PPR Request form for civil User at the military aerodrome of Payerne

ADMIN

COREB - Accreditation number:
Flight Operator Invoice Address
/
Customer Company Invoice Address
Name:
Address:

FLIGHT DETAILS

A/C identification / Call sign
A/C Type: / MTOM: (by certificate of airworthiness ) / kg
ARR DOF / ETA (UTC): / Arrival from (ICAO code):
DEP DOF / EOBT (UTC): / Destination (ICAO code):
International flights are subject to custom formalities. Flights to or from a country outside the Schengen Area are subject to prior special authorisation. Contact CAC Payerne + 41 (0)26 662 66 66 read
Country of departure: / Swiss Customs Form 11.33 attached
(Form sending required prior to flight)
Country of destination: / Swiss Customs Form 11.50 attached
(Form sending required prior to flight)
AIP or VFR Manual read

LOGISTICS PROVIDED BY MIL AIR FORCE BASE (subject to availability)

request MIL jet fuel A1 / with anti-ice / Quantity:______t
request GPU
request RFFS category level 1 2 3 4 5 ( higher O/R, please specify:______)

DISCLAIMER

The operator uses the military aerodrome of Payerne at its own risk and waives any claim for compensation against the Swiss government. COREB cannot be held liable for and the operator waives any claim he might have against COREB arising out or resulting of any losses, damages, suits or expenses related e.g. to the use of the military aerodrome of Payerne or circumstances preventing its use, resulting from circumstances that are beyond its control and/or the fact that the military aerodrome of Payerne is not ICAO compliant in all aspects.. In case access to the aerodrome of Payerne is refused, neither COREB or the Air Force is requied to provide reasons for this refusal. / read
Support for passengers: - Care and transfer is the operator’s responsibility.
For limited support, contact CAC Payerne +41 (0)26 662 66 66 / read

POC

Sender of request / name:
Phone number*: / E-mail:
Date: / Fax:

*THIS NUMBER WILL BE USED FOR COMMUNICATION WITH THE OPERATOR/CREW.

A FLIGHT PLAN MUST BE FILED . PRIOR TO THE FLIGHT, THE CREW HAS TO REQUIRE CONFIRMATION OF ACCEPTANCE OF THE FLIGHT PLAN BY PHONE AT CAC Payerne + 41 (0)26 662 66 66

Send this form (.doc) per e-mail to:

DECISION OF THE CIVIL AIRPORT AUTHORITY: approved subject to change, PPR #:

refused

Officer in charge: Date:

DECISION OF THE MILITARY AIRPORT AUTHORITY: approved

refused

Officer in charge: Date:

PAY-Form_PPR_COREB_090415.docx CH-1530 Payerne, 28.07.17 / page 1