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🚁 PR Flight Request
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📋 Event Details
Year stamps the top-right corner of the form
Base AE #
Event
Date
Time
(free text)
Location
Scheduled By
Contact
Phone Number
Alternate Phone #
(left)
Alternate Phone #
(right)
Extra Line
(left, optional)
Extra Line
(right, optional)
🤝 Request Type & Coordination
Flight Marketing
Membership
Early Activation
LZ Training
County
Agency
Requesting Party
Phone #
Membership Coordinator
Phone #
E.A. Coordinator
Phone #
🚁 Flight Information
Estimated Flight Hours
Radio Frequencies
Landing Zone Directions
🚒 Participating Agencies
Up to 5
1
2
3
4
5
📝 Special Instructions & Crew
Special Instructions
Pilot
Nurse
Paramedic
✍️ Approvals
Signed Off By
Date
Area Manager Approval
Date
✅ After the Flight
Show
Completed as scheduled
Total Flight Time
Follow-Up Comments
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