Drone Flight Request

1. Requested By

Property Owner's First Name *This question is required.

Property Owner's Last Name *This question is required.

Property Address *This question is required.

Property Owner's Email Address *This question is required. This question requires a valid email address.

Flight Path *This question is required.

Start Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Start Time *This question is required.

End Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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End Time *This question is required.

Maximum Altitude *This question is required.

UAS ID *This question is required.

Purpose *This question is required.

2. Pilot's Information

Pilot's First Name *This question is required.

Pilot's Last Name *This question is required.

Pilot's Phone Number *This question is required.

Pilot's License Number *This question is required.

Pilot's Insurance *This question is required.

3. UAS Certificate Information

Name *This question is required.

Manufacturer *This question is required.

Model *This question is required.

Serial Number *This question is required.

Certificate Number *This question is required.

Issue Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Expiration Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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