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Applicant History
Item 13. Has Your FAA Airman Medical Certificate Ever Been Denied, Suspended, or Revoked?

The applicant shall check yes or no. If yes is checked, the applicant should enter the date of action and should report details in the EXPLANATIONS box of Item 18.

The Examiner may not issue a medical certificate to an applicant who has checked yes. The only exceptions to this prohibition are:
  • The applicant presents written evidence from the FAA that he or she was subsequently medically certificated and that an Examiner is authorized to issue a renewal medical certificate to the person if medically qualified; or
  • The Examiner obtains oral or written authorization to issue a medical certificate from an FAA medical office

Updated: 12:41 pm ET May 30, 2006