USCG Offered Aircraft Facility Inspection Form If you currently have an AUX aviation facility or are offering a new facility for use, please use the following form to notify us of you need for a facility inspection. We will then contact you after submission of this form to set a date for the actual inspection using the data you have provided here. We will provided a pre-filled ANSC 7005 (1-05) based on the form data. Please have the following at the time of physical inspection: Airworthiness Certificate Registration Documents Aircraft logbooks with all inspections and checks up-to-date Weight and Balance VHF radio if it is not permanently installed Operating Limitations First Aid Kit Required safety equipment per ANSC 7005 (1-05) Please contact me my email cmaricle@uscgauxair.com or phone (713) 240-4929 with any questions.

Thank you for filling out the form below. you will be contacted shorty regarding the facility inspection. The fields marked with (*) are required fields. * Type of inspection and report Initial (new) report Re-inspection (reoffer) Change (update) * Member ID  * required   Co-owner member ID number   Owner's Last, First, Middle Initial   Co-owner name if applicable * Type of Ownership Sole AUX unit Government Multiple Corporate * FAA Registration number  * required * Location of aircraft  * required   Radios with required frequencies and navigation MF/HF SSB VHF-FM VHF-AM VOR ADF DME/TACAN RADAR / SFERICS GPS LORAN IFR Equipped   Other special equipment * Aircraft type Single Engine Multi Engine Float Helicopter   Airframe value   Engine Value   Electronics value   Other value   Total value * GPS latitude of facility  * required * GPS longitude of facility  * required

Of course I have a picture of my OPFAC on this site!