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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FAA-1148A
for the current year.
Form FAA-1148A Medical Incapacity Statement - Hospitalized Applicant - Arizona
What Is Form FAA-1148A?
This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the form FAA-1148A?
A: Form FAA-1148A is the Medical Incapacity Statement for Hospitalized Applicant for Arizona.
Q: When is form FAA-1148A used?
A: Form FAA-1148A is used when the applicant is hospitalized in Arizona and is unable to provide a medical certificate.
Q: Who should fill out form FAA-1148A?
A: The attending physician or hospital staff should fill out form FAA-1148A.
Q: What information is required in form FAA-1148A?
A: Form FAA-1148A requires the physician to provide details about the applicant's medical condition, expected duration of incapacity, and any limitations on the applicant's ability to perform airman duties.
Q: Is form FAA-1148A specific to Arizona?
A: Yes, form FAA-1148A is specific to hospitalized applicants in Arizona.
Q: Can form FAA-1148A be used for non-hospitalized applicants?
A: No, form FAA-1148A is specifically for hospitalized applicants.
Q: Can the applicant submit form FAA-1148A on their own?
A: No, form FAA-1148A must be filled out by the attending physician or hospital staff.
Q: What happens after form FAA-1148A is submitted?
A: After form FAA-1148A is submitted, the FAA will review the information and make a determination regarding the applicant's medical certification.
Q: Is there a fee for submitting form FAA-1148A?
A: No, there is no fee for submitting form FAA-1148A.
Form Details:
- Released on January 1, 2020;
- The latest edition provided by the Arizona Department of Economic Security;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FAA-1148A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form FAA-1148A Medical Incapacity Statement - Hospitalized Applicant - Arizona
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