DD Form 2627 Request Form for Government Approval for Aircrew Qualifications and Training

DD Form 2627 or the "Request Form For Government Approval For Aircrew Qualifications And Training" is a Department of Defense-issued form used by and within the United States Army.

The form - often mistakenly referred to as the DA form 2627 - was last revised on January 4, 2006. Download an up-to-date fillable PDF version of the DD 2627 down below or find it on the Department of Defense documentation website.

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OMB No. 0704-0347
REQUEST FOR GOVERNMENT APPROVAL FOR
OMB Approval Expires
AIRCREW QUALIFICATIONS AND TRAINING
Jul 31, 2007
The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0347). Respondents should be aware that notwithstanding any other provision of
law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE GOVERNMENT FLIGHT REPRESENTATIVE.
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 133, Under Secretary of Defense for Acquisition and Technology; 10 U.S.C. 3013,
Secretary of the Army; 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 8013, Secretary of the Air Force; and E.O. 9397 (SSN).
PRINCIPAL PURPOSE(S): Used to monitor and manage individual contract flight/ground crew records.
ROUTINE USE(S): Data may be provided to the Federal Aviation Agency or other aviation authorities to carry out official functions. Data may also be
provided under any of the blanket routine uses published by the Defense Components.
DISCLOSURE: Voluntary; however, failure to provide the information could result in disapproval of your request to participate in the program.
1. FROM
2. TO
(Name and Address of Contractor's Requesting Official)
(Name and Address of Government Flight Representative)
3. CREWMEMBER NAME
4. SSN
5. DATE OF BIRTH
(Last, First, Middle Initial)
(YYYYMMDD)
6. AIRCRAFT
7. CREW POSITION
8. SECURITY CLEARANCE
9. FAA RATING
10. EDUCATIONAL BACKGROUND
a. HIGH SCHOOL (1) NAME
(2) LOCATION (Include Zip Code)
(3) DATE COMPLETED (YYYYMM)
b. COLLEGE(S) OR UNIVERSITY(IES) (1) NAME
(2) LOCATION (Include Zip Code)
(3) DEGREE(S) OBTAINED
c. FLIGHT SCHOOL (1) NAME
(2) DATE COMPLETED
d. TEST PILOT SCHOOL (1) NAME
(2) DATE COMPLETED
(YYYYMMDD)
(YYYYMMDD)
e. SPECIAL PROFESSIONAL SCHOOL(S) (List name of school, location, primary subject of study, and date completed) (Use additional sheets if necessary)
11. HAVE YOU EVER SERVED IN ANY BRANCH OF THE U.S. MILITARY SERVICE?
YES (Complete a. - f.)
NO
(X one)
a. BRANCH OF SERVICE
b. SERVICE DATES (YYYYMMDD)
c. LAST LOCATION
(1) FROM
(2) TO
d. HIGHEST RANK
e. AERONAUTICAL RATING
f. ARE YOU NOW A MEMBER OF THE RESERVES OR NATIONAL GUARD? (X one)
(1) BRANCH OF SERVICE
(2) PRESENT RANK
YES
(If Yes, specify:)
NO
12. PROVIDE A RESUME OF EXPERIENCE IN THE FLIGHT TEST FIELD.
(Include both engineering and aircrew experience by project, type of
aircraft, and hours flown.)
RESUME ATTACHED. (X if applicable)
13. FLIGHT CREWMEMBER CERTIFICATION. I certify that I have read and understand all of the contractor's procedures and directives
pertinent to the accomplishment of my assigned duty.
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
14. CONTRACTOR'S REQUESTING OFFICIAL (CRO)
I have verified the records of the crewmember above and request that he/she be approved for qualification training as a (crew position)
for
(Strike out all inapplicable)
experimental/engineering/acceptance/
production/functional/support flights in
type aircraft.
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
15. GOVERNMENT FLIGHT REPRESENTATIVE (GFR)
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
APPROVED
DISAPPROVED
DD FORM 2627, APR 2006
PREVIOUS EDITION IS OBSOLETE.
FormFlow/Adobe Professional 7.0
Reset
OMB No. 0704-0347
REQUEST FOR GOVERNMENT APPROVAL FOR
OMB Approval Expires
AIRCREW QUALIFICATIONS AND TRAINING
Jul 31, 2007
The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0347). Respondents should be aware that notwithstanding any other provision of
law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE GOVERNMENT FLIGHT REPRESENTATIVE.
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 133, Under Secretary of Defense for Acquisition and Technology; 10 U.S.C. 3013,
Secretary of the Army; 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 8013, Secretary of the Air Force; and E.O. 9397 (SSN).
PRINCIPAL PURPOSE(S): Used to monitor and manage individual contract flight/ground crew records.
ROUTINE USE(S): Data may be provided to the Federal Aviation Agency or other aviation authorities to carry out official functions. Data may also be
provided under any of the blanket routine uses published by the Defense Components.
DISCLOSURE: Voluntary; however, failure to provide the information could result in disapproval of your request to participate in the program.
1. FROM
2. TO
(Name and Address of Contractor's Requesting Official)
(Name and Address of Government Flight Representative)
3. CREWMEMBER NAME
4. SSN
5. DATE OF BIRTH
(Last, First, Middle Initial)
(YYYYMMDD)
6. AIRCRAFT
7. CREW POSITION
8. SECURITY CLEARANCE
9. FAA RATING
10. EDUCATIONAL BACKGROUND
a. HIGH SCHOOL (1) NAME
(2) LOCATION (Include Zip Code)
(3) DATE COMPLETED (YYYYMM)
b. COLLEGE(S) OR UNIVERSITY(IES) (1) NAME
(2) LOCATION (Include Zip Code)
(3) DEGREE(S) OBTAINED
c. FLIGHT SCHOOL (1) NAME
(2) DATE COMPLETED
d. TEST PILOT SCHOOL (1) NAME
(2) DATE COMPLETED
(YYYYMMDD)
(YYYYMMDD)
e. SPECIAL PROFESSIONAL SCHOOL(S) (List name of school, location, primary subject of study, and date completed) (Use additional sheets if necessary)
11. HAVE YOU EVER SERVED IN ANY BRANCH OF THE U.S. MILITARY SERVICE?
YES (Complete a. - f.)
NO
(X one)
a. BRANCH OF SERVICE
b. SERVICE DATES (YYYYMMDD)
c. LAST LOCATION
(1) FROM
(2) TO
d. HIGHEST RANK
e. AERONAUTICAL RATING
f. ARE YOU NOW A MEMBER OF THE RESERVES OR NATIONAL GUARD? (X one)
(1) BRANCH OF SERVICE
(2) PRESENT RANK
YES
(If Yes, specify:)
NO
12. PROVIDE A RESUME OF EXPERIENCE IN THE FLIGHT TEST FIELD.
(Include both engineering and aircrew experience by project, type of
aircraft, and hours flown.)
RESUME ATTACHED. (X if applicable)
13. FLIGHT CREWMEMBER CERTIFICATION. I certify that I have read and understand all of the contractor's procedures and directives
pertinent to the accomplishment of my assigned duty.
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
14. CONTRACTOR'S REQUESTING OFFICIAL (CRO)
I have verified the records of the crewmember above and request that he/she be approved for qualification training as a (crew position)
for
(Strike out all inapplicable)
experimental/engineering/acceptance/
production/functional/support flights in
type aircraft.
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
15. GOVERNMENT FLIGHT REPRESENTATIVE (GFR)
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE SIGNED
APPROVED
DISAPPROVED
DD FORM 2627, APR 2006
PREVIOUS EDITION IS OBSOLETE.
FormFlow/Adobe Professional 7.0
Reset

Download DD Form 2627 Request Form for Government Approval for Aircrew Qualifications and Training

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