HIMS Advanced-Airman Update
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Date of Birth:
Employee ID (if applicable):
Number of peer support group meetings (AA, NA, etc) attended per week:
Last IMS Visit:
Initial Special Issuance Date:
Describe how you are maintaining abstinence based recovery:
I attest to full compliance with my current FAA special issuance requirements. I maintain abstinence from mind and mood altering substances and will do so for the duration of my flying career.
Position or Job Title:
Leave this empty:
Your legal name
Your email address
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Document Name: HIMS Advanced-Airman Update
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