PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a: The authority

for collecting this information is contained in 49 U.S.C. §§ 40113, 44702, 44703, 44709, and 14 C.F.R.
Part 6 - [Part 61, 63, 65, or 67. The principal purpose for which the information is intended to be used is to allow you to submit your flight plan. Submission of the data is voluntary. Failure to provide all required information may
result in you not being able to submit your flight plan. The information collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 847, titled “Aviation Records on Individuals” and will be subject
to the routine uses published in the System of Records Notice (SORN) for DOT/FAA 847 (see www.dot.gov/privacy/privacyactnotices).
Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of
information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information
collection is 2120-0026. Public reporting for this collection of information is estimated to be approximately 2.5 minutes per response, including the time for reviewing instructions,completing and reviewing the
collection of information. All responses to this collection of information are mandatory per14 CFR Part 91. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be
directed to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110. Form Approved: OMB No.
2120-0026 Exp. 7/31/2020
TIME STARTED SPECIALIST
(FAA USE ONLY) PILOT BRIEFING VNR INITIALS
FLIGHT PLAN
86'(3$570(172)75$163257$7,21
STOPOVER
)('(5$/$9,$7,21$'0,1,675$7,21

1. TYPE 2. AIRCRAFT 3. AIRCRAFT TYPE / 4. TRUE 5. DEPARTURE POINT 6. DEPARTURE TIME 7. CRUISING
IDENTIFICATION SPECIAL EQUIPMENT AIRSPEED ALTITUDE
VFR PROPOSED (Z) ACTUAL (Z)
IFR
fgdj
DVFR KTS
8. ROUTE OF FLIGHT

9. DESTINATION (Name of airport 10. EST. TIME ENROUTE 11. REMARKS

12. FUEL ON BOARD 13. ALTERNATE AIRPORT(S) 14. PILOT'S NAME, ADDRESS & TELEPHONE NUMBER & AIRCRAFT HOME BASE 15. NUMBER
ABOARD
HOURS MINUTES

17. DESTINATION CONTACT/TELEPHONE (OPTIONAL)

16. COLOR OF AIRCRAFT CIVIL AIRCRAFT PILOTS. FAR Part 91 requires you file an IFR flight plan to operate under instrument flight rules in
controlled airspace. Failure to file could result in a civil penalty not to exceed $1,000 for each violation (Section 901 of the
Federal Aviation Act of 1958, as amended). Filing of a VFR flight plan is recommended as a good operating practice. See
also Part 99 for requirements concerning DVFR flight plans.
FAA Form 7233-1 (8-82)
Electronic Version (Adobe) CLOSE VFR FLIGHT PLAN WITH FSS ON ARRIVAL

MILITARY STOPOVER (FAA USE ONLY)

TYPE AIRCRAFT AIRCRAFT TYPE/SPECIAL REMARKS

TAS DEP. PT ETD ALTITUDE ROUTE OF FLIGHT DESTINATION ETE REMARKS

KTS

KTS

KTS

KTS
REMARKS INITIALS

FAA Form 7233-1 (8-82) Electronic Version (Adobe)