2016/2017 Biennial Renewal Notice for Registration of Federal Pilot Certificate

«PilotName»
«Address»
«CityStZip»
This letter serves as the biennial renewal notice for registration of your pilot certificate.
If all information below is correct, you are encouraged to renew online at You will need
to use the FAA Number listed on this sheet to renew online. Otherwise, date and sign thenotice, detach the bottom
portion of this notice and mail it, along with your payment, to the Division of Aeronautics.There are no additional
fees to renew online.
If any information below is incorrect or missing, correct or add information on the back side of this sheet, date
and sign the notice, detach the bottom portion of this notice and mail it, along with your payment, to theDivision of
Aeronautics.
Payment Information (CASH WILL NOT BE ACCEPTED):

Make checks or money orders payable to...... Illinois State Treasurer

Mail notice and payment to...... IDOT - Division of Aeronautics

1 Langhorne Bond Drive

The fee is $10.00Springfield, Illinois 62707-8415

Operation of an aircraft without proper registration of a Federal Airman Certificate with this Department is aClass A
misdemeanor punishable by a fine not to exceed $1,000.00 and/or 1 year in jail.
(See Back)
(cut here)
«PilotName» Changes to Be Made (See Back)
«Address» Sign Me up for AirMail
«CityStZip» You may use my e-mail for renewal notices
FAA Number: «FAANum»Birth Date: «BirthDate»
Certificate Type:«CertificateType»Sex: «Sex»
Instructor Ratings:«CFI»Telephone*:
Engine Ratings: «Engine»Email*:
Other Ratings: «Ratings»
Signature: / Date:
I hereby certify that I am the holder of the above described FAA Pilot Certificate and that the same is in full force and effect.
Renew online or return this renewal notice and the $10.00 fee.
* Optional: Please provide your telephone number and e-mail address so we may contact you if needed.
If you have any questions, please email us at or call (217) 785-8500.
/ Be the First to Know – Use AirMail
AirMail is the electronic version of the Illinois Aviation news-
letter.To sign up for AirMail,go to scan
this QR code, or check the box“Sign me up for AirMail” on
thefront of this letter.
Changes to Be Made:
(cut here)
Exemptions from Registration: / Engine Ratings: / Instructor Ratings:
PermanentlyNot Air Navigating in IL / SEL / SES / SELS / Instrument
Temporarily Not Air Navigating in IL / MEL / MES / MELS / Rotorcraft
Fly Only for the Government / Fly Only for the Government / Fly Only for the Government
Fly Only for the Military / Other Qualifications: / Airplane
Fly Only Interstate Commerce / AInterstate Commerce / Ultralight
DHot Air Balloon / Balloon
Certificate Type: / NFlight Navigator / Multi-Engine
ATPAirline Transport Pilot / YRotorcraft/Gyro
COMCommercial / BLTA Free Balloon / Other Changes
PVTPrivate / EFlight Engineer / New FAA Certificate Number
RECRecreational / OGlider
STUStudent / ZGovernment
ULTUltralight / CControl Tower Operator / New Address
SPRSport / IInstrument
XRotorcraft/Helicopter

Printed 12/19/2018Page 1 of 2AER 1968 (Rev. 10/23/15)