Survey project Airspace Class A

Project: Surveyflight / Project number:A / Date:
Project name: / Project geldig tot:
C/S : / SSR: / Altitude: feetFL*
DEP: / DEST: / Project duration :
ETO TARGET: / RMK:
Page 1 to be filled in by the Operational Helpdesk
Copy to: (to be filled in by Operational Helpdesk LVNL)
SUP ACC / SUP EHMC / FIC / TRS / BAS / Corp-Com
ACC SEC 1 / ACC SEC 2 / ACC SEC 3 / ACC SEC 4 / ACC SEC 5
EHAM APP / EHAM TWR / EHRD APP / EHRD TWR / EHBK
EHGG / IVW / DKH (EHP26) / Belgo control SPACC
Other specify:
Name Operator:
Phone number and during weekend: / and
Email :
Name Project-owner / sponsor:*
* Compulsory for airspace class A / Tel:
Callsign / Registration: / oror
Type: / oror
Altitude: / feetFL*Choose feet or FL from pulldown menu
Alternative 1: / feetFL*Choose feet or FL from pulldown menu
Alternative 2: / feetFL* Choose feet or FL from pulldown menu
* In airspace class A above transition altitude only in flightlevels ! Feet not accepted!
Number of tracks:
Heading:
Duration per track: / MIN / MIN / MIN
Maximum turn radius: / NM / NM / NM
Total project duration: / minHrs / minHrs / minHrs
Remarks:
Exemptions valid wi FIR EHAA
Night VFR: / No / Yes IVW TBE 44.1.a / valid thru
VFRin airspace
Classification A / No / Yes IVW TBE 44.1.b / valid thru
Low level flights / No / Yes IVW TBE 45.1.a
No / Yes IVW TBE 45.1.b / valid thru
EHP Exemptions / No / Yes EHP number / valid thru
To be co-ordinated with:* / To be filled in by the Operational HelpdeskOHD by mail: Supervisor MILATCC Tel: +31-(0)577-456366
- If more than one project will be flown in one flight and one has to beco-ordinated with theOPS-
Helpdesk and the other with MILATCC, OPS-Helpdesk will co-ordinate with MILATCC.
- Aircraft operator is responsible for co-ordination of this flight with ATC-units responsible for
ATC in adjacent FIR's or foreign ATC units responsible for ATC in delegated parts of the
Amsterdam FIR. You may use this form for prior co-ordination with foreign ATC units.
- Aircraft operator is also responsible to get the required permits for crossing special areas within the project area, like the EHP26
- If applicable Ops-Helpdesk will send this form also to Belgocontrol SPACC.

No rights can be derived from this form.

For questions and/or comments, please contact Operational Helpdesk LVNL,

Phone: 020-4062201 or or EHAMZXHD

F4.0200.i014 Pagina 1 van 2Print datum: 12-10-18