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U.S. Department of Transportation Federal Aviation Administration Subject: Certification of a Repairman (Experimental Aircraft Builders) Advisory Circular Date: 9/28/07 Initiated by: AFS-300 AC No:
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How to fill out FAA Form 65-23a:

01
Start by carefully reading and understanding the instructions provided on the form. Familiarize yourself with the purpose and requirements of the form.
02
Begin filling out the form by providing your personal information such as your full name, address, contact details, and social security number (if applicable). Ensure that the information provided is accurate and up-to-date.
03
Move on to the section of the form that requires you to specify the type of certificate or rating for which you are applying. Clearly indicate the specific certificate or rating you are seeking.
04
Provide relevant information about your training, including the name and location of the school or institution where you received training, the dates of training, and the type of training received.
05
Fill in details about your work experience, including previous employment related to aviation or any relevant positions held. Provide specific dates, employers' names, and responsibilities held during that time.
06
If applicable, include information about your aviation qualifications, such as any certificates, ratings, or authorizations you currently hold. Provide the date of issuance, the type of certificate or rating, and any limitations or conditions associated with it.
07
Include any additional information that may be required, such as medical records, test results, or any other supporting documentation specified in the form instructions. Ensure that all documents are properly attached and labeled as required.
08
Review the completed FAA Form 65-23a thoroughly to check for any errors or omissions. Make any necessary corrections or additions before submitting the form.

Who needs FAA Form 65-23a:

01
Individuals seeking to apply for a certificate or rating in aviation-related fields, such as pilots, flight instructors, or aircraft maintenance technicians, may need to complete FAA Form 65-23a as part of the application process.
02
Aspiring pilots who are applying for a pilot certificate or a specific rating, such as an instrument rating or multi-engine rating, may need to fill out FAA Form 65-23a.
03
Aviation professionals who are applying for an instructor certificate to become a certified flight instructor (CFI) or a certified flight instructor-instrument (CFII) may be required to submit FAA Form 65-23a.
Note: It is always recommended to consult the specific regulations and instructions provided by the Federal Aviation Administration (FAA) or the relevant aviation authority for accurate and up-to-date information on the use and submission of FAA Form 65-23a.
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FAA Form 65-23a is an application for an Airman Medical Certificate.
Any pilot seeking to obtain or renew an Airman Medical Certificate is required to file FAA Form 65-23a.
FAA Form 65-23a must be completed with accurate personal and medical information, signed by the applicant, and submitted to the FAA for processing.
The purpose of FAA Form 65-23a is to evaluate the medical fitness of pilots to operate aircraft safely.
Information such as personal details, medical history, medications, and any previous medical conditions must be reported on FAA Form 65-23a.
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