Federal Aviation Administration

Guide for Aviation Medical Examiners
Application Process for Medical Certification

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  • |  Updated: 4:27 pm ET April 3, 2006

Application Review
Item 64. Medical Examiner's Declaration

If the application is not transmitted electronically, the date of examination and the Examiner's name and complete address must be typed. The Examiner must personally sign the completed form. The Examiner's serial number and telephone number should be entered in the blocks provided.

The FAA designates specific individuals as Examiners, and this status may not be further delegated to a physician who may be covering the designee's practice.

Although the FAA does not require that the Examiner sign the Examiner's copy of FAA Form 8500-8, the Examiner should at least personally initial this form.