PREREQUISITES FOR THE PRACTICAL TEST ENDORSEMENT
A.1 Prerequisites for practical test: Title 14 of the Code of Federal Regulations
(14 CFR) part 61, § 61.39(a)(6)(i) and (ii).
I certify that [First name, MI, Last name] has received and logged training time within
2 calendar-months preceding the month of application in preparation for the practical test
and [he or she] is prepared for the required practical test for the issuance of [applicable]
certificate.
A.2 Review of deficiencies identified on airman knowledge test: § 61.39(a)(6)(iii),
as required.
I certify that [First name, MI, Last name] has demonstrated satisfactory knowledge of the
subject areas in which [he or she] was deficient on the [applicable] airman knowledge
test.
STUDENT PILOT ENDORSEMENTS
A.3 Pre-solo aeronautical knowledge: § 61.87(b).
I certify that [First name, MI, Last name] has satisfactorily completed the pre-solo
knowledge test of § 61.87(b) for the [make and model] aircraft.
A.4 Pre-solo flight training: § 61.87(c)(1) and (2).
I certify that [First name, MI, Last name] has received and logged pre-solo flight training
for the maneuvers and procedures that are appropriate to the [make and model] aircraft. I
have determined [he or she] has demonstrated satisfactory proficiency and safety on the
maneuvers and procedures required by § 61.87 in this or similar make and model of
aircraft to be flown.
8/27/18 AC 61-65H
Appendix A
A-7
A.5 Pre-solo flight training at night: § 61.87(o). Flight training must be received within the
90 calendar-day period preceding the date of the flight.
I certify that [First name, MI, Last name] has received flight training at night on night
flying procedures that include takeoffs, approaches, landings, and go-arounds at night at
the [airport name] airport where the solo flight will be conducted; navigation training at
night in the vicinity of the [airport name] airport where the solo flight will be conducted.
This endorsement expires 90 calendar-days from the date the flight training at night was
received.
A.6 Solo flight (first 90 calendar-day period): § 61.87(n).
I certify that [First name, MI, Last name] has received the required training to qualify for
solo flying. I have determined [he or she] meets the applicable requirements of § 61.87(n)
and is proficient to make solo flights in [make and model].
A.7 Solo flight (each additional 90 calendar-day period): § 61.87(p).
I certify that [First name, MI, Last name] has received the required training to qualify for
solo flying. I have determined that [he or she] meets the applicable requirements of
§ 61.87(p) and is proficient to make solo flights in [make and model].
A.8 Solo takeoffs and landings at another airport within 25 nautical miles (NM):
§ 61.93(b)(1).
I certify that [First name, MI, Last name] has received the required training of
§ 61.93(b)(1). I have determined that [he or she] is proficient to practice solo takeoffs and
landings at [airport name]. The takeoffs and landings at [airport name] are subject to the
following conditions: [List any applicable conditions or limitations.]
A.9 Solo cross-country flight: § 61.93(c)(1) and (2).
I certify that [First name, MI, Last name] has received the required solo cross-country
training. I find [he or she] has met the applicable requirements of § 61.93, and is
proficient to make solo cross-country flights in a [make and model] aircraft, [aircraft
category].
A.10 Solo cross-country flight: § 61.93(c)(3).
I have reviewed the cross-country planning of [First name, MI, Last name]. I find the
planning and preparation to be correct to make the solo flight from [origination airport] to
[origination airport] via [route of flight] with landings at [names of the airports] in a
[make and model] aircraft on [date]. [List any applicable conditions or limitations.]
8/27/18 AC 61-65H
Appendix A
A-8
A.11 Repeated solo cross-country flights not more than 50 NM from the point of
departure: § 61.93(b)(2).
I certify that [First name, MI, Last name] has received the required training in both
directions between and at both [airport names]. I have determined that [he or she] is
proficient of § 61.93(b)(2) to conduct repeated solo cross-country flights over that route,
subject to the following conditions: [List any applicable conditions or limitations.]
A.12 Solo flight in Class B airspace: § 61.95(a).
I certify that [First name, MI, Last name] has received the required training of § 61.95(a).
I have determined [he or she] is proficient to conduct solo flights in [name of Class B]
airspace. [List any applicable conditions or limitations.]
A.13 Solo flight to, from, or at an airport located in Class B airspace: § 61.95(b) and
14 CFR part 91, § 91.131(b)(1).
I certify that [First name, MI, Last name] has received the required training of
§ 61.95(b)(1). I have determined that [he or she] is proficient to conduct solo flight
operations at [name of airport]. [List any applicable conditions or limitations.]
A.14 Endorsement of U.S. citizenship recommended by the Transportation Security
Administration (TSA): Title 49 of the Code of Federal Regulations (49 CFR)
§ 1552.3(h). The flight instructor must keep a copy of the documents used to provide
proof of citizenship for 5 years or make the following endorsement in the student’s
logbook and the instructor’s logbook or other record used to record flight student
endorsements with the following:
I certify that [First name, MI, Last name] has presented me a [type of document
presented, such as a U.S. birth certificate or U.S. passport, and the relevant control or
sequential number on the document, if any] establishing that [he or she] is a U.S. citizen
or national in accordance with 49 CFR § 1552.3(h).
ADDITIONAL STUDENT PILOT ENDORSEMENTS FOR STUDENTS SEEKING
SPORT OR RECREATIONAL PILOT CERTIFICATES
A.15 Solo flight in Class B, C, and D airspace: § 61.94(a).
I certify that [First name, MI, Last name] has received the required training of § 61.94(a).
I have determined [he or she] is proficient to conduct solo flights in [name of Class B, C,
or D] airspace and authorized to operate to, from through and at [name of airport].
[List any applicable conditions or limitations.]
8/27/18 AC 61-65H
Appendix A
A-9
A.16 Solo flight to, from, or at an airport located in Class B, C, or D airspace or at an
airport having an operational control tower: §§ 61.94(a) and 91.131(b)(1).
I certify that [First name, MI, Last name] has received the required training of
§ 61.94(a)(1). I have determined that [he or she] is proficient to conduct solo flight
operations at [name of airport located in Class B, C, or D airspace or an airport having an
operational control tower]. [List any applicable conditions or limitations.]
SPORT PILOT ENDORSEMENTS
A.17 Aeronautical knowledge test: §§ 61.35(a)(1) and 61.309.
I certify that [First name, MI, Last name] has received the required aeronautical
knowledge training of § 61.309. I have determined that [he or she] is prepared for the
[name of] knowledge test.
A.18 Taking flight proficiency check for different category or class of aircraft: §§ 61.309
and 61.311.
I certify that [First name, MI, Last name] has received the required training required in
accordance with §§ 61.309 and 61.311 and have determined that [he or she] is prepared
for the [name of] proficiency check.
A.19 Passing flight proficiency check for different category or class of aircraft: §§ 61.309
and 61.311.
I certify that [First name, MI, Last name] has met the requirements of §§ 61.309 and
61.311 and I have determined [him or her] proficient to act as pilot in command of
[category and class] of light-sport aircraft.
A.20 Taking sport pilot practical test: §§ 61.309, 61.311, and 61.313.
I certify that [First name, MI, Last name] has received the training required in accordance
with §§ 61.309 and 61.311 and met the aeronautical experience requirements of § 61.313.
I have determined that [he or she] is prepared for the [type of] practical test.
Note: The endorsement for a practical test is required in addition to the § 61.39
endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2).
A.21 Passing a sport pilot practical test: §§ 61.309, 61.311, and 61.313. This endorsement is
required by § 61.317 and is issued by a Sport Pilot Examiner (SPE).
I certify that [First name, MI, Last name] has met the requirements of §§ 61.309, 61.311,
and 61.313, and I have determined [him or her] proficient to act as pilot in command of
[category and class of] light-sport aircraft.
/s/ [date] S. P. Examiner 987654321 Exp. 12-31-19
8/27/18 AC 61-65H
Appendix A
A-10
A.22 Class B, C, or D airspace, at an airport located in Class B, C, or D airspace, or to,
from, through, or at an airport having an operational control tower: § 61.325.
I certify that [First name, MI, Last name] has received the required training of § 61.325.
I have determined [he or she] is proficient to conduct operations in Class B, C, or D
airspace, at an airport located in Class B, C, or D airspace, or to, from, through, or at an
airport having an operational control tower.
A.23 Light-sport aircraft that has a maximum speed in level flight with maximum
continuous power (VH) less than or equal to 87 Knots Calibrated Airspeed (KCAS):
§ 61.327.
I certify that [First name, MI, Last name] has received the required training required in
accordance with § 61.327(a) in a [make and model] aircraft. I have determined [him or
her] proficient to act as pilot in command of a light-sport aircraft that has a VH less than
or equal to 87 KCAS.
A.24 Light-sport aircraft that has a VH greater than 87 KCAS: § 61.327.
I certify that [First name, MI, Last name] has received the required training required in
accordance with § 61.327(b) in a [make and model] aircraft. I have determined [him or
her] proficient to act as pilot in command of a light-sport aircraft that has a VH greater
than 87 KCAS.
RECREATIONAL PILOT ENDORSEMENTS
A.25 Aeronautical knowledge test: §§ 61.35(a)(1), 61.96(b)(3), and 61.97(b).
I certify that [First name, MI, Last name] has received the required training of § 61.97(b).
I have determined that [he or she] is prepared for the [name of] knowledge test.
A.26 Flight proficiency/practical test: §§ 61.96(b)(5), 61.98(a) and (b), and 61.99. The
endorsement for a practical test is required in addition to the § 61.39 endorsements
provided in paragraphs A.1 and A.2.
I certify that [First name, MI, Last name] has received the required training of
§§ 61.98(b) and 61.99. I have determined that [he or she] is prepared for the [name of]
practical test.
A.27 Recreational pilot to operate within 50 NM of the airport where training was
received: § 61.101(b).
I certify that [First name, MI, Last name] has received the required training of
§ 61.101(b). I have determined that [he or she] is competent to operate at the [name of
airport].
8/27/18 AC 61-65H
Appendix A
A-11
A.28 Recreational pilot to act as pilot in command on a flight that exceeds 50 NM of the
departure airport: § 61.101(c).
I certify that [First name, MI, Last name] has received the required cross-country training
of § 61.101(c). I have determined that [he or she] is proficient in cross-country flying of
part 61 subpart E.
A.29 Recreational pilot with less than 400 flight hours and no logged pilot in command
time within the preceding 180 calendar-days: § 61.101(g).
I certify that [First name, MI, Last name] has received the required 180-day recurrent
training of § 61.101(g) in a [make and model] aircraft. I have determined [him or her]
proficient to act as pilot in command of that aircraft.
A.30 Recreational pilot to conduct solo flights for the purpose of obtaining an additional
certificate or rating while under the supervision of an authorized flight instructor:
§ 61.101(j).
I certify that [First name, MI, Last name] has received the required training of § 61.87 in
a [make and model] aircraft. I have determined [he or she] is prepared to conduct a solo
flight on [date] under the following conditions: [List all conditions which require
endorsement (e.g., flight which requires communication with air traffic control, flight in
an aircraft for which the pilot does not hold a category/class rating, etc.).]
A.31 Class B, C, or D airspace, at an airport located in Class B, C, or D airspace, or to,
from, through, or at an airport having an operational control tower: § 61.101(d).
I certify that [First name, MI, Last name] has received the required training of
§ 61.101(d). I have determined [he or she] is proficient to conduct operations in Class B,
C, or D airspace, at an airport located in Class B, C, or D airspace, or to, from, through,
or at an airport having an operational control tower.
PRIVATE PILOT ENDORSEMENTS
A.32 Aeronautical knowledge test: §§ 61.35(a)(1), 61.103(d), and 61.105.
I certify that [First name, MI, Last name] has received the required training in accordance
with § 61.105. I have determined [he or she] is prepared for the [name of] knowledge
test.
A.33 Flight proficiency/practical test: §§ 61.103(f), 61.107(b), and 61.109. The endorsement
for a practical test is required in addition to the § 61.39 endorsements provided in
paragraphs A.1 and A.2.
I certify that [First name, MI, Last name] has received the required training in accordance
with §§ 61.107 and 61.109. I have determined [he or she] is prepared for the [name of]
practical test.
8/27/18 AC 61-65H
Appendix A
A-12
COMMERCIAL PILOT ENDORSEMENTS
A.34 Aeronautical knowledge test: §§ 61.35(a)(1), 61.123(c), and 61.125.
I certify that [First name, MI, Last name] has received the required training of § 61.125.
I have determined that [he or she] is prepared for the [name of] knowledge test.
A.35 Flight proficiency/practical test: §§ 61.123(e), 61.127, and 61.129. The endorsement
for a practical test is required in addition to the § 61.39 endorsements provided in
paragraphs A.1 and A.2.
I certify that [First name, MI, Last name] has received the required training of §§ 61.127
and 61.129. I have determined that [he or she] is prepared for the [name of] practical test.
AIRLINE TRANSPORT PILOT (ATP) ENDORSEMENTS
A.36 Restricted privileges ATP Certificate, Airplane Multiengine Land (AMEL) rating:
§ 61.160. This certifying statement can only be provided by an authorized institution of
higher education in accordance with its letter of authorization (LOA). Refer to
AC 61-139, Institution of Higher Education’s Application for Authority to Certify its
Graduates for an Airline Transport Pilot Certificate with Reduced Aeronautical
Experience.
The [insert institution’s name] certifies that the recipient of this degree has successfully
completed all of the aviation coursework requirements of § 61.160[(b), (c), or (d)] and
therefore meets the academic eligibility requirements of § 61.160[(b), (c), or (d)].
A.37 ATP Certification Training Program (CTP): § 61.153(e). This endorsement is only
provided by an approved training provider of an ATP CTP and is found on the graduation
certificate a pilot receives following completion of that training in accordance with
§ 61.156. Refer to AC 61-138, Airline Transport Pilot Certification Training Program.
The applicant named above has successfully completed the Airline Transport Pilot
Certification Training Program as required by § 61.156, and therefore has met the
prerequisite required by § 61.35(a)(2) for the Airline Transport Pilot Multiengine
Airplane Knowledge Test.
INSTRUMENT RATING ENDORSEMENTS
A.38 Aeronautical knowledge test: §§ 61.35(a)(1) and 61.65(a) and (b).
I certify that [First name, MI, Last name] has received the required training of § 61.65(b).
I have determined that [he or she] is prepared for the Instrument–[airplane, helicopter, or
powered-lift] knowledge test.
8/27/18 AC 61-65H
Appendix A
A-13
A.39 Flight proficiency/practical test: § 61.65(a)(6).
I certify that [First name, MI, Last name] has received the required training of § 61.65(c)
and (d). I have determined [he or she] is prepared for the Instrument–[airplane,
helicopter, or powered-lift] practical test.
A.40 Prerequisites for instrument practical tests: § 61.39(a).
I certify that [First name, MI, Last name] has received and logged the required flight
time/training of § 61.39(a) in preparation for the practical test within 2 calendar-months
preceding the date of the test and has satisfactory knowledge of the subject areas in which
[he or she] was shown to be deficient by the FAA Airman Knowledge Test Report. I have
determined [he or she] is prepared for the Instrument–[airplane, helicopter, or powered
lift] practical test.
FLIGHT INSTRUCTOR (OTHER THAN FLIGHT INSTRUCTORS WITH A SPORT
PILOT RATING) ENDORSEMENTS
A.41 Fundamentals of instructing knowledge test: § 61.183(d).
I certify that [First name, MI, Last name] has received the required fundamentals of
instruction training of § 61.185(a)(1). I have determined that [he or she] is prepared for
the Fundamentals of Instructing knowledge test.
A.42 Flight instructor aeronautical knowledge test: § 61.183(f).
I certify that [First name, MI, Last name] has received the required training of
§ 61.185(a)[(2) or (3) (as appropriate to the flight instructor rating sought)]. I have
determined that [he or she] is prepared for the [name of] knowledge test.
A.43 Flight instructor ground and flight proficiency/practical test: § 61.183(g).
I certify that [First name, MI, Last name] has received the required training of
§ 61.187(b). I have determined that [he or she] is prepared for the CFI – [aircraft category
and class] practical test.
Note: The endorsement for a practical test is required in addition to the § 61.39
endorsements provided in endorsements 1 and 2 (see paragraphs A.1 and A.2).
8/27/18 AC 61-65H
Appendix A
A-14
A.44 Flight instructor certificate with instrument—(category/class) rating/practical test:
§§ 61.183(g), and 61.187(a) and (b)(7). The endorsement for a practical test is required
in addition to the § 61.39 endorsements provided in endorsements 1 and 2 (see
paragraphs A.1 and A.2).
I certify that [First name, MI, Last name] has received the required certificated flight
instructor – instrument training of § 61.187(b)(7). I have determined [he or she] is
prepared for the certificated flight instructor – instrument – [airplane, helicopter, or
powered-lift] practical test.
A.45 Spin training: § 61.183(i)(1). The spin training endorsement is only required of flight
instructor airplane and flight instructor glider applicants.
I certify that [First name, MI, Last name] has received the required training of § 61.183(i)
in [an airplane, a glider]. I have determined that [he or she] is competent and possesses
instructional proficiency in stall awareness, spin entry, spins, and spin recovery
procedures.
A.46 Helicopter Touchdown Autorotation: FAA-S-8081-7, Flight Instructor Practical
Test Standards for Rotorcraft (Helicopter & Gyroplane).
I certify that [First name, MI, Last name] has received training in straight-in and
180-degree autorotations to include touchdown. I have determined that [he or she] is
competent in instructional knowledge relating to the elements, common errors,
performance, and correction of common errors related to straight-in and 180-degree
autorotations.
FLIGHT INSTRUCTOR WITH A SPORT PILOT RATING ENDORSEMENT
A.47 Fundamentals of instructing knowledge test: § 61.405(a)(1).
I certify that [First name, MI, Last name] has received the required training in accordance
with § 61.405(a)(1). I have determined that [he or she] is prepared for the Fundamentals
of Instructing Knowledge Test.
A.48 Sport pilot flight instructor aeronautical knowledge test: §§ 61.35(a)(1) and
61.405(a).
I certify that [First name, MI, Last name] has received the required training of
§ 61.405(a)(2). I have determined that [he or she] is prepared for the [name of the
knowledge test].
8/27/18 AC 61-65H
Appendix A
A-15
A.49 Flight instructor flight proficiency check to provide training if a different category
or class of aircraft–(additional category/class): §§ 61.409 and 61.419.
I certify that [First name, MI, Last name] has received the required training in accordance
with §§ 61.409 and 61.419 and have determined that [he or she] is prepared for a
proficiency check for the flight instructor with a sport pilot rating in a [aircraft category
and class].
A.50 Passing the flight instructor flight proficiency check to provide training in a
different category or class of aircraft (additional category/class): §§ 61.409
and 61.419.
I certify that [First name, MI, Last name] has met the requirements in accordance with
§§ 61.409 and 61.419. I have determined that [he or she] is proficient and authorized for
the additional [aircraft category and class] flight instructor privilege.
A.51 Flight instructor practical test: §§ 61.409 and 61.411. This endorsement is required in
addition to the § 61.39 endorsements provided in paragraphs A.1 and A.2.
I certify that [First name, MI, Last name] has received the required training of § 61.409
and met the aeronautical experience requirements of § 61.411. I have determined that [he
or she] is prepared for the flight instructor with a sport pilot rating practical test in a
[aircraft category and class].
/s/ [date] S. P. Examiner 987654321 Exp. 12-31-19
A.52 Passing the flight instructor practical test: §§ 61.409 and 61.411. This endorsement is
required by § 61.417 and is issued by a Designated Pilot Examiner (DPE).
I certify that [First name, MI, Last name] has met the requirements in accordance with
§§ 61.409 and 61.411. I have determined that [he or she] is proficient and authorized for
the [aircraft category and class] flight instructor privilege.
/s/ [date] S. P. Examiner 987654321 Exp. 12-31-19
A.53 Sport pilot instructor to train sport pilots on flight by reference to instruments:
§ 61.412. This endorsement from an instructor certificated under part 61 subpart H to a
flight instructor with a sport pilot rating (part 61 subpart K) authorizes the part 61
subpart K instructor to train sport pilot candidates on control and maneuvering an
airplane solely by reference to the instruments.
I certify that I have given [First name, MI, Last name] 3 hours of flight training and
1 hour of ground instruction specific to providing flight training on control and
maneuvering an airplane solely by reference to the instruments in accordance with
§ 61.412. I have determined that [he or she] is proficient and authorized to provide
training on control and maneuvering an airplane solely by reference to the flight
instruments to this instructor’s sport pilot candidate, who intends to operate an LSA
airplane with a VH greater than 87 KCAS on a cross-country flight.
/s/ [date] Subpart H Instructor 987654321 Exp. 12-31-19
8/27/18 AC 61-65H
Appendix A
A-16
A.54 Spin training: § 61.405(b)(1)(ii). This spin training endorsement is only required for
flight instructor airplane and flight instructor glider applicants.
I certify that [First name, MI, Last name] has received the required training of
§ 61.405(b)(1)(ii). I have determined that [he or she] is competent and possesses
instructional proficiency in stall awareness, spin entry, spins, and spin recovery
procedures.
GROUND INSTRUCTOR ENDORSEMENT
A.55 Ground instructor who does not meet the recent experience requirements:
§ 61.217(d). This endorsement is issued by an authorized instructor (ground or flight) as
defined in § 61.1(b).
I certify that [First name, MI, Last name] has demonstrated knowledge in the subject
areas prescribed for a (basic, advanced, instrument) ground instructor under
§ 61.213(a)(3) and (a)(4), as appropriate.
SPECIAL FEDERAL AVIATION REGULATION (SFAR) 73, ROBINSON R-22/R-44
SPECIAL TRAINING AND EXPERIENCE REQUIREMENTS, ENDORSEMENTS
A.56 R-22/R-44 awareness training: SFAR 73, section 2(a)(1) or (2).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] has received the
Awareness Training required by SFAR 73, section 2(a)(3)(i–v).
A.57 R-22 solo endorsement: SFAR 73, section 2(b)(3).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] meets the
experience requirements of SFAR 73, section 2(b)(3) and has been given training
specified by SFAR 73, section 2(b)(3)(i–iv). [He or She] has been found proficient to
solo the R-22 helicopter.
A.58 R-22 pilot-in-command endorsement: SFAR 73, section 2(b)(1)(ii).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] has been given
training specified by SFAR 73, section 2(b)(1)(ii)(A–D) for Robinson R-22 helicopters
and is proficient to act as pilot in command. An annual flight review must be completed
by [date 12 calendar-months after date of this endorsement] unless the requirements of
SFAR 73, section 2(b)(1)(i) are met.
8/27/18 AC 61-65H
Appendix A
A-17
A.59 R-22 flight instructor endorsement: SFAR 73, section 2(b)(5)(iv). This endorsement
may only be issued by an FAA aviation safety inspector (ASI) or authorized designated
examiner per SFAR 73, section 2(b)(5)(iv).
I certify that [First name, MI, Last name], holder of CFI Certificate No. [_____], meets
the experience requirements, and has completed the flight training specified by SFAR 73,
section 2(b)(5)(i–ii) and (iii)(A–D), and has demonstrated an ability to provide instruction
on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified
in SFAR 73, section 2(b)(5)(iii) in a Robinson R-22 helicopter.
/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-19; or
/s/ [date] I. M. Inspector FAA Aviation Safety Inspector
A.60 Flight review in an R-22 helicopter: SFAR 73, section 2(c)(1) and (3).
I certify that [First name, MI, Last name, Pilot Certificate No.
_____] has satisfactorily
completed the flight review in an R-22 required by § 61.56 and SFAR 73, section 2(c)(1)
and (3), on [date of flight review].
A.61 R-44 solo endorsement: SFAR 73, section 2(b)(4).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] meets the
experience requirements of SFAR 73, section 2(b)(4) and has been given training
specified by SFAR 73, section 2(b)(4)(i–iv). [He or She] has been found proficient to
solo the R-44 helicopter.
A.62 R-44 pilot-in-command endorsement: SFAR 73, section 2(b)(2)(ii).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] has been given
training specified by SFAR 73, section 2(b)(2)(ii)(A–D) for Robinson R-44 helicopters
and is proficient to act as pilot in command. An annual flight review must be completed
by [date 12 calendar-months after date of this endorsement] unless the requirements of
SFAR 73, section 2(b)(2)(i) are met.
A.63 R-44 flight instructor endorsement: SFAR 73, section 2(b)(5)(iv). This endorsement
may only be issued by an FAA ASI or authorized DPE per SFAR 73, section 2(b)(5)(iv).
I certify that [First name, MI, Last name], holder of CFI Certificate No. [_____], meets
the experience requirements and has completed the flight training specified by SFAR 73,
section 2(b)(5)(i–ii) and (iii)(A–D), and has demonstrated an ability to provide instruction
on the general subject areas of SFAR 73, section 2(a)(3) and the flight training identified
in SFAR 73, section 2(b)(5)(iii) in a Robinson R-44 helicopter.
/s/ [date] J. J. Jones DPE Designation Number, Exp. 12-31-19; or
/s/ [date] I. M. Inspector FAA Aviation Safety Inspector
8/27/18 AC 61-65H
Appendix A
A-18
A.64 Flight review in an R-44 helicopter: SFAR 73, section 2(c)(2) and (3).
I certify that [First name, MI, Last name, Pilot Certificate No. _____] has satisfactorily
completed the flight review in an R-44 required by 14 CFR, § 61.56 and SFAR 73,
section 2(c)(2) and (3), on [date of flight review].
ADDITIONAL ENDORSEMENTS
A.65 Completion of a flight review: § 61.56(a) and (c). No logbook entry reflecting
unsatisfactory performance on a flight review is required.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has satisfactorily completed a flight review of § 61.56(a) on [date].
A.66 Completion of any phase of an FAA-sponsored Pilot Proficiency Program
(WINGS): § 61.56(e).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has satisfactorily completed Level: [Basic/Advanced/Master, as appropriate],
PHASE NO. [..] OF A WINGS PROGRAM ON [DATE].
A.67 Completion of an instrument proficiency check: § 61.57(d). No logbook entry
reflecting unsatisfactory performance on an instrument proficiency check is required.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has satisfactorily completed the instrument proficiency check of § 61.57(d) in a [make
and model] aircraft on [date].
A.68 To act as pilot in command in a complex airplane: § 61.31(e).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training of § 61.31(e) in a [make and model] complex airplane.
I have determined that [he or she] is proficient in the operation and systems of a complex
airplane.
A.69 To act as pilot in command in a high-performance airplane: § 61.31(f).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training of § 61.31(f) in a [make and model] high performance
airplane. I have determined that [he or she] is proficient in the operation and systems of a
high-performance airplane.
8/27/18 AC 61-65H
Appendix A
A-19
A.70 To act as pilot in command in a pressurized aircraft capable of high-altitude
operations: § 61.31(g).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training of § 61.31(g) in a [make and model] pressurized
aircraft. I have determined that [he or she] is proficient in the operation and systems of a
pressurized aircraft.
A.71 To act as pilot in command in a tailwheel airplane: § 61.31(i). This endorsement may
be given in a sport pilot aircraft by a sport pilot instructor, or in an airplane by a flight
instructor with a rating other than a sport pilot rating.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training of § 61.31(i) in a [make and model] of tailwheel
airplane. I have determined that [he or she] is proficient in the operation of a tailwheel
airplane.
A.72 To act as pilot in command of an aircraft in solo operations when the pilot does not
hold an appropriate category/class rating: § 61.31(d)(2).
I certify that [First name, MI, Last name] has received the training as required by
§ 61.31(d)(2) to serve as a pilot in command in a [specific category and class] of aircraft.
I have determined that [he or she] is prepared to solo that [make and model] aircraft.
Limitations: [optional].
A.73 Retesting after failure of a knowledge or practical test: § 61.49. In the case of a failed
knowledge test, the instructor may complete the endorsement in the space provided at the
bottom of the applicant’s Airman Knowledge Test Report (AKTR). The instructor must
sign the block provided for the instructor’s recommendation on the reverse side of
FAA Form 8710-1, Airman Certificate and/or Rating Application, for each retake of a
practical test.
I certify that [First name, MI, Last name] has received the additional [flight and/or
ground, as appropriate] training as required by § 61.49. I have determined that [he or she]
is proficient to pass the [name of] knowledge/practical test.
A.74 Additional aircraft category or class rating (other than ATP): § 61.63(b) or (c).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training for an additional [aircraft category/class rating]. I have
determined that [he or she] is prepared for the [name of] practical test for the addition of
a [name of] [specific aircraft category/class/type] type rating.
A.75 Type rating only, already holds the appropriate category or class rating (other than
ATP): § 61.63(d)(2).
I certify that [First name, MI, Last name] has received the required training of
§ 61.63(d)(2) for an addition of a [name of] type rating.
8/27/18 AC 61-65H
Appendix A
A-20
A.76 Type rating concurrently with an additional category or class rating (other than
ATP): § 61.63(d)(2).
I certify that [First name, MI, Last name] has received the required training of
§ 61.63(d)(2) for an addition of a [name of] [specific category/class/type] type rating.
I have determined that [he or she] is prepared for the [name of] practical test for the
addition of a [name of] [specific aircraft category/class/type] type rating.
A.77 Type rating only, already holds the appropriate category or class rating (at the
ATP level): § 61.157(b)(2).
I certify that [First name, MI, Last name] has received the required training of
§ 61.157(b)(2) for an addition of a [name of] type rating.
A.78 Type rating concurrently with an additional category or class rating (at the
ATP level): § 61.157(b)(2).
I certify that [First name, MI, Last name] has received the required training of
§ 61.157(b)(2) for an addition of a [name of the specific category/class/type] type rating.
A.79 Launch procedures for operating a glider: § 61.31(j).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required training in a glider [make and model] for [ground-tow, aerotow,
self-launch] procedure. I have determined that [he or she] is proficient in [ground-tow,
aerotow, self-launch] procedure.
A.80 Glider and unpowered ultralight vehicle towing experience: § 61.69(a)(5). This
endorsement is made by the pilot who is qualified per § 61.69(c) and (d) and who
conducted the flights. This endorsement does not have to be made by a flight instructor.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has accomplished at least three flights in an aircraft while towing [a glider or unpowered
ultralight vehicle, or while simulating towing flight procedures, as applicable].
/s/ [date] J. J. Jones 987654321
A.81 Glider and unpowered ultralight vehicle towing ground and flight: § 61.69(a)(3).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the required ground and flight training in [a glider or unpowered ultralight
vehicle, as applicable]. I have determined that [he or she] is proficient in the techniques
and procedures essential to the safe towing of [gliders or unpowered vehicles, as
applicable] including airspeed limitations; emergency procedures; signals used; and
maximum angles of bank.
8/27/18 AC 61-65H
Appendix A
A-21
A.82 Review of a home study curriculum: § 61.35(a)(1).
I certify I have reviewed the home study curriculum of [First name, MI, Last name].
I have determined that [he or she] is prepared for the [name of] knowledge test.
Note: This endorsement cannot be used for the ATP Airplane Multiengine
Knowledge Test.
A.83 Experimental aircraft only—additional aircraft category or class rating (other than
ATP): § 61.63(h).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
as required by § 61.63(h), is proficient to act as pilot in command in a [category, class,
make, and model] of experimental aircraft and has logged at least 5 hours flight time
logged between September 1, 2004, and August 31, 2005, while acting as pilot in
command in [aircraft category/class rating and make and model] that has been issued an
experimental certificate.
A.84 Experimental aircraft only—additional aircraft category or class rating ATP:
§ 61.65(g).
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
as required by § 61.65(g) is proficient to act as pilot in command in a [category, class,
make, and model] of experimental aircraft and has logged at least 5 hours flight time
logged between September 1, 2004, and August 31, 2005, while acting as pilot in
command in [aircraft category/class rating and make and model] that has been issued an
experimental certificate.
A.85 Aeronautical experience credit—ultralight vehicles: § 61.52.
I certify that I have reviewed the records of [First name, MI, Last name], as required by
§ 61.52(c). I have determined that [he or she] may use [number of hours] aeronautical
experience obtained in an ultralight vehicle to meet the requirements for
[certificate/rating/privilege].
NIGHT VISION GOGGLES (NVG) OPERATIONS
A.86 Endorsement required for ground training to act as pilot in command of an aircraft
using NVG: § 61.31(k)(1). This training and endorsement must be given by an
authorized instructor, which is one who meets the requirements of § 61.195(k)(1)
through (7). Refer to § 61.31(k)(3) for exceptions to this required ground training.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the ground training required by § 61.31(k)(1), (i) through (v) to conduct
night vision goggle operations.
8/27/18 AC 61-65H
Appendix A
A-22
A.87 Endorsement required for flight training and statement of proficiency to act as pilot
in command of an aircraft using NVG: § 61.31(k)(2). This training and endorsement
must be given by an authorized instructor, which is one who meets the requirements of
§ 61.195(k)(1) through (7). Refer to § 61.31(k)(3) for exceptions to this required flight
training.
I certify that [First name, MI, Last name], [grade of pilot certificate], [certificate number],
has received the flight training on night vision goggle operations required by 14 CFR
§ 61.31(k)(2), (i) through (iv). I find [he or she] proficient in the use of night vision
goggles.
A.88 Endorsement required to provide training for NVG operations: § 61.195(k)(7).
“Position,” as mentioned in the signature block of the endorsement, is a person who is
authorized by the FAA to provide that logbook endorsement. Refer to Order 8900.1.
I certify that [First name, MI, Last name], holder of CFI Certificate No. [ ], meets the
night vision goggle instructor requirements of § 61.195(k) and is authorized to perform
the night vision goggle pilot-in-command qualification and recent flight experience
requirements under §§ 61.31(k) and 61.57(f) and (g). This endorsement does not provide
the authority to endorse another flight instructor as a night vision goggle instructor.
/s/ [date] I. M. Inspector 987654321CFI Exp. 12-31-19 Position
ENHANCED FLIGHT VISION SYSTEM (EFVS)
A.89 Endorsement for EFVS ground training: § 61.66(a).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has
satisfactorily completed the ground training required by § 61.66(a) appropriate to the
[appropriate aircraft category] category of aircraft.
A.90 Endorsement for EFVS flight training: § 61.66(b).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has
received the flight training required by § 61.66(b) and is proficient in the use of EFVS in
the [appropriate aircraft category in which the flight training was conducted] category of
aircraft for EFVS operations conducted under [§ 91.176(a), (b), or both § 91.176(a)
and (b)].
A.91 Endorsement for EFVS ground and flight training: § 61.66(a) and (b).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has
satisfactorily completed the ground training required by § 61.66(a) and has received the
flight training required by § 61.66(b) for EFVS operations and is proficient in the use of
EFVS in the [appropriate aircraft category in which the ground and flight training was
conducted] category of aircraft for EFVS operations conducted under [§ 91.176(a), (b), or
both § 91.176(a) and (b)].
8/27/18 AC 61-65H
Appendix A
A-23
A.92 Endorsement for EFVS supplementary training: § 61.66(c).
I certify that [First name, MI, Last name], [pilot certificate], [certificate number], has
satisfactorily completed the required ground and flight training required by § 61.66(c) for
EFVS operations and is proficient in the use of EFVS in the [the appropriate aircraft
category in which the supplementary ground and flight training was conducted] category
of aircraft for EFVS operations conducted under [§ 91.176(a), (b), or both § 91.176(a)
and (b)].