MM/DD/YYYY

End Date of Operation/Mission

MM/DD/YYYY

Fill in this block if operation extends into another day(s).

Start Time of Operation

*

HH:MM - Use 24 Hour Format

End Time of Operation

*

HH:MM - Use 24 Hour Format

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