Unmanned Aircraft Authorization Request

Request for authorization to operate unmanned aircraft over PCCA property.

Name of Individual Requesting Authorization*
First Middle Last
State*
Date of Birth*
MM slash DD slash YYYY
Name of Company Requesting Flight*
Company or Home Address*
Street Address Address Line 2 City State ZIP Code
Office or Home Phone*
Cell Phone*
Email*
Enter Email Confirm Email
Pilots Information
Please add every pilots information below:
Name of Pilot*
First Last
State*
Date of Birth*
MM slash DD slash YYYY
Name of Pilot
First Last
State
Date of Birth
MM slash DD slash YYYY
Name of Pilot
First Last
State
Date of Birth
MM slash DD slash YYYY
Consent Information
Please read the two documents below and acknowledge that you have read them by click on the check box:
GOVERNMENT CODE TITLE 4. EXECUTIVE BRANCH SUBTITLE B. LAW ENFORCEMENT AND PUBLIC PROTECTION CHAPTER 423. USE OF UNMANNED AIRCRAFT
ITEM 614 (I) 12-15-15 USE OF UNMANNED AIRCRAFT PROHIBITED OVER PORT OF CORPUS CHRISTI AUTHORITY (PCCA) PROPERTY

Consent*
Please click on the checkbox to acknowledge that you have read the documents above.
Fight Plan
Purpose for use of UA:*
Location of intended use of UA: (include altitude range): **
Attach Map*
Accepted file types: pdf, jpg, png, Max. file size: 10 MB.
Make/Model/Color/Serial # of UA:*
Date(s) of UA Operation:*
MM slash DD slash YYYY
Date(s) of UA Operation:
MM slash DD slash YYYY
Date(s) of UA Operation:
MM slash DD slash YYYY
Beginning Time of Operation*

: Hours

Minutes

AM/PM
Ending Time of Operation*

: Hours

Minutes

AM/PM
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Pilots Information