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Form Approved OMB No. 21200020For FAA Use OpenOffice Identification INSTRUCTIONS: Print or type all entries. See FAR 43.9, FAR 43 Appendix B, and AC 43.91 (or subsequent revision thereof) for instruction
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Each violation pertains to a specific regulation or rule that has been broken or not complied with.
The individual or entity responsible for the violation is required to file.
Each violation must be filled out according to the specific guidelines and requirements set forth for that particular violation.
The purpose of each violation is to ensure compliance with regulations and rules in order to maintain a fair and safe environment.
Each violation may require different information to be reported, such as dates, times, witnesses, and any relevant documentation.
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