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Ensuring that pilots meet the essential visual standards for safety in aviation is a critical concern, and the FAA Form 8500-7, also known as the Report of Eye Evaluation, serves as a vital tool in this assessment process. Crafted under the authority of 49 U.S.C. (Transportation) and several regulations, this form is designed to streamline the collection of crucial eye evaluation data needed to determine an applicant's eligibility for various types of aviation certificates, including medical certificates, student pilot certificates, and air traffic control specialist (ATCS) eligibility. The form, taking approximately 15 minutes to fill out, requires applicants to provide detailed medical history information and undergo a physical examination. This process is not only mandatory for the issuance of the necessary aviation certifications but also confidential, ensuring the privacy of the applicant's medical information. The collected data feeds into the Privacy Act system of records DOT/FAA 847, "Aviation Records on Individuals," showcasing its use in a breadth of scenarios from informing airmen about safety seminars to assisting law enforcement in investigations. Importantly, it underscores the FAA's commitment to maintaining the highest standards of safety and health within the aviation community, as well as its adherence to privacy and transparency in handling personal information.

Preview - Faa 8500 7 Form

INFORMATION FOR APPLICANT

REPORT OF EYE EVALUATION

See Privacy Act Information below.

Paperwork Reduction Act Statement:

The information collected on this form is necessary to ensure applicants meet the minimum requirements as set forth under the authority of 49 U.S.C. (Transportation). This information will be used to determine applicant eligibility for a medical certificate, medical and student pilot certificate, or ATCS eligibility for employment. When all requirements have been met, an appropriate medical certificate, medical and student pilot certificate, or medical clearance will be issued. It is estimated that it will take each applicant 15 minutes to complete this form and provide all the information called for (includes providing medical history information and physical examination). The information is required to obtain a certificate and is confidential. The information will become part of the Privacy Act system of records DOT/FAA 847, Aviation Records on Individuals. Note that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The control number for this collection of information is 2120-0034. 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, AES-200.

Tear off this cover sheet before submitting this form

FAA FORM 8500-7 (3-06) Supersedes Previous Edition

REPORT OF EYE EVALUATION

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 7. The principal purpose for which the information is intended to be used is to identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except for the Social Security Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate and/or rating. 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), including:

(a)Providing basic airmen certification and qualification information to the public upon request; examples of basic information include:

The type of certificates and ratings held, limitations, date of issuance and certificate number;

The status of the airman’s certificate (i.e., whether it is current or has been amended, modified, suspended or revoked for any reason);

The airman’s home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c);

Information relating to an airman’s physical status or condition used to determine statistically the validity of FAA

medical standards; and the date, class, and restrictions of the latest physical

Information relating to an individual’s eligibility for medical certification, requests for special issuance, and requests for review of certificate denials. (b) Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety.

(c) Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities.

(d) Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official investigation in which an airman is involved. (e) Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the public upon request.

(f) Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. Department of Justice (DOJ) for collection pursuant to 31 U.S.C. 3711(g).

(g) Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected certificates to perform job responsibilities for those employers.

(h) Making airmen records available to users of FAA’s Safety Performance Analysis System (SPAS), including the Department of Defense Commercial Airlift Division’s Air Carrier Analysis Support System (ACAS) for its use in identifying safety hazards and risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the effectiveness of targeted oversight actions.

(i) Making records of an individual’s positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or refusal to submit to testing required under a DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of individuals who, in their commercial capacity, administer the drug and alcohol testing programs of aviation entities.

(j) Providing information about airmen through the Civil Aviation Registry’s Comprehensive Airmen Information System to the Department of Health and Human Services, Office of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identify airmen to the child support agencies nationwide in enforcing child support obligations, establishing paternity, establishing and modifying support orders and location of obligors. Records listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security Administration’s secure environment.

(k) Making personally identifiable information about airmen available to other Federal agencies for the purpose of verifying the accuracy and completeness of medical information provided to FAA in connection with applications for airmen medical certification.

(l) Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine basis so that AMEs may render the best medical certification decision.

(m) Making airman, aircraft and operator record elements available to users of FAA’s Skywatch system, including the Department of Defense (DoD), the Department of Homeland Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events.

(n) Other possible routine uses published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses (65 F.R. 19477-78) For example, a record from this system of records may be disclosed to the United States Coast Guard (Coast Guard) and to the Transportation Security Administration (TSA) if information from this system was shared with either agency when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is necessary to accomplish a DOT, TSA or Coast Guard function related to this system of records.

FAA FORM 8500-7 (3-06) Supersedes Previous Edition

08/31/2014

Form Data

Fact Number Description
1 The FAA Form 8500-7 is titled "Report of Eye Evaluation".
2 This form facilitates the collection of data necessary for determining applicant eligibility for a medical certificate, or for medical and student pilot certificates.
3 The data collected under this form falls under the authority of 49 U.S.C. (Transportation).
4 The form is associated with the Office of Management and Budget (OMB) control number 2120-0034.
5 Completion of the form, including medical history information and physical examination, is estimated to take 15 minutes.
6 Information provided through the form becomes part of the Privacy Act system of records DOT/FAA 847, titled "Aviation Records on Individuals".
7 The principal purpose of collecting information is to evaluate qualifications and eligibility for issuing an airman certificate and/or rating.
8 Providing all requested information is mandatory for the issuance of the certificate or rating, except for the Social Security Number, which is voluntary.
9 Failure to provide required information will result in the inability to issue the desired certificate and/or rating.
10 The form is used by the FAA to ensure applicants meet minimum requirements for safety and compliance within the aviation industry.

Instructions on Utilizing Faa 8500 7

Filling out the FAA Form 8500-7, also known as the Report of Eye Evaluation, is a necessary step for applicants seeking a medical certificate, student pilot certificate, or an Air Traffic Control Specialist (ATCS) employment eligibility determination related to their vision. This form gathers detailed information about an individual's eye health and vision status, which is then used to evaluate their eligibility for the requested certificate or employment. Completing this form accurately and in its entirety is crucial for the application process. Here are the steps needed to fill out the form:

  1. Start by carefully reading the Privacy Act Statement provided at the beginning of the form. This section explains the legal authority for collecting your information and the purposes for which it will be used.
  2. Enter your full name, date of birth, and Social Security Number (optional) at the top of the form. Although providing your Social Security Number is voluntary, it can help ensure your records are accurately matched.
  3. Fill in the details of your eye evaluation. This section typically requires information such as the date of your last eye examination, the name, address, and contact information of your eye doctor, and specifics about your vision, including your prescription if applicable.
  4. Include information about any vision correction you use, such as glasses or contact lenses. Be sure to note the type of lenses and the prescription strength.
  5. Report any history of eye conditions or surgeries. It is important to provide detailed information about any previous or current eye health issues, treatments received, and the outcomes of those treatments.
  6. Describe any visual aids or adaptive equipment you require for reading or other activities. If you use devices to assist with your vision, detail them in the space provided.
  7. Complete the section concerning your visual acuity. This part of the form asks for your uncorrected and corrected vision measurements, as well as your field of vision.
  8. Finally, review your entries for accuracy, then sign and date the form in the designated area at the bottom. By signing the form, you certify that the information provided is correct to the best of your knowledge.
  9. Remove the cover sheet containing the Privacy Act and Paperwork Reduction Act statements before submitting the form as instructed by the application guidelines.

Once the FAA Form 8500-7 has been filled out completely, it should be submitted according to the specific instructions provided by the FAA or the relevant authority handling your application. This may involve sending it directly to the FAA, providing it to a medical examiner, or uploading it through an online system. Timely and accurate submission of this form is a critical part of ensuring your eligibility is correctly assessed for the medical certificate, medical and student pilot certificate, or ATCS eligibility you are seeking.

Obtain Answers on Faa 8500 7

  1. What is the FAA Form 8500-7?

    The FAA Form 8500-7, also known as the Report of Eye Evaluation, is a document used by the Federal Aviation Administration (FAA) to gather information regarding an applicant’s eye health and vision status. This form helps determine if an individual meets the minimum vision requirements to be eligible for a medical certificate, a medical and student pilot certificate, or eligibility for Air Traffic Control Specialist (ATCS) employment.

  2. Why is the FAA Form 8500-7 necessary?

    This form is crucial as it ensures that individuals seeking to obtain or maintain their aviation-related certifications have the required visual capabilities to perform safely under the authority of Transportation 49 U.S.C. Its primary goal is to maintain high standards of aviation safety by evaluating an applicant's eligibility based on their visual health.

  3. How long does it take to complete the FAA Form 8500-7?

    It is estimated that completing the FAA Form 8500-7, including providing medical history information and undergoing a physical examination, will take approximately 15 minutes. However, this duration might vary based on individual circumstances and the thoroughness of the information provided.

  4. Is providing my Social Security Number mandatory when filling out the form?

    No, providing your Social Security Number is voluntary when completing the FAA Form 8500-7. Submission of other required information is mandatory to determine eligibility. Failure to provide all other required information could result in the inability to issue the necessary certificate or rating.

  5. What happens to the information provided on the FAA Form 8500-7?

    The information collected on this form becomes part of the Privacy Act system of records, DOT/FAA 847, titled "Aviation Records on Individuals." It is used to identify and evaluate qualifications and eligibility for issuing an airman certificate and/or rating. The data may be used for various purposes including, but not limited to, providing certification information to the public upon request, informing airmen about aviation safety meetings, and disclosing information to law enforcement and federal agencies for official investigation purposes.

  6. Where should suggestions for reducing the burden of filling out the FAA Form 8500-7 be directed?

    Suggestions aimed at reducing the burden of completing the FAA Form 8500-7 should be directed to the FAA at 800 Independence Ave. SW, Washington, DC 20591, Attention: Information Collection Clearance Officer, AES-200. Feedback is encouraged to improve the process for applicants.

  7. What is the OMB control number for the FAA Form 8500-7?

    The currently valid OMB control number for the collection of information on FAA Form 8500-7 is 2120-0034. This number indicates approval by the Office of Management and Budget (OMB) and is necessary to conduct or sponsor the collection of information.

  8. How is the information on the FAA Form 8500-7 used in relation to aviation safety?

    The information provided through the FAA Form 8500-7 assists the FAA in maintaining high standards of safety within the aviation industry. It is used to identify safety hazards, target inspection efforts, and monitor the effectiveness of oversight actions related to an airman's vision capabilities, thus ensuring that those in control of aircraft are physically capable of performing their duties safely.

  9. Can the information on the FAA Form 8500-7 be disclosed to the public?

    Yes, basic airmen certification and qualification information collected on this form can be provided to the public upon request; however, an airman’s home address will be withheld from public disclosure if requested by the airman, per 49 U.S.C. 44703(c). This information ensures transparency and confidence in the qualifications of those in the aviation industry.

  10. Are there any specific cases where the FAA Form 8500-7 information may be shared with other organizations?

    Yes, the information may be shared with various organizations for specific purposes. These include disclosures to the National Transportation Safety Board (NTSB) for investigation responsibilities, law enforcement agencies for official investigations, and federal agencies such as the Department of the Treasury and the U.S. Department of Justice for collection of delinquent civil penalties, among others. This collaboration ensures adherence to aviation regulations and enforcement of safety standards.

Common mistakes

When filling out the FAA Form 8500-7, also known as the Report of Eye Evaluation, it's important to avoid common mistakes that can delay the evaluation process or impact the accuracy of the information provided. Here are nine mistakes frequently made:

  1. Not removing the cover sheet before submission – The cover sheet contains important information but should not be submitted with the form.
  2. Skipping sections – Every question on the form is designed to gather necessary information. Leaving sections blank can lead to processing delays.
  3. Entering incorrect information – Accuracy is crucial, particularly with dates, names, and certification numbers.
  4. Omitting details about medical history – Full disclosure is necessary to evaluate eligibility accurately.
  5. Misunderstanding the purpose of the form – This form specifically addresses eye evaluations, and information should be relevant to that topic.
  6. Overlooking the Privacy Act Statement – Understanding how your information will be used and shared is important for your privacy rights.
  7. Not providing detailed explanations when required – If the form asks for an explanation, make sure to offer clear, detailed information.
  8. Submitting without the applicant's signature – This form requires the applicant's signature to validate the information provided.
  9. Forgetting to check for the most current form edition – Always ensure you’re filling out the latest version of the form to meet the current requirements.

Here are some additional tips to avoid mistakes:

  • Read instructions carefully before beginning the form to understand what is required.
  • Double-check all entries for accuracy before submitting the form.
  • Ensure that all required sections are completed to avoid unnecessary delays in processing.
  • Remember, the information you provide is confidential and protected under the Privacy Act.
  • Contact a professional if you’re unsure about any part of the form to ensure it is filled out correctly.

By avoiding these common mistakes and following the additional tips, you can help ensure that your FAA Form 8500-7 is processed smoothly and accurately.

Documents used along the form

When someone submits the FAA Form 8500-7, Report of Eye Evaluation, it's often just one step in a broader process of obtaining or renewing a pilot's license or medical certificate. This form specifically gathers details on an individual's eye health and vision, vital for ensuring the safety and capability of pilots. Accompanying this form, several other documents are usually required or beneficial in demonstrating overall health and compliance with aviation regulations.

  • FAA Form 8500-8: Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate. This is the standard form used to apply for a new medical certificate or to renew an existing one. It captures comprehensive health information that the FAA uses to assess your fitness to fly.
  • FAA Form 8610-2: Airman Certificate and/or Rating Application. When seeking a new certification or adding a rating, this form is used alongside medical documents to ensure you meet all qualifications for the desired license or rating.
  • Logbook Entries or Certificates: Documented flight hours or training certificates can be required to verify experience levels. These are used to support applications for higher-level certifications or when special endorsements are sought.
  • FAA Form 8410-1: Airman Competency/Proficiency Check. This form documents an airman's performance in simulator or flight tests conducted by a certified examiner or authorized instructor, often required for type ratings or when reestablishing currency.
  • Medical Records: Additional medical documents might be requested to supplement Form 8500-7, especially if there are concerns about a specific condition that could impact flying abilities. These can include specialist evaluations or treatment summaries.
  • Letter of Authorization (LOA): For those seeking to operate under specific exemptions or with special equipment, an LOA from the FAA might be necessary. This letter outlines the terms under which an airman is authorized to perform certain operations not covered by standard regulations.

This collection of forms and documents represents a comprehensive approach to evaluating an airman's health, competence, and legal eligibility to operate in the national airspace. Each plays a role in the overarching goal of maintaining safety and ensuring that every pilot meets the high standards set forth by aviation authorities. While the FAA Form 8500-7 focuses on eye health, the other documents work in concert to paint a full picture of an applicant's capabilities and background. Together, they help the FAA safeguard the skies for everyone.

Similar forms

  • The FAA Form 8500-8, Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate, is closely related to the FAA 8500-7 form. The 8500-8 form serves as an application that pilots must complete to obtain or renew their medical certificates, which are necessary for flying. Like the 8500-7, it collects detailed personal and medical information, ensuring that the applicant meets the Federal Aviation Administration's (FAA) medical standards.

  • The Medical Examination Report Form for Commercial Driver License (CDL) holders mirrors the FAA 8500-7 in its purpose. This form, used by commercial drivers, assesses an individual's physical fitness to operate commercial vehicles safely. It shares a common goal with the FAA 8500-7: protecting public safety by ensuring operators are medically qualified.

  • The U.S. Coast Guard Merchant Mariner Physical Examination Form, used to evaluate mariners for physical qualifications, parallels the FAA 8500-7 form. Both forms are critical for determining the fitness of individuals in transportation sectors, emphasizing the importance of health and safety in these professions.

  • The DOT/FAA 847 records system, as mentioned within the FAA 8500-7 form, includes personal data collected during the medical certification process and is subject to similar privacy considerations as forms like the Application for Security Threat Assessment for Hazardous Materials Endorsement. Both involve sensitive personal information contributing to national security and safety, necessitating stringent confidentiality measures.

  • Forms utilized by the Transportation Security Administration (TSA) for security threat assessments likewise share objectives with the FAA 8500-7. Both forms assess individuals' eligibility for certain privileges (operating an aircraft for FAA, handling hazardous materials for TSA) based on background checks, personal information, and other criteria to ensure public safety.

  • The Health Insurance Portability and Accountability Act (HIPAA) Authorization Form allows for the release of an individual's health information. It is akin to the FAA 8500-7 form in handling sensitive health-related data, highlighting the necessity of informed consent and privacy protections when dealing with personal medical information.

  • The National Transportation Safety Board (NTSB) Pilot/Operator Aircraft Accident/Incident Report shares similarities with the FAA 8500-7 form by involving aviation safety. While the NTSB form focuses on gathering data post-incident for safety enhancement, the FAA 8500-7 emphasizes preventative measures through health assessments to mitigate risks.

  • Lastly, the Application for Employment forms used by federal agencies, requiring detailed personal, educational, and professional history, echo the FAA 8500-7's thoroughness in collecting information. However, while employment applications evaluate job suitability, the FAA 8500-7 assesses medical fitness for piloting or controlling aircraft.

Dos and Don'ts

Filling out the FAA Form 8500-7, known as the Report of Eye Evaluation, is a critical step for individuals seeking to meet the medical requirements for certain aviation certifications. The information provided on this form plays a significant role in determining an applicant's eligibility. To ensure the process is smooth and successful, here are seven do's and don'ts to consider:

  • Do carefully read the Privacy Act Statement and the Paperwork Reduction Act Statement before filling out the form to understand how your information will be used and protected.
  • Do ensure all the required fields are completed accurately. Incomplete or inaccurate information can delay the process or result in denial of certification.
  • Do provide your Social Security Number if comfortable; though it's voluntary, it helps in uniquely identifying your records.
  • Do consult with an eye specialist if you're unsure about any of the medical information requests related to your eye health.
  • Do double-check the form for any mistakes or omissions before submitting it. This check includes making sure you've signed and dated the form where required.
  • Don't leave sections blank unless the form specifically states it's optional. If a section doesn't apply to you, it's often better to note it as "N/A" (not applicable) rather than leaving it empty.
  • Don't disregard the instructions on how to submit the form once completed. Following the correct submission process is crucial for your application to be processed in a timely manner.

Remember, the FAA uses this form to assess not just your current eye health but also your long-term eligibility for an aviation certificate. Taking the time to fill out the form correctly and thoroughly can significantly impact the outcome of your application. If you encounter any difficulties or have questions about specific sections of the form, do not hesitate to contact the FAA directly or seek advice from a medical professional.

Misconceptions

When it comes to the FAA Form 8500-7, often called the Report of Eye Evaluation, there are several misconceptions that can lead to confusion. Understanding these misconceptions is key to correctly completing and using the form for aviation or air traffic control service personnel. Below are ten common misconceptions clarified:

  1. It's only for pilots: The FAA Form 8500-7 is not exclusively for pilots. It's also used by air traffic control specialists (ATCS) and applicants for medical and student pilot certificates to report eye evaluations.

  2. Any eye doctor can complete the form: While most licensed eye care professionals can fill out the form, it’s important that they are familiar with aviation medical standards and the specific requirements of the FAA. Applicants should verify the eye care professional's familiarity with these standards.

  3. Privacy isn’t a concern: The form contains confidential information that becomes part of the Privacy Act system of records. Applicants should be assured that their privacy is protected and that the information collected is used to determine eligibility for certification or employment.

  4. No need to disclose if wearing contacts: Incorrect. If an applicant wears corrective lenses, including contact lenses, this information must be accurately reported on the form to ensure all vision standards are met with the corrective aids in use.

  5. Submitting the form guarantees certification: Submission of the form and meeting the vision standards do not automatically guarantee issuance of a medical certificate or employment. Other factors and evaluations are also considered in the certification process.

  6. The form is optional: The completion and submission of the FAA Form 8500-7 are mandatory for applicants who require an eye evaluation to determine their eligibility for medical certification or ATCS employment.

  7. Social Security Number is required: Providing your Social Security Number on the form is voluntary, not mandatory. Failure to provide other required information, however, may result in the inability to issue a certificate or determine eligibility.

  8. It's a one-time form: Depending on the individual’s medical situation and the requirements of the FAA, the form might need to be completed more than once, especially if there are changes in vision or new concerns arise.

  9. The form is lengthy and complex: The estimated completion time for the FAA Form 8500-7 is only 15 minutes, including providing medical history information and the physical examination results.

  10. It's only for initial certification: In addition to initial certification, the form may also be required for renewals or when additional eye evaluations are necessary due to changes in vision or eye health.

Addressing these misconceptions can help ensure that applicants fully understand the purpose of the FAA Form 8500-7 and its role in the certification process. It's important for applicants to provide accurate and complete information to avoid delays or issues with their certification or employment eligibility.

Key takeaways

Filling out and utilizing the FAA Form 8500-7, also known as "Report of Eye Evaluation," involves understanding several key takeaways to ensure completeness and compliance. Here's what you need to know:

  • The primary aim of the form is to collect necessary information to assess if applicants meet the Federal Aviation Administration's (FAA) requirements concerning their vision for various aviation-related certifications.
  • Completion of this form is a critical step for those seeking a medical certificate, medical and student pilot certificate, or for Air Traffic Control Specialists (ATCS) looking to establish eligibility for employment.
  • The information collected is confidential and mandatory for obtaining certification, except for the provision of your Social Security Number, which is voluntary.
  • Estimated time to complete this form is 15 minutes, and it asks for both medical history information and details of a physical examination.
  • By submitting this form, the information becomes part of the Privacy Act system of records DOT/FAA 847, "Aviation Records on Individuals," and is subject to use as outlined in the System of Records Notice (SORN).
  • The uses of the collected information range from providing basic certification details to the public (upon request and under certain conditions) to supporting safety and enforcement actions and facilitating medical certification decisions.
  • Failure to provide the required information can result in the inability to obtain the necessary certificate and/or rating.
  • The FAA shares the information from this form with various entities such as the National Transportation Safety Board (NTSB) for investigation purposes, law enforcement for official investigations, and other federal agencies for safety, security, and enforcement reasons.
  • This form, including any updated information or requirements, can be submitted to the FAA's Office designated for collecting such information, and attention to reducing the burden of filling out the form can be directed to specified FAA contacts.

Understanding these key aspects of the FAA Form 8500-7 ensures that applicants are well-informed about the purpose, use, and importance of the form in the context of aviation safety and regulation.

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