Patien t

Airlif t Service s 12 0 Adam s Boulevar d Farmingdale , Ne w Yor k 1173 5 (888)818-123 1 Voic e an dFa x \\,-u"\v.palsctviccs.oi- g 

### fMEN ! O F Changing the world, on e flight a t atime . 

## Boar do f Director s JO E HOWLE Y CHAIRMA N JOH N ROCHELL E VICE - CH AIRM AN ALA N SHEINES S

TREASURE R HAROL D LEV Y SECRETAR Y DIETE R DECUB A CHRISTOPHE R

HUN T RHOD A KUPFERBER G JAME S O'ROURK E SCOT TPAIG E JAME S PLAT 2 RUTHANN E RUZIK A PETE R RYA N JOH N SHE A Marc h24,201 0 Docke t Managemen t

Facilit y U.S . Departmen t

o f Transportatio n 120 0 Ne w Jerse y Avenue , S E Wes t Buildin g Groun dFloo r Roo mW12-14 0 Washington , D C 2059 0

Re : § 61.113(c ) O f

Titl e 14 , Privat e Pilo t

Privilege s An d Limitations : Pilo t

I D Comman d Attacliment :

Dea r Ad ministrator : Petitio n Fo r Exemptio n Fo r

Reimbursemen t

O f Fue l Cost s Fo r

Voluntee r

Pilot s Conductin g Charitabl e Flight s

In accordanc e wit

h1 4 CF R§ 11.63 , Patien t AirLif t Services , Inc. , anot for-profi t corporatio n engage di n charitabl e medica l ai r transpor t

for ambulator y outpatient s an dthei r

escorts , respectfull y submit s th e attache dPetitio n fo r a n exemptio n t o allo w reimbursemen t o f fuel cost s fo r

voluntee r

pilot s conductin g charitabl e flight s fo r

ou r organization . Pleas e d o no t

hesitat e t o contac t

eithe r o f th e followin g member s o f ou r Boar do f Directors : Josep hHowle y Chairma n o f

th e Boar do f

Director s Patien t AirLif l Services , Inc . 12 0 Adam s Boulevar d Farmingdale , N Y 1173 5 E-mail : Joe.Howleyrtf)rbssempra.co m T : (203)312-305 5 Joh n F . Shea , Esq . Membe r o f th e Boar do f

Director s an d Counse l Twomey , Latham , Shea , Kelley , Dubi n & Quartararo , LL P P.O . Bo x 939 8 Riverhead,N Y 1190 1 E-mail : JShea@suffolklaw.co m T : (631 ) 727-2180 , Extensio n 22 4 Very trul y yours . Josep hHow l JH:j s enc .

Palien l AirUJ i Service s i s aSO I (c)(3 ) tax-exemp t publi c charit

y

### UNITE D STATE S DEPARTMEN T O FTRANSPORTATIO N

FEDERA LAVIATIO N ADMINISTRATIO N

._ _X I n Th e Matte r

O f Th e Petitio n O f

PATIEN T AIRLIF T SERVICES , INC . For A n Exemptio n Fro m§61.113(c ) O f Title 1 4 Cod e O f

Federal Regulation s X PETITIO N FO REXEMPTIO N FO RREIMBURSEMEN T O FFUE LCOST S FO R VOLUNTEE RPILOT S CONDUCTIN GCHARITABL EFLIGHT S Summar y o f

Petitio n Patien t AirLif t Services , Inc . (hereinafte r "PALS " o r

"Patien t AirLift") . i s anoi-for-piofi i voluntee r pilo t organizatio n ("VPO" ) wit happroval fro

mth e Internal Revenu e Servic e a s a charitabl e organizatio n pursuan t t o Internal Revenu e Cod e ("IRC" ) Sectio n 501(c)(3) . 1 h e primar y purpos e of

PAL S i s t o serv e children , adult s andhumanitarian organizaiion s b y arrangin g fre e ai r

transportation t o b e provide db y other s for

acces s t o healt

hcare an dto r othe r humanitarian purposes . Copie s of PALS ' Certificat e of

Incorporatio n andIRC Sectio n 501(c)(3j approval fromth e Internal Revenu e Servic e ar e attache da s Exhibit s "I " an d"2" . PAL S hereb y petition s for a n exemptio n fro

mth e provisio n of

the regulation s i

n Titl e 1 4 of th e Cod e of

Federal Regulation s § 61. 1 13(c ) tha t currentl y doe s no t

allo w th e reimbursemen i o f voluntee r

pilot s for

fuel cost s Incurre db

y the mi n conductin g charitabl e flight s transportin g patient s t o o r

fro mdistan t

specialize dmedical evaluation , diagnosti c services , or treatment . PAL S believe s i

t i s i n th e public' s interes t

t o allo w PAL S t o reimburs e voluntee r pilot s fo r fue l cost s incurre don suc hcharitabl e flights . REASON S FO RREQUESTIN GTH EEXEMPTIO N Sectio n 61.113(c ) provide s that :

" A privat e pilo t

ma y not pa y les s tha n th e pro ratashar e of th e operatin g expense s o

f aflight wit hpassengers , provide d th e expense s involv e onl y fuel , oil , airpor t expenditure s or rental fees. "

### Fuel cost s hav e continue dto rise and . couple dwit hth e downturn i

n th e economy over

th e las t thre e years , i

t ha s becom e increasingl y difficul t for som e voluntee r

pilot s t o carr

y ou t charitabl e flight s an dincreasingl y difficul t for charitabl e organization s t o recrui t voluntee r

pilots . Th e clear

effec t o f regulation s i

n th e curren t

economy , wit

hhighe r fue l cost s andaircraf

t expenses , ha s bee n adeclin e i n pilo t participation . We believ e th e requeste dexemptio n i s i n th e public' s interest , sinc e withou t th e requeste dexemption , many patient s i n financial nee dwill no t b e abl e to ge t

essential medical care , sometime s of

alif e savin g nature . PAL S believe s tha t

atargete dexemption , suc ha s th e on e grante dt o Ange l Flight Mid

Atlanti c (Exemptio n No . I0(X)9-A , Regulatory Docke t No . F A A-2009-0702) , acop y of whic hi s attache dfor

you r convenienc e a s Exhibi t "3" . wil l sto p th e declin e i n voluntee r

pilo t hour s resultin g fromth e hig hcost s of aviatio n fuel , anda

t th e sam e tim e enhanc e aviatio n safet y i n charitabl e medical flights . PAL S CHARITABL EFLIGHT S Flight s arrange db

y PAL S are dedicate dt o charitabl e purpose s wit hademonstrabl e publi c benefit . Example s of charitabl e flight s b

y PAL S include , but

ar e not limite dto . th e transport o f patient s an descort s t o distan t specialize dmedical facilitie s o r place s of

care and rehabilitation . A PAL S pilo t mus t note i n hi s o r her flight lo g th e charitabl e purpos e of the flight . N o payment s o f

any kin dar e eve r

mad e t o an y PAL S voluntee r pilots , t o PALS , o r

t o an y othe r part y o r entity for the conduc t

o f th e flight s facilitate db

y PALS . PAL S PROCEDURE S 1 ) PAL S ha s pu t

i n plac e ahighl y structure danddocumente dpilo t registratio n proces s tha

t include s a

n annual renewal requiremen t andensure s tha

t onl y qualifie dpilot s ar

e registere dandoriente dprio r t o undertakin g an

y charitabl e flights . We hav e attache da s Exhibi t "4 " copies o f

th e pilo t

registratio n anddocumentatio n form s use db y PAL S i

n registerin g voluntee r pilot s an dschedulin g missions . Als o attache da s Exhibi t "5 " i s acop y of

PAL S Pilo t Manual . 2 ) PAL S maintain s on fil e documentatio n authenticatin g registere dpilots ' experience , ratings , insurance . FA A physical certifications , etc . 3 ) Fo r

eac hflight . PAL S register s th e pilot' s assertio n that he or she meet s al

l minimu mstandard s wit happropriat e currenc y requirements , an dwill conduc t th e fligh

t i n accordanc e wit

happlicabl e Federal Aviatio n Regulations . 4 ) A fil e of

all flight record s can b e mad e availabl e t o th e FA A for viewin g a

t PALS ' headquarters . PAL S intend s t o maintai n record s for aminimu mof

seve n (7 ) years . I

f thi s

### petitio n i s granted , reimbursemen t record s for

eac hflight

wil l likewis e b e maintaine dfor seven (7 ) years . 5 ) PAL S i s prepare dt o provid e periodi c validatio n t o th e FA A o f it s complianc e wit hth e term s o f

any exemptio n wit

hprope r documentatio n i

n summary for

mi n complianc e wit hth e abov e procedures . Th e periodi c validatio n informatio n woul dinclud e th e numbe r of charitabl e flight s accomplishe di n th e previou s period , th e numbe r of voluntee r

pilot s receivin g an y reimbursemen t

durin g th e validatio n period , andth e total amoun t of reimbursement s provided . TH EPUBLI C INTERES T I N GRANTIN GTH EREQUESTE D EXEMPTIO N U p unti l recently , th e ful

l cos t o f charitabl e flight s ha s reste dwit hth e voluntee r

pilots . A significan t

portio n of

th e cos t born e b y th e pilot s i s for

fuel . Thos e cost s ca

n b e calculate dan

d quantifie dver

y carefull y on th e basi s o f recorde dflight

times , nominal bur

n rate s andaverag e retai l fuel costs . I

f PAL S wer e abl e t o reimburs e it s pilot s for th e fue l componen t

of the charitabl e flights , that

woul dhel p increas e th e level of voluntee r

pilo t participatio n andthereb y increas e patien t

acces s t o flights . That

woul ddirectl y benefi t

th e public . IMPROVE D SAFET Y Th e exemptio n grante db y th e FA A t o Ange l Flight

Mid-Atlantic i

n Exemptio n No . I0009- A (Exhibi t

"3" ) increases th e experienc e level of voluntee r

pilots , augment s acultur e of safet y andincreases documentatio n o f pilo t complianc e a s wel l a s VP O complianc e wit hsafet y mandates . B y grantin g th e requeste dexemptio n t o PALS , th e FA A wil l promot e it s safet

y and regulatory objective s throug hanothe r voluntee r

pilo t organization . Respectfull y submitted . PATIEN T AIRLIF T SERVICES . INC . Josep hHowley , Cowma n 120 Adam s Boulevar d Farmingdale . N

Y 1173 5 (888)8^8-123 1

### N . Y . S . DEPARTMEN T O F STAT E DIVISIO NO F CORPORATION S AN D STAT E RECORD S ALBANY , N Y 12231-000 1 FILIN G RECEIP T ENTIT Y NAME : PATIEN T AIRLIF T SERVICES , INC . DOCUMEN T TYPE : INCORPORATIO N(NOT - FOR - PROFI T i TYPE : B COUNTY : NAS S FILED:04/13/201 0 DURATION:PERPETUA L CASH#:100413000S3 8 FIL M #:10041300077 6 FILER : TWOME Y LATHA M SHE AKELLE Y DUBI N& QUARTARARO , LL P 3 3 WES T SECON D STREE T P O BO X 939 8 RIVERHEAD , N Y 11901-939 8 ADDRES S FO R PROCESS : EXIS T DAT E 04/13/201 0

TH E CORPORATIO N 20 5 ATLANTI C AVENU E MASSAPEQU APARK , N Y 11 7 6 2 REGISTERE D AGENT :

SERVIC E COMPANY : COLB Y ATTORNEY S SERVIC E COMPAN Y - 0 8 SERVIC E CODE : 0 8 FEE S 85.0 0 FILIN G TA X CER T COPIE S HANDLIN G 75 ,

0 , 0 , 10 , 0 , .0 0 .0 0 .0 0 .0 0 .0 0 PAYMENT S CAS H CHEC K CHARG E DRAWDOW N OPA L REFUN D DOS-102 5 85.0 0

0.0 0 0.0 0 0.0 0 85.0 0 0.0 0 0.0 0

- —_ (04/2007 )

# ST A T EO FNE WYOR K

DEPARTMEN T O FST

A T E I hereb y certif

y tha t th e annexe dcop y ha s bee n compare dwithth e origina l documen t

i n th e custod y o f

th e Secretary o f

Stat e an dtha t

th e sam e i s atru e cop y o f

sai doriginal .

, . , 

### WITNES S m y han dan dofficial seal o f th e Departmen t

o f State , a t th e Cit y o f Albany , o n Apri l 14 , 2010 .

Danie l E . Shapir o Firs t Deput y Secretary o f

Stat e '••••• I



### Rev . 05/0 9

# DC-0 8 '''''"'" '

CERTIFICAT EO FINCORPORATIO N

O F Patien t AirLif t Services , Inc . i-ncie rSectio n 40 2 o f (h e Nof-for-Profi t Cnrporaiin n IAIM ' Th e undersigned , fo

r th e puipose s o f

formin g acorporatio n unde r Sectio n 40 2 o f

th e Noi

For-ProL"i t Corporatio n Law . certifie s that ; FIRST : Th e nam e o f th e corporatio n is ; Patien t AirLif t Services , Inc . SECOND : Th e corporatio n i s acorporatio n a s define di n subparagrap h(aK5 ) o f Sectio n 102 (Definitions ) o f th e Not-for-Profi t

Corporatio n Law . THIRD : Th e corporatio n i s organize dexclusivel y fo r charitable , educational , an d sciemill c purposes , includiny . for suc hpurposes , th e makin g o f distribution s t o orgatiization s that

quality a s exemp t

organization s unde r

sectio n 50 1 (c)(3 ) o f

th e Interna l Revenu e Cod e o f

1954 . a s amende d(hereinafte r "IRC") , an dth e regulation s promulgate d thereunde r

{'ih e Regulations'') , o r

th e correspondin g sectio n o f an y future Federa l tax code . Suc hpurpose s shal l include , servin g children , adults , an dhumanitaria n organization s b y an-angin g fre e ai r transportatio n l o b e provide dby oiheri . fo r acces s t o healt hcar e ai^

dfo r othe r humanitaria n purposes , an dt o d o an y othe r ac Lo r thin g incidenta l l o o r

connecte d\\li hth e foregoin g purpose s o r i n ad\anccnien t

thereof, but

no t for th e pecuniar y benell t

o r gai n o f it s members , director s o r officers , excep t

a s permitte d unde r Articl e 5 ol'th e Nol-For-Profi l Corporalio n Law . Nothin g herei n shal l authoriz e th e corporation , directl y o r indirectly , t o engag e i n o r includ e amon g it s purposes , an y o f th e aciiviiie s mentione di n sectio n 40 4 (a)-(w > o f th e Noi-For-Profi t

Corporatio n Law . o r sectio n 460- aol'ih e Socia l Service s law . FOURTH : Th e corporatio n shal l b e atyp e D corporation , pursuan t t o Secn'o n 20 1 o f th e Noi-for-Prof

u Corporatio n Law . FIFTH : Th e ofljc e o f th e corporatio n i s t o b o locate di n th e Count y o f Nassau , i

n th e Stat e o f

Ne w York . SIXTH : Th e name s an daddresse s ol'tli e initia l director s o f th e corporatio n are : 1 . Josep hMowlc y 2 5 Dubli n Mil l Road . Greenwich . C T 0683 0 2 . Ala

n Sheines s 5 Pon dVie w Road . Chester . N J 0793 0 3 . Pete r

Ryan 31 9 Wes t Lyo n Farm . Greenwich . C T 0683 1 4 . .loh

n Rochell e 2 3 Roger s Road , l-a r Kills . NJ 0793 1 5 . Jame s Plai z 2 Great Fall s Pla/-a . Auburn . M E0421 0 C ) . Harol dl.e\ y 12 6 Gerar dDrive . Fas t Hampton , N Y I I*-)."^

? 

# 'n,

10041300077 67 . Rhod z Kupferber g 1 Avery Street . Uni t 39D . Boston , MA 0211 1 8 . Joh n She aP.O . Bo x 1413 . Eas t Hampton . N Y 1193 7 SEVENTH : Th e Secretar y o f Stat e i s designate dQ

S agen t o f th e corporatio n irpo n who mproces s agains t

th e corporatio n ma

y b e served . Th e addres s t o whic hth e Secretar> ' o f Stat e shal l mai l acop y o f an y proces s accepte do n behalfo f th e corporatio n is : Patien t AirLilit Services . Inc . 20 5 Atlanti c Avenu e Massapcqu aPark , N Y 1176 2 EIGHTH : Notwithstandii ^ an y othe r provision s o f

thi s Certificat e o f

Incorporation , th e Corporatio n shal l no t (i ) conduc t

o r carr> ' o n <in

y activitie s no t

pemiitte dt

o b e conducte do r

carrie do n b y an organizatio n exemp l under sectio n 50 ! {cK3 ) o f

th e IR C an dth e Regulation s thereunder , (ii ) make contribution s t o an y organizatio n whic h engage s i n suc hproscriI>e dactivii/cs . o r (ii'i ) engag e i

n acriviiie s whicJi ar e prohibite db\ ' an organization , contribution s t o whic har e deductibl e under sectio n 17 0 (b) ( 1 KA ) o f th e IR C an dth e Regulation s thereunder . NINTH : N o subsianlia l pa n o f Ihe activitie s ofth c corjx>ratio n shal l b e canyin g o n propaganda , o r

otherwis e attemptin g t o influenc e legislatio n (excep t a s otherwis e provide db y IR C sectio n 50 1 (h)) . an dth e corporatio n shal l no t participat e in . o r interven e i n (includin g th e publicatio n o r distributio n o f

statements) , an y politica l campaig n o n behal f

o f (o f i n oppositio n lo ) an y candidat e for publi c office . TENTH : N o par

t o f th e ne t earning s o f

th e coiporatio n shal l inur e l o th e benefi t o f an y member , trustee , director . oiTice r o f the corporation , o r

an y privat e individua l (excep i tha t reasonabl e compensatio n may b e pai dfo r service s rendere dt

o o r for th e corporation) , an dn o member , trustee , onice r o f th e corporatio n o f

an y privat e individua l shal l b e entitle dl o shar e i n th e distributio n o f any o f th e corporation' s asset s o n dissolutio n o f

th e corporation . ELEVENTH : Th e corporatio n shal l hav e autliority t o accep t a s contribution s persona l property an dreal property , an dt o receive , administer , maintai n us e an demploy , i n whol e o r

i n port , it s incom e funds , securitie s an dpropeny , real and/o r personal , a s an associatio n organize dan doperate dexclusivel y fo r charitabl e an deducationa l an dothe r non-profitabl e purpose s beneficial t o ili c public , a s suc hterm s an dpurpose s ar e use dan d define dI n o r i n connectio n withseciio n 50 1 (cl(3 ) o f th e IRC . an dth e Regulations , an d t o pursu e suc hobject s an dpurpose s cithe r directl) ' o r

by contributio n t o organiaition s whic hqualif

y u s exemp t

organization s pursuan t

t o th e cod e an dth e ReguUuinns . TWELl^TH ; Th e privat e propert y o f th e director s an dofficer s o f th e corporatio n shal l no t b e subjec t

t o paymen t

o f th e corporat e debt s t

o an y exten t

whatsoever .

# ;iO 0 4l30WY\ ^

Certificat e o f Incorporatio n

o f Patien t AirLif t Services , Inc .

Unde rSectio n 40 2 o f th e Not-for-Profi t Corporatio n La w ST^\T£C^ F HE W YOR K T'LL*;: : 

### AP R 1 3 231 8 TAX $ 

### BY : 

# z

File d By : Twomey , Latham , Shea , Kelley , Dubi n & Quatlararo , LL P / K 3 3 Wes t Secon d Stree t - P.O.Bo x939 8 ^ Riverhea d N Y11901-939 8 

# D.C.-0 8 KOUTINE



# DRAWDOW N HOUR 

## • SAMEDA Y

• 2 HOU

R 

# ^j< rINTERNA L REVENU E SERVIC E

P . O . BO X 2 5 0 8 CINCiNT-j'ATI , O H 4520 1 DEPARTMEN T O F TH E TREASUR Y

Dat e : 

## MA Y1 1 PATIEN T AIRLIF T SERVICE S IN : 2 0 5 ATLA!>7TI C AV E MA2GAPE0'J APARK , N V 1176 2 Employe r Iden t i f i es t io n Nunibe r . 27-23''002 S DI, N: ITOS21 2 0JI:;QO O CoLizac t

Pej . so: : : RENE E RAILE Y NORTO NID K 2 117 J Contamr , Telephon e Number : (877 ) 825-550 0 AccounLin g Perio d Ending : Decembe r

3 1 Publi c Charit ySCa::u s : 170(b;(1)(A)(vi ) Forr- . 99 C Required ; Ys s Effectiv e Dat e o f ExempLu.] : Apri l :J , 2C1 0 Crniritu t lor . L e ju : L i b i _ _c / Ye s Addendu mApplies . N o

Dea r Applicant : W e ar e please d C O infoi- m yo u tlia

c upo n revie wo f you r applicatio n fo r ta x e;£einp c sCai . LI ^ w e Jiav e dctennine d ^l\a t yo u ar c exemp t f •••rir n Fe;d-^r-.f . 1 incom e ta:- : unde r sectio n 501\c){3 ) o f th e Interna l Revenu e Code . Contribution s t o yo u ar e deduc t 1 bl e unde r sec t io n 1 7 0 o f th e Cod e . Vo-. i ar e als o qu.Rl i f le d t o receiv e ta x deductibl e bequests , de\'ise.3 , tran.s£ei s o r gift s unde r se-.-. c ic n -:05 5 , 2 :.^V 5 o r 252 2 o f th e Code . Becaus e ch: ^ lette r coul d hel p re.solv e an v q'.jestion s regardin g you r exeir.p : status , yo u shoul d kee p i c i n ycu r peimar.en ; rszc^--\ c Organizacian s exemp t unde r sectio n 501(c)'3 ) o f Ch e Codf ? ar e furthe r classifie d a s eithe r puoli c charitie s o r privat e foundations . W e detenr.i.-ie d tha t yo u ar e a publi c charit yunde r th e Cod e seccion(s ) liste d i n th o headin g o f thi s letter . Pleas e se e eucloae d Pub l icciLio n -12 3 1 - PC , Comp l i anc ^ GLitd e to r SO I (r: M J : Pub l i c Chanties , fo r som e helpfu l informatio n abou t you r responsibilitie s a s a n exemp t organ i zation .

• L f : e • 

### a nPATIEN T AIRLIF T SERVICE S IN C Sincerely ,

Rober t Cho i Direc:^or , E>:emp t Organ ! za t lor s Ruling s an d Agreement s Enclosure : Publicatio n 4221-P C

Lette r 9. 4 - (DO

# Q USDeparfmen t 80 0 fntfependenc e Ave . s w OflranSponaTio n Washington . DC . 2059 1 FMteralAviotto n AdmMttratio n 

### Oc t 0 8 201 0 Exemptio n No . 10009 A Regulatory Docke t

No . FAA-2009-070 2

Mr . Stephe n Crave n Chairman , Ange l Fligh t

Mid-Atlanti c Mr . Stephe n Patterso n Vic e Chairman , Airlif

t Hop e o f Americ a Mr . Edwar dR . Boyer , P.E . President/CEO , Merc y Medica l Airlif t 462 0 Haygoo dRoad , Suit e 1 Virgini aBeach , V A 2345 5 Dear Messrs . Craven , Patterson , an dBoyer : Thi s lette r

i s t o informyo u tha t

w e hav e amende dExemptio n No . 10009 . It explain s th e basi s for ou r decision , describe s it s effect , an dlist s th e revise dcondition s an dlimitations . Th e Basi s fo r

Ou r Decisio n O n February 26 , 2010 , th e Federa l Aviatio n Administratio n (FAA ) issue dExemptio n No . 10009 . That

exemptio n fi-om § 61.113(c ) o f Title 14 , Cod e o f

Federa l Regulation s (1 4 CFR ) allow s Ange l Fligh t Mid-Atlantic , Airlif

t Hop e o f America , an dMerc y Medical Airlif t (Ange l Flight , Airlif

t Hope , an dMerc y Medical) , t o reimburs e it s voluntee r pilot s for fiiel cost s incurre di n conductin g charitabl e flights . Ou r Decisio n O n Apri l 19 , 2010 , an exemptio n holde r o f asimilar exemptio n me t

withrepresentative s o f th e FA A regardin g it s exemption . Base do n th e comment s provide db y tha t exemptio n holde r durin g th e discussio n ( acop y o f whic hi s include di n Regulatory Docke t No . FAA-2009

- 0709) , th e FA A ha s reevaluate dan drevise dth e condition s an dlimitation s o f th e exemption . AFS-10-410- E

### wher e appropriate , t o clarif y origma l content , lis t

existin g operationa l practices , and , mor e appropriately , defin e th e inten t o f safety-relate daspect s o f thes e type s o f

exemptions . Under th e authority containe di n 4 9 U.S.C . § § 4011 3 an d44701 , whic hth e FA A Administrato r

ha s delegate dt o me , I hereb y gran t Ange l Fligh t

Mid-Atlantic , Airlif

t Hop e o f America , an dMerc y Medica l Airlift , a n exemptio n fi"om1 4 CF R§ 61.113(c ) t o th e exten t necessary t o allo w for

reimbursemen t

o f it s voluntee r

pilot s for fUe l cost s incurre di n conductin g charitabl e flights , subjec t t o th e followin g revise dcondition s an dlimitations . 1 . Th e exemptio n holde r mus t hav e i n plac e th e following : a . A structure dan ddocumente dpilo t registratio n proces s tha t

ha s an annua l renewa l requu-ement

an densure s tha t

onl y qualifie dpilot s wh o ar e registere d an dtraine dbefor e conductin g charitabl e flights . Thi s proces s mus t includ e a mean s t o verif

y registratio n prio r

t o flight ; b . On-fil e documentatio n authenticatm g registere dpilots ' experience , ratings , FA A physical , an dan y othe r informatio n pertinen t

t o th e pilots ' qualifications ; c . A syste mtha t

register s th e pilot' s assertion , at th e tim e he/sh e accept s aflight t o accomplish , tha t

he/sh e meet s al l minimu mstandard s an dappropriat e currenc y requirement s establishe db y th e FA A an dal l condition s an d limitation s se t

fort hi n thi s exemption , an dwil l conduc t th e flight i n accordanc e wit hal l applicabl e Federa l regulations ; an d d . A fil e o f

al l flight an dreimbursemen t

record s tha t

mus t b e mad e availabl e t o th e FA A for

viewin g a

t adesignate doffic e sit e location . Record s shal l b e kep t aminimu mo f

2 years . 2 . Th e FA A may , at

an y tim e o r

place , conduc t

inspection s o f

th e pilot(s ) an daircraf

t bein g flown i n accordanc e wati i thi s exemption . 3 . Al l pilot s mus t

posses s th e followin g qualification s an daeronautica l experience , a s appropriate : a . Mus t hol da n instrumen t

ratin g o r privileg e (i.e. , instrumen t privileg e relate s t o th e airlin e transpor t

pilo t certificate ) that

i s appropriat e t o th e aircraf t bein g flown; b . Fo r th e operatio n o f

an y single-engin e pisto n aircraft , th e pilo t shal l hav e a minimu mtota l tim e o f

50 0 hours , wit hn o les s tha n 40 0 hour s a s pilo t i n comman d(PIC) , an daminimu mo f 5 0 hour s i n th e specifi c mak e an dmode l o f single-engin e aircraf

t bein g flown; c . Fo r th e operatio n o f

any multiengin e aircraft , aminimu mtota l tim e o f 1,000 hour s a s PIC , aminimu mo f 25 0 hour s i n multiengin e aircraft , an daminimu m o f 5 0 hour s i n th e specifi c mak e an dmode l o f multiengin e aircraf

t bein g flown;

### d . Fo r th e operatio n o f

an y turbine-powere daircraft , aminimu mtotal tim e o f 1,000 hour s a s PIC , aminimu mo f 10 0 hour s i n turbine-powere daircraft , an da minimu mo f

5 0 hour s i n th e specifi c mak e an dmode l o f turbine-powere d aircraf t bein g flown; e . A minimu mo f

5 0 hour s a s PI C shal l hav e bee n flown an dlogge dwithi n th e precedin g 1 2 calendar

month s immediatel y precedin g th e montho f th e flight; f Minimu mo f

1 2 hour s flown an dlogged , o r 2 hour s o f

dua l flight

trainin g wit h acertificate dflight

instructor , withi n th e precedin g 3 calendar months prior

t o th e montho f

th e flight; g . Mus t hol da2n dclas s medica l certificat e (pe r § § 61.23(d)(2)(i ) and61.2) ; h . Mus t hav e acurren t

flight revie w (pe r

§ 61.56(a) ) i n th e sam e aircraf t category , class , an dtyp e (i f atyp e ratin g i s required ) bein g flown; i . Shal l b e instrument-curren t (pe r § 61.57(c ) o r

(d) , a s appropriate ) i n th e sam e aircraf t category , class , an dtyp e (i f atyp e ratin g i s required ) bein g flown; j . Withi n th e precedin g 3 calendar month s prior

t o th e flight, th e pilot(s ) mus t hav e logge da

t leas t thre e takeoff

s an dthre e landing s t o afull sto p i n th e sam e aircraf t category , class , an dtyp e (i f atyp e ratin g i s required ) bein g flown. However , this conditio n may b e accomplishe db y loggin g at leas t thre e takeoffs an dthre e landing s t o afull sto p at nigh t withi n th e precedin g 3 calendar

month s i n th e sam e aircraf t category , class , an dtyp e (i f atyp e ratin g i s required ) bein g flown; an d k . Fo r al l operation s unde r

thi s exemptio n th e pilo t

mus t b e curren t

for nigh t operation s (pe r

§ 61.5 7 (b) ) i n a n aircraf t o f th e sam e category , class , an dtyp e (i f atyp e ratin g i s required) . 4 . Fligh t duty , rest , an dflight

tim e limitations : a . N o pilo t

may fly mor e tha n 8 hour s o f flight tim e (pe r §61.1 ) withi n an y 24

- consecutive-hou r

duty day period ; b . N o pilo t

ma y performaduty day i

n exces s o f

1 2 consecutiv e hours . ( A duty day start s whe n th e pilo t

arrive s at

th e airport

an dbegin s preparatio n for th e flight an dterminate s upo n completio n o f th e pos t flight o f th e aircraft) ; an d c . Onc e th e pilo t

ha s performe d1 2 consecutiv e hour s o f duty , th e pilo t

mus t res t aperio do f

at leas t 1 2 hour s befor e conductin g anothe r flight. 5 . Passenge r

an dmedica l cre w briefin g requirements : Prio r t o eac htakeoff

, th e PI C mus t ensur e tha t

al l passenger s hav e bee n orall y briefe do n th e follov^g : a . Th e flight

i s bein g permitte dunde r thi s gran t

o f exemptio n an dtha t

th e operato r i s no t acertificate dcommercia l operator ;

### b . Smoking. " When , where , an dunde r wha t condition s smokin g i s allowed ; c . Us e o f

safety belts , shoulder

harnesses , an dchil drestrain t systems : When , where , an dunde r

wha t condition s it

i s necessary t o hav e hi s o r he r safety bel t and , i f installed , hi s o r

he r shoulde r harnes s fastene dabou t

hi mo r her ; d . Th e placemen t

o f sea t back s i n an uprigh t

positio n befor e takeof

f an dlanding ; e . Locatio n an dmean s for openin g th e passenge r

entry doo r

an demergenc y exits ; f Locatio n o f

surviva l equipment ; g . Us e o f

norma l an demergenc y oxyge n installed ; h . Locatio n an doperatio n o f fire extinguishers ; an d i . Prio r t o eac htakeoff" , th e PI C mus t ensur e tha t

th e patient , wh o may nee dth e assistanc e o f

anothe r perso n t o exi t

th e aircraf

t i f an emergenc y occurs , ha s receive dabriefin g a s to th e procedure s t o b e followe di f a n evacuatio n occurs . 6 . Pilo t training : Th e exemptio n holde r mus t establis han initia l pilo t

trainin g progra m tha t include s th e followin g elements . Al l pilot s mus t complet e thi s trainin g progra m prio r t o conductin g flights unde r thi s gran t

o f exemption . a . Risk , hazar didentification . b . Acciden t

trend s an dfactor s for

genera l aviatio n fixedwin g unde r 12,50 0 pounds . c . Curren t

editio n o f

th e Airlin e Owner s an dPilo t Associatio n Ai r

Safet y Foundatio n Nai l Report . d . Hig hrisk

phase s o f

flight. i . Takeof

f an dclimb . ii . Takeof

f stall/settlmg . iii . Los s o f

airspee dresultin g i n noru-ecoverabl e stal l o r sin k rate , iv . Los s o f

control . v . Cros s winds/othe r

condition s leadin g t o los s o f directiona l control . e . Maneuvering . j . Stal l o r

los s o f control , ii . Los s o f

airspee dresultin g i n stall/spin . f . Descent/approach : Beginnin g o f descen t fi"omcruis e altitud e t o misse d approac hpoin t

o r runwa y threshold . g . Stalls/spins . h . Los s o f

airspeed . i . Collision s wit hobjects , terrain .

### 5 j . Los s o f

engin e power . k . Carbureto r

icin g (i f appropriate , for

th e aircraf

t th e pilo t i s assigne dt o fly). 1 . Incorrec t

fuel mixture . m . Win dgust s o r

wak e turbulence . n . Landing . i . Los s o f

du-ectional control , ii . Crosswinds . iii . Inadequat e airspee dcontrol , iv . Stalls , har dlanding , short-lon g touchdown . V . Runway conditions , vi . Rimway contamination , o . Fligh t plannin g an ddecisionmaking-

- i . Fligh t planning , ii . Imprope r

pre-fligh t plarming . iii . Insufficien t

fuel reserves , iv . Inadequat e in-fligh t

monitorin g o f

groun dspeed , v . System s operation . vi . Imprope r

operatio n o f

fue l system , vii . Fue l contamination , viii . Imprope r

fueling , ix . Weather . X . Continue dvisua l flight rule s int o instrumen t

meteorologica l conditions , xi . Deficien t

instrumen t

flight rule s (IFR ) technique , xii . Failur e t o follo w appropriat e IF Rprocedures , xiii . Descendm g belo w minimu mdescen t altitud e o n approach , xiv . Thunderstorm . XV . Flyin g to o clos e o r

penetratin g turbulence , xvi . Hig hwinds , xvii . Mountainou s terrain , xviii . Icing , xix . Los s o f

lif t an dperformance .XX . Instrumen t

malfunction . p . Othe r

factor s ~ i . Singl e pilo t

IFR . ii . Nigh t

operation s a t

unfamilia r

airports . iii . Missio n mentality . iv . Pressur e t o complet e flight operations . V . Distractions . vi . Misse dapproach/g o around . vii . Incomplete/stal e weathe r briefings . viii . Communication s processes , decisions , an dcoordination , t o includ e communicatio n wit hai r traffi c contro l an dpassengers . ix . Workloa dan dtim e management . X . Situationa l awareness . xi . Effect s o f

fatigu e o n performance , avoidanc e strategie s an d countermeasures . xii . Effect s o f

stres s an dstres s reductio n strategies . xiii . Aeronautica l decisionmakin g an djudgment . 

### 7 . Recurren t

training : A n annua l recurren t trainin g progra mmus t

ensure : a . Th e pilo t

remain s adequatel y trained , ciurent , an dproficien t regardin g al l o f th e element s containe di n th e exemptio n holder' s trainin g program ; b . Recurren t

trainin g mus t

includ e testin g t o determin e th e crewmember' s knowledg e o f

th e aircraf

t an dth e exemptio n holder' s program ; an d c . Recurren t

flight trainin g sufficien t

t o satisfactory complete s th e recurren t proficienc y flight

check . 8 . Aircraf

t requirements : Eac haircraf t mus t hav e astandar dairworthines s certificate . 9 . Aircraf

t maintenance : Al l maintenanc e mus t b e performe db y acertificate dmechanic , repairman , o r

repai r station . Aircraf

t component s mus t

b e overhaule dprior

t o reachin g manufacturer' s recommende dtim e betwee n overhaul . 10 . Area s o f

operations : Al l flights mus t remai n withi n domesti c Unite dState s airspace . 11 . Al l pilot s mus t

adher e t o th e followin g bes t practice s policie s o f

th e exemptio n holde r whic hare : a . In instrumen t

meteorologica l condition s (IMC ) conditions , eac hpilo t mus t pla n t o lan dat

airport wit haprecisio n approach ; b . Eac hpilo t

mus t ad d10 0 fee t

t o al l instrumen t

approac hminimums ;

### c . Fo r nigh t landings , th e pilo t

shal l us e runway s withfunctional vertica l guidanc e (visua l approac hslop e indicator , precisio n approac hpathindicator , instrumen t

flight system) ; d . Pilo t wil l no t attemp t circlin g approache s at

night ; e . Ad d5 0 percen t

t o pilo t operatin g handboo k

runwa y lengthperformanc e t o clear th e obstacl e for

takeof f an dlandin g unde r

ambien t conditions ; f Fo r IM C takeof

f minimums , th e pilo t

mus t appl y 5 0 percen t

abov e th e approac hlandin g minimums . (Example : Baltimore-Washingto n Internationa l Airport minimum s 200/1/2 , the n th e takeof f minimum s wil l b e at

leas t 30 0 feet an d3/4-statute-mil e visibility) ; g . I f destinatio n i s unfamiliar , th e pilo t mus t obtai n briefin g from apilo t o r fixed bas e operato r

withexperienc e withthat airport prio r t o flight; h . Pilot s ar e requeste dt o us e nonpunitiv e report proces s t o communicat e any an d al l situation s whe n safety o f flight wa s compromised ; i . Pilot s ar e requeste dt o provid e feedbac k o n weather , airports , ai r traffi c control , othe r

pilots , etc. , tha t

coul dcompronus e safet

y for future flights ; j . Th e pilo t

mus t ensur e tha t

al l passenger s ar e restraine db y FAA-approve dseat belt s o r FAA-approve dchil dsafety seat . iTi e onl y exceptio n shal l b e chang e o f seat positions , quic k

acces s t o luggage , car e and/o r feedin g o f

child , o r us e o f lavatory ; k . Pilot s wil l consul t

al l availabl e weathe r

products , win dsock , etc. , t o verif y departur e wil l b e fi"omth e correc t runwa y relativ e t o win dconditions ; I . Pilot s wil l utili2 e compute r device s an dreadin g materia l onl y a s thes e ar e pertinen t t o saf e operatio n o f

th e flight an dwil l refrai n froman y an dal l distraction s tha t

coul dcompromis e safet

y o f flight; an d m . Pilot s wil l utiliz e an dbrie f passenger s that

asteril e cockp hconditio n exist s durin g tax i an dtakeof

f unti l reachin g cruis e altitud e an dals o durin g descen t fromcruis e altitude , descent , approach , landing , an dtax i t o ramp , 12 . Pilot s mus t

complet e an dadher e t o th e Go/No-G o checklist , patient , passenger , co pilo t releas e forms , an dpost-fligh t report . Th e Go/No-G o checklis t wil l consis t

o f at leas t th e followin g information :

### Pilo t

Physica l health Menta l health Prepared/Confiden t Wel l reste d Pilo t Go/No-G o Cliecklis t EXCELLEN T O K

MARGINA LPOO R D D D a D

D D 

### n n

D D 

### a D

D D 

### n Aircraf t Maintenanc e D Fue l reserv e • Pre-fligh t • Equipmen t

sufficient for th e D flight condition s Weigh t an dbalanc e Weathe r Curren t & WX Forecast

n Condition s Departur e n Destinatio n n Return a n n 

### n D 

### Takeof f weight/CG_ Landin g weight/C G

D

D 

### n n D

n 

### n D



### n

n n D D

D D D

D

D D D

### Explai n i f Margina l o r

Poor :

Othe r YE S 

### N o Chil dsafet

y sea t Passenger s briefe d Pre-departur e weathe r

briefin g Verif y departin g o n correc t

runway Releas e form s signe d Fligh t # Pilo t Signatur e Dat e Th e checklis t

mus t b e provide dt o th e exemptio n holde r o r lef t witharesponsibl e person , suc ha s afixedbas e operator , prio r t o conductin g aflight

unde r thi s exemption . Th e complete dchecklis t

mus t b e retaine dfor

thre e days . 13 . Fligh t locatin g procedure s required : Th e pilo t mus t file an dactivat e a

n IF Rflight

pla n for eac hflight. Th e flight

pla n may b e cancele dupo n acceptanc e o f avisua l approac h clearanc e fromai r

traffi c control .

### 1 0

Th e Effec t

o f Ou r Decisio n Th e terminatio n dat e o f

Exemptio n No . 1000 9 remain s Octobe r 31 , 2012 , unles s soone r supersede do r

rescinded . Thi s lette r

mus t b e attache dto , an di s apart of . Exemptio n No . 10009 . Sincerely , /s / Raymon dTowle s Actin g Director , Fligh t

Standard s Servic e

# PILO T AFFIRMATIO N

I promis e no t

t o ac t a s aPatien t

AirLif t Service s Comman dPilo t a s pilot-in-comman do f

an y flight referre dt o m e b y Patien t AirLif t Service s unles s at

th e tim e o f

eac hsuc hflight : 1 . I hol davali dan dcurren t pilo t certificat e for

th e aircraf

t category , clas s an dtyp e (i f a typ e ratin g i s required ) i n whic hI wil l b e actin g a s pilot-in-command . 2 . I hol dat

leas t avali dan dcurren t

Clas s lU medica l certificat e 3 . I a mIFRrated , curren t an dqualifie din th e aircraf t category , clas s an dtyp e (i f atyp e ratin g i s required ) t o b e flown. 4 . I a mi n complianc e wit hal l Federa l Aviatio n Regulations , includin g thos e regulation s relatin g t o currenc y fo r

carryin g passengers , fligh t reviews , nigh t

flying, fue l reserve s an d instrumen t

flight . 5 . I a mi n complianc e wit hal l Federa l Aviatio n Regulation s relatin g t o th e us e o f alcoho l an ddrugs , includin g reportin g requirement s specifie di n th e regulations . 6 . Whethe r

flying rente do r

owne daircraft , I hav e in forc e liabilit y insuranc e applicabl e t o th e flight providin g minimu mcoverag e o f $1,000,00 0 pe r

occurrenc e an d$100,00 0 pe r sea t 7 . I a mflying a n airplan e withavali dstandar dairworthines s certificat e (normal , utihty , acrobatic , commute r

o r transpor t category) . 8 . I f I a mrentin g a n aircraf

t for th e mission , I attes t

tha t I hav e satisfie dth e requirement s an dcondition s o f

th e rentin g agency . 9 . I hav e flown aminimu mo f 1 2 hour s a s PI C durin g th e 9 0 day s immediatel y precedin g th e mission , o r

i n th e alternative , I hav e complete d2 hour s o f dua l trainin g wit ha certifie dflight

instmcto r

withi n th e precedin g 3 calenda r month s prio r

t o th e mont ho f flight. (Thi s 1 2 hour s i s include di n th e tota l o f 5 0 an di s no t

additional ) 10 . I a mi n complianc e wit hth e Patien t AirLif t Service s Manual . I imderstan dtha t

i t i s m y responsibilit y an dobligatio n t o declin e t o serv e a s pilot-in-conmian do n an y flight referre dt o m e b y Patien t AirLif l Service s unles s AL Lo f th e abov e statement s ar e tru e at th e tim e o f

th e flight.

Pilo t Nam e (print ) Membershi p Number : Signature : ^ Date : Thi s documen t

i s l o b e signe dan dmaile dt o PAL S alon g withal l passenge r waiver s an daWA

B o n eac hmissio n flown.

Las t create d3-24-201 1

## PATIEN TAIRLIF TSERVICE S



# PILO T HANDBOO K

- 1 -PATIEN TAIRLIF TSERVICE S I 

# Patien t AirLif t Service s Pilo t Handboo k Tabl e o f Content s

Welcom e t o th e PAL S Tea m3 Introductio n - Frequentl y aske dquestion s 4 Voluntee r

Opportunitie s 7 Requirement s t o Fl y a s aPilo t i n Comman d8 Liability Release s an dGuardia n Authorizatio n 1 0 Ho w t o Logi n t o AFID S I I Missio n Assigimien t

Procedure s 1 3 Missio n Preparatio n - Checklis t 1 4 Linke dMission s 1 7 Us e ofCompassio n Fligh t Cal l Sig n 1 8 Us e o f Lifeguar dCal l Sig n 1 9 Crisi s an dRis k

Managemen t

2 0 Missio n Photos , Fe e Waiver s an dFue l Discount s 2 1 Pos t Missio n Procedure s 2 2 Pilo t Checklis t

o f Do s an dDon't s 2 4 Attachment s A : Pilo t Applicatio n Checklis t

2 6 B : Sampl e AFID S Sig n o n Scree n 2 7 C : Sampl e Missio n Itinerary 2 8 D : Sampl e Pos t

Missio n Repor t

2 9

-2 -Dear Pilot : O n behal f o f th e PAL S Boar do f

Director s an dStaff

, welcom e an dthan k

yo u for you r interes t i n volunteering ! Whe n yo u tak e th e gift s o f you r talent s an dskill s a s apilo t an dus e the mt o benefi t others , yo u wil l b e embarkin g o n som e o f th e mos t rewardin g experience s o f you r life . A s aPAL S pilot , yo u wil l b e flying peopl e wh o woul dno t b e abl e t o receiv e th e medica l o r compassionat e assistanc e for whic hthe y ar e s o urgentl y i n need . W e recogniz e tha t

PAL S woul dno t

exis t withou t th e gif t o f time , energ y an denthusiasti c support fromvolunteer s lik e you . W e understan dtha t you r schedul e ma y onl y permi t yo u t o d o on e flight amont ho r

on e flight ayear ; eithe r way , you r

effort s ar e greatl y valued . Th e PAL S Boar dan dStaf

f pla n t o establis havoluntee r support syste mtha t

include s communicatio n vi a ou r website , emails , an dpilo t meetings . Yo u wil l ge t t o kno w th e patients , bu t yo u wil l als o mee t you r fello w pilots , shar e flight experiences , provid e feedback , an dhav e fun ! I woul dencourag e yo u t o visi t th e websit e vvww.palscrvices.or g t o revie w ou r Bylaws , Conflic t o f Interes t Policy , an dothe r

filings. W e hop e thi s wil l assur e yo u tha t w e ar e committe dt o b e atransparen t organization . Ou r

prim e focu s i s t o serv e patient s an dsupport pilots . Thank s agai n for

joinin g ou r

team ! 1 loo k

forwar dt o meetin g yo u personally . 

# Welcome t o th e PAL S TEAM . Sincerely , 

# Jo e Jo e Howle y j oe . howle y @pal serv i ces . or g Chairman , Patien t

AirLif t Service s

- 3 -

## Wha t

i s Patien t

AirLif t Services ? Patien t AirLif t Service s (PALS ) arrange s free ai r transportatio n base do n nee dt o individual s requirin g medica l car e an dfor othe r humanitaria n purposes . W e hav e anetwork o f voluntee r pilot s wh o provid e thi s servic e withou t reimbursemen t

o r compensatio n usin g thei r ow n o r rente daircraft . N o fee s o f an y kin dar e charge dfo r thes e services . Generall y th e individual s wh o utiliz e ou r service s ar e receivin g diagnosis , treatmen t o r follow

u p fo r variou s type s o f

acut e o r chroni c illnesse s tha t

mak e i t eithe r financially impossibl e o r otherwis e infeasibl e t o us e publi c commercia l o r privat e charte r

transportation . PALS ' founder s hav e extensiv e experienc e withvoluntee r flying. Amon g them , the y hav e flown thousand s o f

mission s a s pilot-in-command . Althoug hth e pilot s donat e thei r time , airplane s an dal l expense s withou t compensation , th e organizatio n need s t o maintai n a coordinatio n cente r

i n orde r t o connec t

peopl e t o pilot s an doverse e th e missions . Ou r onl y source s o f

incom e t o operat e thi s cente r ar e privat e donation s an dgrants . I t i s fromth e generou s contribution s frompeopl e lik e yo u that w e ar e abl e t o b e her e for thos e wh o see k ou r service s PAL S i s a501(c)(3 ) tax-exemp t publi c charit y an damembe r o f th e Ai r Car e Alliance . 

## Wha t kin do f aircraf t doe s PAL S tvoicall v utilize ? Aircraf t use dfor

PAL S flights ar e typicall y single

- o r twin-engine , propeller-o r mrb o pro p drive n aircraft . Mission s flown for

PAL S hav e th e sam e stam s a s an y flight mad e wit

hpassenger s b y aprivat e pilo t unde r Par t 9 1 o f th e Federa l Aviatio n Regulation s an dth e "Goo dSamaritan " Act . Liabilit y i s th e sam e a s aflight fo r finends o r

family . 

## Wha t ar e th e Insuranc e Requirements ? PAL S Pilots , whethe r

the y ar e owner s o r

renters , ar e require dt o hav e liability insuranc e i n orde r t o fly a s th e pilo t

i n comman do f

amission . Se e th e pilo t

requirement s pag e fo r

specifics . Note : PAL S doe s no t

carr y additiona l aircraf t liability insurance . Al l passenger s flown b y -A -PAL S ar e require dt o sig n awaive r o f liabilit y namin g bothth e pilot s an dth e Patien t AirLif t Service s organization . Sinc e ther e i s n o remimerario n for th e flights, the y ar e non-commercia l an dcovere dunde r

apilot' s norma l liabilit y policy . 

## Wh o Pay s fo r

th e FUghts ? Pilot s ar e responsibl e fo r al l missio n costs . Thes e cost s ar e tax deductibl e for th e pilo t a s a charitabl e donafion . Man y FBO s offer fuel discount s an dmos t airport s waiv e landin g an d parkin g fee s for

pilot s o n PAL S missions . Th e passenger(s ) i s responsibl e for arrangement s an dcost s fo r al l non-fligh t

needs , includin g groimdtransportatio n an dlodging . Th e PA Lpilo t incur s n o mor e expens e tha n h e o r sh e woul d incu r o n an equivalen t

busines s o r

pleasur e flight. 

## Wha t i s PALS ^ Territory ? PAL S cover s flights i n th e entir e Northeas t Unite dState s a s fa

r wes t a s Ohi o an da s fa

r southa s Virginia . Typica l flight

time s i n ou r

genera l aviatio n aircraf

t wil l rang e fromtw o t o thre e hour s pe r leg , coverin g 200-60 0 miles . Flight s originatin g o r terminatin g beyon dou r primar y coverag e are awil l b e conducte db y ou r membe r pilots , o r wil l b e coordinate dwit

hothe r similar organization s t o provid e yo u th e patient s wit haseamles s trave l itinerary . 

## Wha t Happen s i f

1 A mUnabl e t o Fl y aMission ? PALS , believe s i n Safety First , therefor e apilo t i s free t o an dshoul ddeclin e an y missio n the y feel the y ar e unabl e t o safel y complete . Reason s for declinin g aflight

coul db e persona l health , scheduling , weather , o r

othe r persona l reasons . W e encourag e pilot s t o recogniz e thei r limits , an dt o fly onl y whe n the y feel completel y comfortabl e doin g so . Yo u wil l neve r b e questione d a s t o wh y yo u cance l aflight; tha t wil l b e you r

call ! Whe n imabl e t o fly a s PIC , pilot s ca n choos e t o participat e a s copilots . 

## Ho w wil l I b e identifie da s aPAL S Pilot ? A H o f th e PAL S crewmembers , bothpilo t an dnon-pilot , whic hhav e participate di n a t leas t on e PAL S mission , ar e eligibl e fo r aPAL S phot o I D badge . A badg e can b e requeste db y sendin g an emai l t o info@palservices.or g unles s ther e wa s an I D phot o o f yo u take n durin g yoiu " orientation , b e sur e t o includ e acolo r jpe g phot o o f

yoursel f a s an attachmen t

t o th e email . Th e phot o shoul db e apasspor t typ e headsho t

ther e i s n o charg e fo

r th e badge . Th e I D badg e wil l b e supphe dwithaPAL S lanyar dtha t allow s it t o b e wor n aroun dyou r

neck . A cli p tha t

ca n b e use dt o attac hth e badg e t o you r clothin g i s als o included . Whil e PAL S crewmember s ar e no t require dt o wear

an I D badg e durin g PAL S missions , the y ar e encourage dt o d o so . I n addition t o bein g an ai dfor airport security* , th e badg e identifie s th e cre w a s PAL S members , whic hhelp s promot e conmiunit y awarenes s o f Patien t AirLif t Services . Th e badg e ca n als o b e usefu l t o pilot s whe n requestin g fiiel discoimt s an dth e reductio n o r

waivin g o f

landin g an daircraf

t parkin g fees .

_ _ ^ -5

- ^^_ ^ _^ _*I

t i s mandator y tha t

th e pilo t an deveryon e els e o n boar dth e aircraf t mus t carr y appropriat e identificatio n for

airpor t securit y puiposes , includin g at leas t on e phot o ID . 

## Ca n I deduc t

m v flight

expense s o n my taxes ? Yes , PAL S i s a501(c)(3 ) tax-exemp t publi c charit y an da s such , contributions , includin g th e cost s o f flying missions , ar e therefor e deductible . Pilot s ca n deduc t direct , out-of-pocke t expenses . If

overnigh t

lodgin g i s required , tha t expense , alon g wit hmeals , i s als o deductible . Accurat e record s mus t

b e maintained , includin g receipts , hoiu- s flown, destination , etc . O n pag e 2 9 yo u ca n se e asampl e o f th e Missio n Report

Detail , whic hyo u can us e for you r ta x record s t o verif y you r flight. Fo r

complet e informatio n regardin g deductibl e item s an ddocumentation , pilot s shoul dconsul t

ata x professional . 

## Wha t type s o f illnesse s ca n I expec t

t o encounter ? llhiesse s vary . Som e patient s hav e lif e threatenin g diseases , suc ha s cance r o r hear t disease . Other s hav e illnesse s tha t requir e specialize dtreatmen t a t distan t location s du e t o th e fac t ther e may onl y b e severa l specialist s i n th e worl dtha t can help . Illnesse s ar e non-commimicabl e (cancer , hear t

disease , brai n tumor , etc.) . However , occasionall y thi s i s no t th e case . PAL S pilot s wil l b e mad e awar e o f thes e type s o f

situations , allowin g th e pilo t t o determin e i f

he/sh e i s stil l willin g t o fly th e mission . PAL S require s patient s wh o qualif y fo r ou r assistanc e t o b e ambulatory , abl e t o si t uprigh t for th e duratio n o f

th e flight, an di n nee do f very littl e assistance . In case s wher e mor e attentio n i s needed , patient s mak e arrangement s t o b e accompanie db y a n attendant . I f

th e patien t

i s achild , w e requir e an adul t

guardia n t o b e presen t

a s well . Rarel y d o passenger s requir e oxygen , bu t i n th e cas e o f

thos e wh o do , persona l oxyge n bottle s ar e no t allowe dunles s th e bottl e carrie s aDO T certificatio n for us e aboar dan aircraft . Som e FBO s hav e oxyge n available , an dpilot s wit han approve doxyge n syste monboar dth e aircraf t may , i f the y choose , mak e i t

availabl e fo r

patients . However , permissio n fromth e patient' s physicia n mus t

b e obtaine dbefor e eithe r arente do r

onboar dsyste mca n b e used . 

## Ho w d o flights actuaU v ge t "pu t together? " Request s for

assistanc e ca n begi n i n severa l ways , eithe r b y phone , o r

compute r

request . Reques t migh t com e from apotentia l passenge r directly , fro mon e o f

th e man y medica l facihtie s o r

socia l worker s wit hwho mPAL S maintain s relationships . Onc e th e reques t ha s bee n receive dou r

missio n coordinatio n staf f wil l begi n th e proces s o f intake , listing , assignin g an dcompletin g th e flight request . Ou r Missio n Coordinatio n staf f wil l initiall y scree n th e call , makin g certai n th e passenge r qualifie s fo r

aPAL S flight, a s someon e wh o i s i n financial need , ha s alegitimat e nee dfo r ai r transportation , an di s abl e t o fly i n agenera l aviatio n airplane . Onc e the y determin e thi s i s a vali drequest , the y wil l ente r al l th e pertinen t

inf o int o th e Missio n Coordinatio n compute r syste mwher e th e pilot s ca n acces s th e availabl e missions . Whe n apilo t choose s aflight, i t

get s assigne dt o the man dthe y ar e forwarde dal l necessar y info , a t whic hpoin t

the y becom e th e poin t perso n for

th e patien t

regardin g th e flight

details . - 6 -

# Voluntee r Opportunitie s Th e Member s o f

Patien t AirLif t Service s consis t

o f bothpilot s an dnon-pilots , wh o shar e commo n characteristic s an dth e heartfel t desir e t o hel p thos e i n need . Ther e i s agreat nee dfo r No n Pilo t volunteers , an dther e ar e anumbe r o f way s i n whic hou r

non-pilo t

volunteer s ca n hel p out : AutoPUot s - Hel p ou t

b y providin g groun dtransportatio n betwee n ai r terminal s an d medica l treatmen t

centers . Thi s i s ahug e asse t t o th e patient s wh o generall y hav e n o resource s t o ge t t o an dfromth e treatmen t centers . Fo r

mor e informatio n contac t u s a t inlof g palscrvices.or g o r

b y dialin g 1-888-818-123 1 Outreac h- Th e outreac hvolunteer s hel p u s b y spreadin g th e PAL S wor dt o hospital s an dcommum'ty member s suc ha s Veteran' s Organization s o r loca l chapter s o f

health awareness/support/treatmen t organization s wh o deal withpatients . Th e tas k coul db e somethin g a s simpl e a s droppin g of f brochure s t o thes e type s o f organization s i n you r

area . Fo r mor e inf o contac t cilccn.niinugue((/:palsci'viccs.orRo r 1-888-818-123 1 Fundraising

- W e ar e alway s lookin g t o hav e smal l fundraisin g event s throughou t th e are ai n whic hw e serve . Thes e event s no t onl y generat e fund s t o hel p u s accomplis hou r mission , bu t

the y enabl e u s t o continuall y reac hdifferen t neighborhood s wh o migh t no t kno w abou t ou r service , bu t

migh t very well benefi t

fromit . Fo r

mor e inf

o contac t ciIcon.minopue(t7Jpalservices.org o r 1-888-818-123 1 Disaster/Humanitaria n Respons e Voluntee r - PAL S Pilot s hav e alon g history o f bein g som e o f

th e first responder s durin g time s o f nationa l disasters , an dhumanitaria n effort s suc ha s th e recen t

Haitia n Earthquake . Diuin g thes e times , ther e i s agrea t nee dan dinflu x o f request s t o ge t

alo t o f plane s i n th e ai r

i n ashort

perio do f time . Ou r disaste r & Humanitaria n Respons e Volunteer s can work fromthei r

home s o r

office s t o hel p u s notif

y pilots , schedul e flights, an dac t a s asupport

syste mt o ou r

missio n coordinatio n staf f Yo u migh t

als o b e aske dt o hel p coordinat e ou r effort s o n th e groun da s well . Fo r mor e inf o contac t eilccn.minot^ueCtvjpalscrvtccs.org o r I-888-818-123 1 Genera l offic e hel p - Ou r office s ar e locate do n Lon g Islan dan dw e ar e alway s i n nee d o f volunteer s t o hel p ou t

withfiling, paperwork , an dgenera l offic e needs . Fo r mor e inf

o contac t eiIcon•minotiue(f<:^palservices.c mo r 1-888-818-123 1 

## Ou r missio n i s large , an dw e conside r every voluntee r

t o b e agrea t asse t t o ou r effort s t o hel p thos e i n nee d If yo u ar e intereste di n becomin g avolimteer , pleas e fill ou t th e voluntee r

applicatio n an dmai l it to : Patien t AirLif t Service s 12 0 Adam s Boulevar d Farmingdale , NY 1173 5 Fo r mor e informatio n call : 1-888-818-123 1 o r 516-300-166 0 - 7

-

# Comman dPilo t Requirement s Th e Boar do f

Director s ha s establishe dth e followin g pilo t requirement s for actin g a s Comman dPilo t o n aPAL S mission : (1 ) Fo r th e operatio n o f

an y singl e engin e pisto n aircraft , th e pilo t shal l hav e aminimu mtota l tim e o f 50 0 hours , wit

hno t les s than 400 hour s a s pilot-in-comman d(PIC) , 5 0 hour s o f suc hPI C tim e havin g bee n i n th e sam e make an dmode l aircraft , (2 ) Fo r th e operatio n o f

any multi-engin e o r

turbin e powere d aircraf t th e pilo t

shal l hav e aminimu mtota l tim e a s pilot-in

comman d(PIC ) o f

1,00 0 hours , withaminimu mo f 25 0 hour s in typ e fo r atwi n engin e aircraf

t an d100 hour s i n typ e fo r asingl e engin e turbin e aircraf

t bu t no t les s tha n 5 0 hour s i n mak e an d model , unles s dispensatio n shal l hav e bee n previousl y grante dt o sai dpilo t b y th e Safet

y Committee , bu t

in n o even t

shal l suc h dispensatio n b e for

les s tha n th e qualification s a s se t fort hin paragrap h(1 ) above , (3 ) I n addition , for

eac hmissio n t o b e flow n th e pilo t shal l affir mcurrenc y an dadherenc e t o applicabl e FAR s a s se t fort hi n th e PAL S Pilo t

Affirmatio n for

m(exampl e follows) .

-8

-PATIEN TAIRLIF TSERVICES ]

I promis e no t

t o ac t a s aPatien t

AirLif t Service s Comman dPilo t a s pilot-in-comman do f

an y flight referre dt o m e b y Patien t AirLif t Service s unles s at

th e tim e o f

eac hsuc hflight: 1 . I hol davalidandcurren t pilo t certificat e for

aircraf t category , clas s an dtyp e (i f atyp e ratin g i s required ) i n whic hI wil l b e actin g a s pilot-in-command . 2 . 1 hol dat

leas t avali dan dcurren t

Clas s II I medica l certificat e 3 . I a mIF Rrated , curren t an dqualifie di n th e aircraf t category , clas s an dtyp e (i f atyp e ratin g i s required ) t o b e flown. 4 . I a mi n complianc e wit hal l Federa l Aviatio n Regulations , includin g thos e regulation s relatin g t o currenc y fo r

carryin g passengers , flight reviews , nigh t

flying, fiiel reserve s an dinstrumen t flight. 5 . I a mi n complianc e wit hal l Federa l Aviatio n Regulation s relatin g t o th e us e o f alcoho l an d drugs , includin g reportin g requirement s specifie din th e regulations . 6 . Whethe r

flying rente do r

owne daircraft , I hav e in forc e liabilit y insuranc e applicabl e t o th e fligh t providin g minimu mcoverag e o f $ 1,000,00 0 pe r

occurrenc e an d$ 100,00 0 pe r seat 7 . 1 a mflying a n airplan e wit havali dstandar dairworthines s certificat e (normal , utility , acrobatic , commute r

o r transpor t category) . 8 . I f I a mrentin g a n aircraf

t for th e mission , I attes t

tha t I hav e satisfie dth e requirement s an d condition s o f

th e rentin g agency . 9 . I hav e flown at

leas t 5 0 hour s a s pilot-in-comman di n th e las t 1 2 calenda r

months . 10 . I hav e flown aminimu mo f 1 2 hour s a s PI C durin g th e 9 0 day s immediatel y precedin g th e mission , o r

i n th e alternative , I hav e complete d2 hour s o f dua l trainin g wit hacertifie dflight instructo r withi n th e precedin g 3 calenda r month s prio r

t o th e montho f

flight. (Thi s 1 2 hour s i s include di

n th e tota l o f

5 0 an di s no t

additional ) 11 . I a mi n complianc e wit hth e Patien t AirLif t Service s Manual . 1 understan dtha t

it i s my responsibilit y an dobligatio n t o declin e t o serv e a s pilot-in-comman do n an y flight referre dt o m e b y Patien t AirLif t Service s unles s AL Lo f th e abov e statement s ar e tru e at th e tim e o f th e flight.

Pilo t Nam e (print ) Membershi p Number : Signature : Date : Thi s documen t

i s t o b e signe dan dmaile dl o PAL S alon g wit hal l passenge r

waiver s an da^'& B o n eac hmissio n flown.

- 9

-PATIEN TAIRLIF TSERVICE'S I



# Liabilit yWaive ran d Guardia n Authorizatio n Liability waiver s an dguardia n authorization s ar e use dt o protec t th e individual s (includin g th e pilot ) an dorganization s (includin g Patien t AirLif t Services ) involve di n PAL S flights froman y Habilit y resultin g fromthei r

participatio n i n thes e volunteer , uncompensate dmissions . A signe d liability waive r

for eac hadul t

an dasigne dguardia n authorizatio n for eac hmino r

mus t b e obtaine dfromever y passenge r o n every PAL S flight prio r t o th e flight's departure . Thi s include s copilot s wh o ar e no t PAL S members . Th e onl y exceptio n t o havin g form s signe dfor every flight

i s roun dtrip s goin g nonsto p from th e departur e airport

t o th e destinatio n airpor t an dlate r

returnin g nonsto p t o th e departur e airport o n th e sam e day , carryin g th e sam e passengers . I n thos e instances , a

t th e pilot' s discretion , liability waiver s an dguardia n authorization s ar e require donl y prio r t o th e begiimin g ofth e first

leg . A singl e liability waive r for mca n b e use dfor

eithe r on e o r tw o adul t

passengers . A separat e guardia n authorizatio n for mi s require dfor

eac hmino r

passenge r Thes e forms , alon g wit

hasigne dpilo t

affirmatio n an dwritte n aircraf t weigh t an dbalanc e calculatio n for

th e upcomin g flight, mus t b e maile do r faxe dt o PAL S befor e th e flight departs . Thes e document s ar e no t

t o b e take n o n boar dth e aircraft unles s previousl y sen t

t o PALS . A t th e botto mo f

th e liability releas e i s aplac e for th e patien t o r othe r passenger s t o initia l (o r th e patient' s guardia n t o initial , i n th e cas e o f aguardia n authorization ) that allo w th e patient' s an dothe r passengers ' name s and/o r photograph s t o b e use db y PAL S for publi c relation s purposes . If

th e patien t

o r passenger , o r

patient' s guardian , doe s no t initia l thi s permissio n request , thei r name s an d photograph s wil l no t

b e used . 

## Note : Waive r

an dGuardian Authorizatio n form s are maintaine dat an dca

n b e downloade dfromth e Pilo t pag e on th e PAL S website .

-10

-PATIEN TAIRLIF TSERVICE S 

# Ho wt o logi n fo rvou rMissio n Whe n al l paperwork

ha s bee n filledou t

an dyo u ar e read y t o fly you r first mission , yo u ca n d o s o b y goin g onlin e t o th e PAL S pilo t websit e at

www.nalscrv iees.or g an dclickin g o n "Availabl e Missions " o r

b y usin g th e PAL S AFID S (ou r Missio n Coordinatio n System ) logo n directly , signin g in , an dthe n goin g t o th e "Mission s Available " link o n th e lef

t han dsid e ofth e AFID S hom e page . Th e firs t tim e yo u lo g i n t o AFIDS , yo u wil l nee dyou r PAL S Membe r

ID Number , you r

las t nam e an dyou r

zi p cod e a s provide do n you r PAL S application . Onc e yo u hav e logge di

n a s amembe r

withyou r

ID# , yo u shoul dgiv e yoursel f aUsemam e an d Password . After

yo u hav e complete dthi s step , yo u mus t nex t lo g i n usin g you r

chose n usemam e an dpasswor devery tim e yo u logi n i n th e future . Yo u wil l no t b e abl e t o logi n usin g you r ID #after

you r initia l login . Thi s proces s help s u s maintai n ahighe r leve l o f security for AFIDS . I f

yo u forge t

you r password , clic k

o n th e link

o n th e logi n pag e an dyou r passwor d wil l b e emaile dt o th e emai l addres s w e hav e i n th e system . Link s t o variou s AFID S function s ar e locate do n th e lef t blu e ba r tha t yo u wil l b e abl e t o vie w an dus e onc e you'v e logge di n t o AFIDS .

Fil e missio n report s Mission s Availabl e Mission s Pendin g Mission s Visua l Manag e E-mai l subscription s Bloc k Mas s Email s Un-bloc k Mas s Email s Missio n Simimary Yea r

En dRepor t Edi t you r Dat a MO PDirector y Membe r Roste r Rene w You r

Membershi p Othe r feature s wil l b e adde dperiodicall y t o improv e th e system .

-11

-

## T o selec t amission :

• Yo u ca n selec t

amissio n b y chckin g o n "Availabl e Missions " o n th e left-han d colum n o n th e wwvv.palserviees.or g pilot' s page , o r b y usin g th e PAL S AFID S logo n directly , signin g in , an dthe n goin g t o th e "Mission s Available " lin k o n th e lef

t han d sid e ofth e AFID S hom e page . • Onc e yo u findan ope n missio n tha t yo u ar e intereste din , clic k o n th e wor d "open " nex t

t o tha t mission . Onc e th e missio n i s selected , yo u wil l b e prompte dt o logi n t o AFIDS . • Follo w th e logi n instmction s liste dabove . • Revie w th e missio n an dselec t "Reques t thi s Mission " a

t th e botto mofth e page . • O n th e Missio n Reques t page , insert

an y comment s yo u ma y hav e an dselec t th e "add " butto n a

t th e botto mofth e page . • Yo u wil l the n receiv e aconfirmatio n emai l alon g withth e mission' s paperwork fromth e Missio n Coordinato r lettin g yo u kno w you r messag e wa s received . If th e missio n i s alread y filled , yo u wil l als o receiv e an emai l fi*omth e Missio n Coordinato r notifyin g yo u ofth e mission' s status . • Onc e th e missio n ha s bee n assigne dt o you , a s confirme db y acoordinator , pleas e follo w th e Pilo t

i n Cortmian dSuggeste dChecklis t include di n thi s handbook . 

# Yo u ca n ge t

mor e ou t

o f flying tha n jus t

bein g abl e t o fly! 

# Than k you for bein g apar t

ofth e PAL S team !

-12

-i PATIEN TAIRLIF TSERVICES l



# Missio n Assignmon t Procodure s Onc e amissio n ha s bee n assigne dt o apilot , aconfirmatio n emai l wil l b e sen t from amissio n coordinato r

wit hareport

containin g al l pertinen t contac t informatio n for

th e patien t

and/o r passengers . Yo u wil l als o b e adde dint o th e Missio n Coordinatio n Syste m"AFIDS " a s th e Missio n Pilo t

for th e le g ofth e missio n yo u hav e chose n t o fly. Yo u ca n loo k u p an y schedule d pendin g mission s b y loggin g int o AFID S b y usin g you r usemam e an dpassword . Clic k o n th e link t o "Missio n Summary" . Her e i s asuggeste dchecklis t for yo u t o revie w after

bein g assigne damission . 1 . Introductio n an dverify/exchang e phone/cel l number s an de-mai l addresses . Mak e sur e yo u hav e th e patient s contac t numbe r wit hyo u o n th e da y ofth e mission . 2 . Verif

y departur e time/appointmen t tim e an ddate . Confirmth e tim e the y nee dt o b e at thei r destination . 3 . Inquir e abou t

passenger s flying and/o r genera l aviatio n experienc e 4 . Inquir e abou t

specia l need s (oxygen , wheelchair , etc. ) 5 . Verif

y weight , companions ' weight , an dremin dpassenger s o f baggag e weight/siz e hmit s 6 . Discus s meetin g tim e an dplace , FB O telephon e number , address , etc . I f needed , discus s alternat e airports

- possibl e cancellation s 7 . Remin dpassenger s o f Waive r requiremen t 8 . Se t

Fligh t expectation s (ETE , weather , etc ) 9 . Infor mPAL S offic e o f AN Y change s o r

additioa s t o information . If ther e ar e AN Y las t

minut e change s t o an y part o f th e mission , includin g numbe r o f passengers , weights , luggage , departure/arriva l times , etc , pleas e notif y th e offic e immediately . Eve n i f

yo u an dyou r

aircraf t can handl e th e changes , th e return pilo t o r linkin g pilo t

migh t no t b e abl e to .

-13

-

# PAL S PUot i n Comman dChecldis t Th e followin g i s asuggeste dchecklis t tha t coul db e use dfor

every mission . 

# Missio n Preparatio n Prio r t o departur e th e pilo t

i n comman di s responsibl e for :

• Callin g th e missio n coordinato r withan y change s yo u mak e tha t affec t th e missio n

• Callin g th e patien t th e nigh t befor e th e flight

t o reconfirmmeetin g arrangements , verif y wh o th e othe r

passenger s wil l b e (i f

any ) an dconfirmth e weight s o f al l passenger s plu s baggag e

• No t

flying anyon e wh o i s no t liste do n th e Missio n Repor t withou t first contactin g amissio n coordinator . PAL S mus t b e notifie dimmediately , becaus e a n increas e i n th e numbe r

(an dweight ) o f

passenger s coul daffec t

th e return flight

an dth e groim dtransportatio n

• Callin g th e lin k

pilot s (i f any ) t o reconfirmplan s fo r th e flight

• Preparin g aweigh t an dbalanc e calculatio n

• Preparin g astampe denvelop e addresse dt o PAL S

• Obtainin g acomplet e weathe r briefing , includin g NOTAMs , PlREP s an dTFR s • Filin g aflight

plan usin g "CMF " identifier . Se e ""Use o f 'CMF ' (Compassio n Fiight ) Cal l Sigr C below , an dth e link o n th e Pilo t

pag e ofth e websit e fo r

mor e informatio n

• Obtainin g signe dwaiver s o f liabilit y (an daguardia n authorizatio n i f

th e patien t

i s aminor ) for

al l passenger s wh o ar e no t member s o f

PAL S (thi s include s copilots )

• Mailin g th e signe dwaiver s o f liability , guardia n authorizatio n an dweigh t an dbalanc e calculatio n fromth e FBO . D o no t

tak e thes e document s withyo u i n th e airplan e

• Takin g photo s o f pilot(s) , patien t

an dothe r

passenger s

• Securin g al l carg o t o preven t i t fromcomin g loos e i n flight

.14

-Notes : 1 . A singl e weigh t an dbalanc e calculatio n i s acceptabl e for roim dtri p mission s whe n bothflights occu r

th e sam e da y an dcarr y th e sam e passenger s 2 . A flight

plan mus t

b e filedfo r

al l PAL S FLIGHT S carryin g passengers . A n IF R flight plan i s strongl y suggested . However , aVF Rflight pla n i s acceptabl e i f

VFR condition s ar e forecas t

t o exis t alon g th e entir e rout e fromon e hou r befor e departur e t o tw o hour s after

schedule darriva l 3 . On e habilit y releas e o r guardia n authorizatio n fromeac hpassenge r i s acceptabl e for roun dtri p mission s whe n bothflights occu r th e sam e da y an dcarr y th e sam e passenger s 

# Da y o f

FUght 1 . Weathe r

conditions , mor e precis e flight tim e 2 . Fil e Fligh t

Plan s 3 . Contac t

Passenger , verif

y thei r conditio n for

flight, an dcommunicat e curren t weathe r condition s an drevise dETE . 

# Passenge r

Pic k u p Sinc e man y passenger s ma y b e nervou s flyers, eve n thos e that hav e flown man y times, th e mor e "professional " an dexperience dth e Pilo t i n Comman dlooks , th e mor e likel y th e passenge r i s t o b e comfortable . Ther e ar e afew thing s tha t yo u ca n d o t o hel p ensiu^ e thei r menta l comfort . First , dres s professionall y an densur e tha t th e aircraf

t i s clea n an dth e interio r uncluttered . Second , arriv e earl y an db e waitin g whe n th e passenge r arrives . Next , gree t

the m i n afi*iendly an dprofessiona l wa y an dcomplet e th e paperwork i n aprofessiona l manner . Allo w enoug htim e fromth e schedule dmeetin g time imti l th e flight i s t o depart

s o tha t th e pre flight time i s unhurried . Pla n t o depart at aschedule dtime an dmee t tha t schedule . 1 . Hav e the msig n th e Waive r 2 . Han dou t

PAL S material/boardin g for m 3 . Obtai n picture s i f desirabl e 4 . Escor t

the mt o th e aircraf

t after ashort briefin g abou t

ram p safet

y 5 . Complet e athoroug hprefligh t briefm g G A Aircraft/passenge r

intr o - i f

necessar y Weathe r Particular s o f

thi s missio n (Forecas t

weather , ETE , etc ) Wha t i s expecte do r

desire do f

the m- (steril e cockpit/e n route ) Wha t t o d o i f the y hav e problem s o r

issue s 6 . Ope n IFR/VF Rflight pla n and/o r

us e Fligh t

Followin g

-15

-

# Passenge r Dro p Of f 1 . Assis t

the mi n deplanin g i f

necessar y 2 . Ensur e tha t

al l o f thei r belonging s hav e bee n remove dfromth e aircraf t 3 . Escort

the mof f th e ram p an dt o thei r

transportatio n i f

necessar y 4 . Confirmtransportatio n i s availabl e 5 . I f yo u ar e als o providin g thei r retur n flight, verif

y time , place , et c 6 . Complet e th e Pos t Missio n Report

Form 

# Airplan e - Suggeste ditem s t o b e carrie d 1 . Headset s 2 . Camer a 3 . Boardin g Stoo l 4 . Passenge r

Comfort 5 . Relie f

packages/hottle(s ) 6 . Ai r sicknes s bag s 7 . Blanket s 8 . Headsets/non-aviatio n 9 . PAL S informatio n handou t 10 . Wate r

o r othe r refreshmen t

-16

-PATIEN TAIRLIF TSERVICES l 

# Linke dMission s Whe n w e receiv e reques t for distance s that

requir e mor e than on e flight , w e cal l thi s aLinke dMission . Th e missio n coordinato r

wil l oftentime s attemp t

t o partitio n th e missio n int o tw o —o r even thre e —leg s o f approximatel y equa l length . Thi s allow s tw o o r mor e pilot s t o shar e i n asingl e mission . Whil e goo dprefligh t

communicarion s i s importan t for ever y PA LFlight , i t

i s critica l for

link missions . I t

i s vital that al l th e pilot s involve dkno w that th e missio n i s a"go " befor e the y depart , an dexactl y wher e th e patien t transfe r wil l occu r

a t th e link airport(s) . Therefore , a s soo n a s apilo t accept s ale g o f

alink missio n h e o r

sh e shoul dcontac t

th e othe r linkin g pilo t o r pilots . The y shoul db e contacte dagai n o n th e day ofth e missio n jus t

prio r t o th e first

aircraft' s departur e fromth e originatin g airport t o verif y that everyon e involve di s in agreemen t

abou t ho w th e missio n wil l b e conducted .

-17

-

# Us e o f

"Compassio n Flight^^ Identifie r an dCal l Sig n "Compassio n Flight " an dth e three-lette r identifie r "CMF " wer e assigne di n a s an Intemationa l Civi l Aviatio n Organizatio n (ICAO ) Radiotelephon y Designato r an dThre e Lette r

Identifier , respectively . Thes e tw o designation s ca n b e use dt o identif y aircraf t conductin g bon afide, non-profi t PAL S missions . The y ar e approve dfor

bot hdomesti c an dintemationa l flights. "PAL S Flight " an d"CMF " ar e no t t o b e use ddurin g apositionin g o r ferr y le g o f aflight whe n patients , supplies , o r

emergenc y persotme l ar e no t bein g transporte dimles s suc haflight le g ha s time constraint s suc htha t ther e migh t

b e anee dfo r

helpfu l (bu t

no t priority ) handlin g b y ATC . "Compassio n Flight " an d "CMF " als o canno t

b e use dfor

routin e personal , busines s o r commercia l flights. Filin g aFligh t

Pla n Pilot s filing aflight

plan for aPAL S flight

shoul dfollo w norma l flight pla n procedures , excep t

fo r th e followin g differences : 1 . I n th e bloc k

use dfor th e aircraf

t registratio n (tail ) number , th e pilo t shal l ente r

th e ICA O Three

Lette r Identifie r CM Ffollowe db y thre e additiona l character s o r numbers , consistin g ofth e fma l thre e character s ofth e actua l tai l numbe r ofth e aircraf

t t o b e used . 2 . A n exceptio n t o th e abov e applie s i f it i s know n tha t

anothe r aircraf t usin g th e sam e las t

thre e character s i n it s tai l numbe r migh t b e flying i n th e sam e area . In thi s cas e th e las t four character s woul db e use di n orde r

t o avoi dconfiision . (Th e bloc k ca n hol damaximu mo f

seve n characters. ) a . Fo r example , i f

an aircraft' s actua l tai l numbe r i s N-1234M , i n th e AIRCRAF T IDENTIFfCATIO N bloc k ente r CMF34M ; d o no t

us e th e incorrect , overion g entr y o f CMF1234M . b . I n th e REMARK S block , th e pilo t shoul denter , separate db y spaces , th e word s Compassion , followe db y th e full registratio n numbe r (i.e. , tai l number ) ofth e aircraft , followe db y PALS . Example : Compassio n N1234 M PAL S Note : AT C close s ou t

fligh t plan s b y tai l number , no t

b y cal l sign .

-18

-

# Us e of "Lifeguard " Identifie r

an dCal l Sign If ther e i s eve r

asituatio n wher e th e medica l conditio n ofth e patien t bein g flown b y aPAL S pilo t shoul d deteriorat e diuin g th e flight, o r othe r condition s occu r

that justif y expeditiou s handlin g o n apriorit y basis , the n changin g t o th e us e ofth e "Lifeguard " cal l sig n i n plac e ofCompassio n Flight " ma y b e appropriate . AT C ca n assis t

apilo t i n makin g tha t

decision . D o no t

hesitat e t o us e "Lifeguard " i f safety o r medica l necessit y warrant s it s use . Th e "Lifeguard " cal l sig n shoul dals o b e use dwhe n an orga n transplan t patien t o r dono r orga n i s o n boar d o r i f i t i s necessar y t o minimiz e th e flight time require dt o reac han airport fo r a n orga n pickup . Ai r Traffi c Contro l wil l expedit e th e handlin g o f aircraf t usin g alifeguar dprefi x t o thei r flight identifie r Thi s coul dresul t

i n othe r aircraf t bein g diverte dan dpossibl y grea t dismptio n o f

operation s bein g conducte db y othe r

users . It i s intende dfo r

us e onl y whe n expeditiou s flight handlin g i s required . 

## Cancellations , Change s an dDelay s Pilot s ar e free t o declin e t o fly an y assigne dflight, whethe r for weather , mechanica l problems , financial limitations , schedulin g conflict s o r persona l reasons . Safet y i s th e primar y concern . Pilot s ar e encourage dt o se t

thei r ow n persona l minimum s an drecogniz e thei r limits . The y shoul dfly onl y whe n the y feel completel y comfortabl e doin g so . A pilot' s decisio n t o depar t o n schedule , dela y th e flight o r cance l i t i s final. Shoul dit becom e necessar y t o cance l an assigne dflight, i t i s ver y importan t

tha t th e pilo t notif y bot h PAL S Missio n Coordinatio n an dth e patien t a s soo n a s possible . Th e mor e tim e PAL S ha s t o determin e i f anothe r pilo t ca n fly th e mission , th e better . It wil l als o allo w PAL S flight tim e t o handl e othe r

issue s relate dt o th e mission , suc ha s groun dtransportation . Notifyin g th e patien t a s soo n a s possibl e wil l maximiz e th e tim e availabl e t o hi mo r he r t o mak e othe r

trave l arrangements , shoul dtha t becom e necessary . It i s als o necessar y t o notif y PAL S an dth e patien t

a s soo n a s possibl e i f

ther e i s achanc e o r

dela y i n th e flight time s o r achang e i n an FB O tha t wil l b e used . Cancellation , change s an ddelay s affectin g assigne dflights ca n b e communicate dt o PAL S b y callin g th e mai n phon e numbe r

@ 888-818-123 1 o r

516-300-1660 , durin g norma l busines s hour s (8:30a.m . t o 4:30p.m . Monda y throug hFriday) . Outsid e norma l busines s hours , cal l PAL S at 1-888-818-123 1 an dyo u wil l b e automaticall y forwarde dt o th e Missio n Coordinato r

on-call . Som e additiona l phon e number s t o kee p i n a n emergenc y are : Eilee n Minogu e - Directo r o f Operation s 516-640-139 1 Kare n Krolikowski 516-640-139 0

- Missio n Coordinatio n Manage r -19

- D o MO Tus » emai l t o notif yPAL S o f fligh t cancellations , change s o rdelay s



### j ^

# Crisi s an dRis k Managemen t Th e purpos e o f

thi s communicatio n i s to : 1 . Provid e al l volimteer s withguideline s o n th e namr e o f a crisi s an dho w i t

coul daffec t

PALS . 2 . Provid e volunteer s wit hase t o f recommende dactio n step s an dcontac t

number s i n th e even t

o f a n emergenc y o r

crisi s whil e o n aPAL S mission . What i s th e potentia l impac t

o n PALS ? Th e mismanagemen t

o f informatio n o r

an y miscommunicatio n relate dt o a crisi s coul dlea dt o seriou s consequence s for PALS . Thes e risks include : Investigation s Lawsuit s Negativ e publicit y Traum at o patients , passenger s o r volunteer s Potentia l shutdow n o f

PAL S operation s I n orde r t o minimiz e suc hrisks i t i s essentia l that

astandar dapproac hb e adopte di n th e even t

o f acrisis . Definitions : Crisis ; A n even t

tha t coul dhav e atremendou s negativ e effec t o n ou r organizatio n i n th e press , i n th e courts , i n th e eye s ofth e genera l publi c an di n th e opinio n o f regulator s an dothe r

publi c officials . Accident : An occurrenc e associate dv^thth e operatio n o f an aircraf

t o r vehicle , whic htake s plac e betwee n th e time an y perso n board s th e aircraf t o r vehicl e withth e intentio n o f flight o r transportatio n an dal t

suc h person s hav e disembarked , an di n whic han y perso n suffer s seriou s injur y o r death , o r i n whic hth e aircraf

t o r vehicl e receive s substantia l damage . Incident : i s a n occurrenc e tha t may no t necessaril y rise t o th e severit y o f an accident . Seriou s Injury : i s an injur y requirin g hospitalization . Substantia l Damage : Substantia l damag e i s damag e whic hadversel y affect s th e operationa l capabilit y o f a n aircraf t o r vehicl e i n PAL S service . 

## Crisi s & Ris k

Managemen t

Do s an dDonets ? D o mak e patien t

car e an dcomfort

#1 priorit y D o Contac t

PAL S headquarter s immediatel y D o refer al l querie s t o PAL S headquarter s D o cooperat e withFAA/NTS B authoritie s D o stat e onl y fact s t o prope r authoritie s D o contac t you r insuranc e compan y However.. . D o NO T giv e medi ainterview s D o NO T speculat e o n caus e ofth e even t D o NO T apologiz e o r

admi t liabilit y

-20 -

## Missio n Photo s

Pilot s ar e requeste dt o provid e photo s t o PAL S ofth e pilot , patien t an dothe r

passenger s th e first time a particular patien t i s bein g transporte db y th e pilo t i n command , i f

appropriate , an di f

th e patien t

an dothe r passenger s agre e t o hav e thei r photo s taken . Th e preference i s for on e phot o insid e th e aircraf t showin g onl y th e patien t

an dpassengers , an don e outsid e phot o ofth e pilot(s) , patien t an dpassenger(s) . Th e photo s ar e bes t

take n withadigita l camer ausin g jpe g format . The y ca n b e sen t t o PAL S a s attachment s t o an email . Th e emai l shoul dinclud e th e missio n numbe r an dth e name s ofth e pi]ot(s) , patien t an dothe r passengers . A t th e botto mofth e habilit y releas e i s aplac e for th e patien t

an dothe r

passenger s t o initia l (o r

th e patient' s guardia n t o initial , i n th e cas e o f aguardia n authorization) . Thi s permissio n allow s PAL S t o us e th e patient' s an dothe r

passengers ' name s and/o r photograph s for

publi c relation s purposes . If th e patien t

an d othe r passenger s (o r

guardian , i n th e cas e o f

aminor ) d o no t

initia l thi s permissio n request , thei r name s an d photograph s wil l no t

b e used . Yo u may als o wis ht o provid e copie s ofth e photo s t o th e patient , eithe r a s har dcopie s o r

a s jpe g files E

maile dt o them . Man y patient s lik e havin g photo s a s souvenir s o f thei r PAL S flights, an denjo y sharin g the mwithfamil y an dfinends. 

## Fe e Waiver s an dFue l Discount s Many , bu t

no t al l - airport s waiv e landin g an dparkin g fee s for PAL S flights. Man y FBO s als o giv e fue l discount s for

PAL S flights. Yo u shoul dalway s ask . I t ma y prov e helpfu l t o hav e th e Pos t Missio n Repor t

i n han dwhe n requestin g fe e waiver s and/o r fuel discounts . Wearin g you r PAL S Fligh t

phot o I D badg e may als o prov e helpful . I n addition , bein g clearl y identifie da s aPAL S flight pilo t ma y mak e yo u eligibl e fo r othe r discount s and/o r

waivers .

-2 1 -

# Post-Missio n Procedure s

Th e pilo t i n comman di s requeste dt o file aPos t Missio n Repor t

(PMR ) onlin e withi n 4 8 hour s upo n completio n o f

you r mission . Fillin g i n you r missio n report s onlin e help s t o streamlin e th e proces s fo r th e missio n coordinatio n team , save s yo u tim e an dallow s u s t o provid e mor e accurat e informatio n a t th e en do f th e yea r fo r you r taxes . Th e dat afromth e missio n recor di s pulle dint o th e missio n repor t form , s o ofte n time s yo u onl y nee dt o ad d you r Hobb s time. B y trackin g th e tota l tim e yo u fly fo r PAL S fromyou r

hom e bas e bac k

t o hom e base , w e wil l b e abl e t o mor e accuratel y reflec t you r servic e donatio n i n ou r record s an dyours . T o fill i n yo u missio n repor t online :

• Logi n t o AFID S

• Clic k

o n th e lin k

"Fil e Missio n Report ' locate do n th e left-han dblu e colum n ofth e screen . Al l o f you r missio n leg s fo r

whic hther e ar e outstandin g missio n report s ar e liste dfo r you . • Chec k

amissio n le g an dthe n clic k "submit " t o fill ou t

th e missio n repor t

for mfo r tha t missio n leg . Repea t thi s proces s fo r

eac hofth e missio n leg s yo u hav e flown. Th e syste mprovide s aconfumario n pag e tha t yo u can prin t

fo r you r records . Yo u wil l als o hav e acces s t o astatemen t yea r roun da s wel l a s th e en do f th e yea r showin g th e hour s yo u hav e flown for PALS . • I f

yo u missio n wa s cancelled , d o NO T fill ou t amissio n report . Pleas e notif y th e Missio n Coordinato r

immediatel y b y callin g 1888-818-1231 , s o th e syste mca n b e corrected . -I f th e missio n appear s i n you r list , th e Mission s Tea mi s no t awar e tha t

th e missio n ha s bee n cancelled . Thi s i s very importan t t o kee p ou r monthl y missio n an dfinancia l reportin g accurate . • Ente r

th e Hobb s tim e fo r

th e whol e tri p (hom e bas e t o hom e base) , no t jus t th e flight

segment s wher e th e passenge r

wa s o n board . Th e tota l tim e i n ai r i s bein g tracke dfo

r PALS . • Sometime s severa l missio n leg s ar e complete di n asingl e flight. Fo r

example , yo u may hav e mor e tha n on e passenge r

goin g fromth e sam e origi n t o th e sam e destination , o r athree-legge dflight

withmor e than on e passenger . Yo u ma y grou p thes e missio n leg s int o on e missio n repor t b y checkin g eac hofth e missio n leg s tha t

wer e apar t

o f tha t flight. Ente r

th e Hobb s tim e fo r

th e trip . • Fo r

example , tw o passengers , Bil l an dMary , g o fromSM O t o SM A an dth e roun dtri p i s 1. 8 hours . Chec k th e bo x nex t

t o th e missio n le g for

Bil l AN D th e missio n le g for Mary . I n th e Hobb s tim e field, ente r 1.8 . Onl y grou p missio n leg s whe n the y wer e par t o f th e sam e flight . D o no t grou p missio n leg s tha t too k plac e O D dilTeren t

days . • Sometime s th e dat e ofth e missio n changes . Fo r example , yo u may dela y aflight du e t o weathe r

t o th e nex t morning . Ente r

th e ne w dat e i n th e missio n repor t form . Th e listin g wil l continu e t o sho w th e schedule d date , bu t othe r report s use dintemall y wil l reflec t th e correc t

date . -22 -Missio n Photo s

Missio n photo s i n jpe g format shoul db e sen t

a s emai l attachment s t o PAL S at www.palservices.org . B e sur e t o includ e th e name s ofth e pilot , patien t an dpassengers , th e dat e ofth e flight an dth e missio n number . Missio n Commentar y Patien t AirLif t Service s continuall y strive s t o improv e th e PAL S Fligh t experienc e for

patients , passenger s an dpilots . Pilot s ar e encourage dt o ai di n thi s proces s with : • Comment s o n ho w future flights coul db e mad e bette r fo r patient s an dpassengers . • Suggestion s o n ho w th e interactio n betwee n pilot s an dmissio n coordinator s coul db e improved . • Informatio n o n an y sigiufican t physical , medica l o r

behavio r problem s wit

hth e patien t

that coul d affec t future flights withthat

patient . • Heartwarming , interestin g o r humorou s anecdotes , especiall y thos e tha t woul db e suitabl e for

us e i n publi c relation s activities . • An y othe r

informatio n tha t

th e pilo t feel s i s relevant . Pleas e not e an y ofth e abov e o n yoiu ^ Pos t Missio n Repor t

i n th e comment s section .

-23 -PATIEN TAIRLIF TSERVICES t



# Attachment s

-25

-

# -A



# Pilo t Applicatio n Checklis t Thi s checklis t

shoul db e use da s atoo l t o hel p avoi ddelay s i n processin g you r application . Pleas e make certai n that AL Lofth e followin g i s forwarde do n t o Patien t AirLif t Service s after

yo u hav e complete dyou r onlin e application . 1 . Signe dcop y ofth e Pilo t Affirmatio n 2 . Copie s ofth e las t

few page s o f

logboo k showin g total hour s 3 . Photocop y o f

Curren t FA A Pilo t

Licens e 4 . Photocop y o f

Curren t Medica l Certificat e 5 . A cop y o f

you r lates t BF R(o r chec k ride) fromyou r

lo g boo k 6 . A cop y o f

you r lates t IP C (i f applicable ) fro myou r

lo g boo k 7 . Photocop y ofth e declaratio n pag e o f you r curren t aircraf t insuranc e polic y (yo u d o no t

nee dt o nam e u s additionall y insured ) 8 . Pleas e giv e u s you r siz e for Shirt Me dLX LXXL : 9 . Pleas e emai l acurren t digita l phot o o f

yoursel f (passport typ e headsho t desire dfor

I.D . badge ) t o eileen.minoguerfljpalservices.or g 10 . Pleas e mai l al l ofth e abov e to : Patien t AirLift Service s 12 0 Adam s Boulevar d Farmingdale , N Y 1173 5 o r fa x to : 888-818-123 1 o r 516-300-166 0 Pleas e note : Al l photocopie s and/o r scan s mus t

b e readabl e -26

-

# -B



# Patien t AirLif t Service s

I f yo u alread yhav e a password : Usemam e Passwor d Use rLogi n

Pcrgo t ycu r pjssivcd ' Or , i f yo u ar e amember : Membe rI D Las t Nam e Zi p Cod e Membe rLogi n

Or , logi n a s ou rguest : Gues t Logi n

-27 --C Patien t AirLif t Service s 24-hou rHotline : 888-818-123 1 Office : 888-818-123 1 Fax : 516-300-166 0 Missio n # : 101 5 MISSIO N DATE : 05/17/201 0 PATIEN TINF O

Name ; lac k

Smit h (Male ) DOB/Age : ( ) Weight : 20 0 Contact : Prim . Phone : Illness : Lodging : Destination : Socia l Wkr : Passenge rRequester-US E THI S ON E

Passenge rRequesto r Missio n Itinerar y Primar yCoordinator : Date : 05/14/201 0 Appointmen t Date/Time : 1 1 a m (nee d Address : 12 3 mai n

anytown , NY Language : Bes t Contact :

Other : Email : dd@creative.co m Treatin g Physician : Releasin g Physician ; Phone :

Le g 1 : Patien t AirLif t Service s - - 888-818-123 1 FROM : MMU(ET ) GM T- 5 ~>ETD : TO : BOS(Fr ) GM T- 5 ~>ETA : Pilot : Ala n Pilo t —>Aircraft : C18 2 Airpor t Name : Morristow n Mun i City/St : Morristown , N J FBO : FB O Phone : Airpor t Name : Genera l Edwar d City/St : Boston , MA Lawrenc e Loga n FBO : FB O Phone : Phone : Work : (973 ) 974-xxx xHome : (908 ) 955-xxx xFax : (973 ) 974-xxx x Celll ; (949 ) 289-xxx xEmail : xxxxessam@yahoo.co m Secondar yEmail : a Ian . p i lot@ ) palservices.or g N Number : N-xxx xIce : N o COMPANION S AN D MISSIO N WEIGH T Companio n nam e Relationshi p DO B Weigh t Baggage : norma l 2 5

Tota l Missio n Weigh t (|>assenger , com|>anion(s) , baggage) : 22 5 Phon e

-28 -PATICN TAIRLIF TSERVICES l 

# -D



# Patien t AirLif t Service s

Retur n t o th e Missio n SLimmar y



### -29

-