THOMA S A . TWOMEV . I R

•JTEPHrN i B LATHA M JOHN F SHEA . Il l CHRISTOI'HE R D . KEUE > hlVIC l M DLIPJN O JA V rtiLIARTARARO t PETE R M MOI T IANIC E L . J;NEA D ANN E MARI E HOODAL E HRYA N C VA N COTT * KATHRY N DALL I LAUR A I DL'NATHA N A LIS A r.LAR E k'OMBRIN K PATRK: KP HIF E KELL Y E k;iNIHON S LAURE N E . STILE 3 r^TBH'1 1 I RUSSEL L BARBAR A L HAL L REZ A i:BRAHlM I BRYA N I , DRAG O lOH N A OTT(.!t * OFilHiMSE L KEHt^£Tl i P LAVALI. E KEVI N M FO

X KARE N A.HilE G O -J V \ Lf . bt» s • ) L I M I N r^i.Mio s • «• ! S S | imi i

OTHfe R OhT-l i t LOi'VTION S 1 0 Mai n Stree t East Hampron . N Y ]\9 M 631.12 4 IZO

O 5 1 Hil l Stree l Souihampci'n , N Y (196 8 611.287.1X19 0 •tWWhw.'rrR.ia J Suit K565 G Halippau;;c , N Y 1178 6 631.26 5 141 4 56H 0 Ma m Ro.i J r.O . B. W 32 5 Southold , N Y 1197 1 631.765.210 0 

## Twomey , Latham ,

Shea , Kelley , Dubi n & Quartarar o LL P

- . = ATTORNEY S A T LA W [•.heal " sullollvku v .roti i Februar y 6 , 201 2 MAILIN G AHCIRESS : Pos t OtYic e Bo x 939 8 Riverhead , Ne w Yor k

11W].939 8 MAI N OFFK:E : 3 3 Wes t

Secon dStree t RiverheLul . Ne w Yori c 11901-939 8 Telephone : 631.727.218 0 P.icsimi[e : 631.727.176 7 www.so t tolUaw.co m b y Federa l Expres s 

### Docke t Managemen t Facilit y U.S . Departmen t o f Transportatio n 120 0 Ne w Jerse yAvenue , S E Wes t Buildin g Ground Floo r Roo mW12-14 0 Washington , D

C 2059 0 C O 

### Re : Part s 11 9 an

d 13 5 O f Titl e 14 , Ai r Carrie r an d Commercia l Operato r Requirement s Attachment : Petitio n Fo r Exemptio n Fro mTh e

Applicatio n O f Ai r Carrie r And Coimnercia l Operatio n Requirement s T o AVoluntee r Pilo t Organization' s Us e O f ADonate d Aircraf t Dea r Administrator : Enclose d fo r filin g i s a Petitio n Fo r Exemptio n fro m Part s 11 9 an

d 13 5 o f Titl e 1 4 fo r Patien t AirLif t Services , Inc . Pleas e dat e stam p th e extr a copyo f th e Petitio n an

d retur n i t t o m e i n th e enclose d self
addresse d Federa l Expres s envelope . Than k you . Ver ytrul yyour s Joh n w . She a JFS:j s enc .Patien t

AirLif t Service s 12 0 Adani s Boulevar d Farmingdale , Ne w Yor k 1173 5 (888)818-123 1 Voic e an dFa x \ \W W .j)itls<'r\icc.s.of

y Changin g th e world , on e flight a t atime.. . 

### Boar do f Director s JO E HOWLE Y CHAIRMA N JOH N ROCHELL E VICE-CHAIRMA N 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 T PAIG E JAME S PLAT 2 RUTHANN E RUZIK A PETE R RYA N JOH N SHE A 

### P " Januar y 31,201 2 Docke t Managemen t

Facility 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 : Part s 11 9 an d13 5 O f Titl e 14 , Ai r

Carrie r an dCommercia l Operato r Requirement s Attachment : Petitio n Fo r Exemptio n Fro mTh e Applicatio n O f Ai r Carrie r An dCommercia l Operatio n Requirement s T o A Voluntee r

Pilo t Organization' s Us e O f

A Donate d Aircraf t Dear Administrator : I n accordanc e wit

h 1 4 CF R§ 11.63 , Patien t AirLif t Services , Inc. , anot-for

profi t corporation engage di n charitabl e medica l ai r transpor t

for ambulatory outpatient s an dthei r

escorts , respectfull y submit s th e attache dPetitio n for a n exemptio n fo r

th e us e o f

donate daircraf

t for it s charitabl e wor

k fromth e regulation s o f Part s 119an d13 5 regardin g ai r carrie r an dcommercia l operators . 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 d o f Directors : Josep h Howle y Chairma n o f

th e Boar do f

Director s Patien t AirLif t Services , Inc . 120 Adam s Boulevar d Fanningdale , N Y 1173 5 E-mall : Joe.Howle>{^^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 Rlverhead,N y 1190 1 E-mail : JShea@suffolklaw.co m T : (631 ) 727-2180 , Extensio n 22 4 Ver y trul y yours , JH:j s enc . Josep h Ho w fe yUNITE D STATE S DEPARTMEN T O F TRANSPORTATIO N

FEDERA L AVIATIO N ADMINISTRATIO N X I n Th e Matte r

O f Th e Petitio n O f

PATIEN T AIRLIF T SERVICES , INC . Fo r A n Exemptio n Fro mCertai n Provision s of Par t 11 9 an dPar t 13 5 O f Titl e 1 4 Cod e Of

Federal Regulation s X

PETITIO N FO REXEMPTIO N FRO M TH E APPLICATIO N O F AI RCARRIE RAN D COMMERCIA L OPERATIO N REQUIREMENT S T O A VOLUNTEE RPILO T

ORGANIZATION' S US E O F DONATE D AIRCRAF T

Summar y o f

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

"Patien t AirLift") . i s anot-for-profi t voluntee r pilo t organizatio n ("VPO" ) wit h approva l fro mth e Interna l Revenu e Servic e a s a charitabl e organization , pursuan t t o Interna l Revenu e Cod e ("IRC" ) Sectio n 501(c)(3) . Th e primary purpos e of

PAL S i s t o serv e children , adult s an dhumanitaria n organization s b y arrangin g fre e ai r

transportation t o b e provide db y other s fo r

acces s t o healt

h car e an dfor

othe r humanitaria n purposes . Copie s of PALS ' Certificat e of

Incorporatio n an dIR C Sectio n 501(c)(3 ) approva l fro mth e Interna l Revenu e Servic e are attache da s Exhibit s "1 " an d"2" . PAL S receive s n o compensatio n for

suc h flights , whic h w e provid e free of charg e t o person s base do n thei r financial nee dan dmedical requirements . A privat e part

y ha s donate da

n aircraf t (Beechcraf

t Bonanza , N5463D ) to PAL S fo r us e b y PAL S o n flight s fo r

administrativ e purposes , a s wel l a s charitabl e flight s transportin g patient s an dmember s o

f th e military t o or

fro mdistan t

specialize dmedica l evaluation , diagnosti c services , o r

treatment . I

t i s unclear

whethe r suc h us e of

adonate daircraf

t i s subjec t

t o th e provision s of

th e regulation s i

n Title 1 4 of

th e Cod e of

Federa l Regulation s i

n Par t 119 , regardin g th e operatin g requirement s for air carrier s and/o r

commercia l operations , an di n Par t 135 , regardin g th e requirement s fo r equipment .PAL S believe s i t i s i n th e public' s interes t

to allo w PAL S t o us e donate daircraf t for charitabl e an dadministrativ e flight s i n th e sam e manne r

that aircraf t belongin g t o ou r

voluntee r pilot s are used , withou t

bein g subjec t

t o th e extremel y burdensom e an dcostl y requirement s i n Part s 11 9 an d13 5 that

woul dappl y t o "ai r

carriers " and/o r

"commercia l operators. " Accordingly , o n th e assumptio n tha t Part s 11 9 an d13 5 woul dotherwis e appl y t o PALS ' propos e us e of

donate daircraft , PAL S hereb y petition s for a n exemptio n fro mth e provision s of th e regulation s i

n Titl e 1 4 o f

th e Cod e of

Federal Regulation s i

n Par t 119 , regardin g th e operatin g requirement s for ai r carrier s and/o r

commercia l operations , an di n Par t 135 , regardin g th e requirement s fo r

equipmen t

an dpilot s for

ai r carrier s and/o r

commercia l operations . If , o n th e othe r

hand , th e FAA' s revie w o f thi s petitio n lead s th e FA A t o conclud e that th e us e of donate daircraf

t fo r th e charitabl e purpose s of PAL S i s no t

subjec t t o th e requirement s i n Part s 11 9 an d13 5 regardin g ai r carrie r and/o r commercia l operations , the n PAL S request s a writte n opinio n fro mth e FA A t o tha t effect , s o tha

t PAL S ca

n operat e withou t

fea r of bein g i n violatio n of

th e FA A regulations . REASON S FO RREQUESTIN G TH E EXEMPTIO N Member s of

PALS ' staf

f trave l significan t

distance s t o mee t

wit h hospita l administrators , socia l workers , clinics , individua l physician s an dpatient s t o establis h patien t referral system s an drelationship s an dt o coordinat e actua l patien t transport . Th e coordinatio n wit h th e hospital administrators , social workers , physician s an dclinic s i s extremel y importan t t o deliverin g thes e fre e transportation service s t o patient s i n financial need . Unti l now , PALS ' staf

f hav e been dependen t

o n th e availabilit y o f

voluntee r

pilot s an d thei r aircraf t fo r suc h trips , o r

hav e ha dt o driv e lon g distances , o r us e publi c transportatio n t o atten dsuc h meetings . Th e us e of th e recentl y donate dprivat e aircraf t coul dgreatl y facilitat e th e wor k o f ou r staff . O n occasion , whe n othe r aircraf t ar e no t available , adonate daircraf t coul dals o be use d for aPAL S charitabl e flight . Th e aircraf

t ca n b e pilote db

y th e voluntee r

pilot s wh o otherwis e mee t PALS ' stringen t criteria , o r

on e of th e PAL S staf

f members , i

f tha t staf f membe r meet s th e sam e rigorous qualification s that

w e requir e of

ou r voluntee r

pilots . I f th e FAA wer e t o interpre t Part s 11 9 an d13 5 a s applicabl e t o PALS ' us e o f donate d aircraft , then , withou t

th e requeste dexemption , PAL S woul dhav e t o incu r substantia l expens e t o hav e th e aircraf

t compl y wit

h requirement s applicabl e to ai r carrier s an dcommercia l operators , and , i n addition , th e aircraf

t coul db e operate donl y b y commercia l pilot s meetin g th e FA A requirement s for

suc h operations . W e believ e th e requeste dexemptio n i s i n th e public' s interest , sinc e i t will greatl y facilitat e ou r

ability t o ensur e that

patient s i

n financial nee dwill b e abl e t o ge t essentia l medical care , sometime s of

alif e savin g nature , an dt o conduc t othe r humanitaria n flights .Th e FA A recentl y grante da

n exemptio n to PAL S fro m§ 61.113(c ) o f Titl e 1 4 of

th e CFRto allo w reimbursemen t o f it s voluntee r

pilot s for

fue l cost s incurre di

n conductin g PALS ' charitabl e flights . (Exhibi t "3" ; Exemptio n No . 10294 , Regulatory Docke t No . FAA-20-0324. ) Th e FAA exemptio n recognize dtha t th e humanitaria n effort s of voluntee r

pilo t organization s ar e commendable , an dhistorically , th e FA A ha s trie dt o encourag e thi s kin do f volunteeris man d publi c servic e for

th e commo n good . Similarly , a

n exemptio n t o allo w th e us e o f donate daircraf

t b y ou r voluntee r

pilo t organizatio n wil l increas e th e ability of PAL S t o carr

y ou t it s charitabl e an dhumanitaria n works , and , a t th e sam e lime , ensur e that suc h flight s ar e conducte dwit h enhance daviatio n safet y a s a resul t o f PALS ' extremel y stringen t requirement s fo r

it s pilots . Attache da s Exhibi t "4 " i s acop y of th e pilo t registratio n for

muse db

y PAL S t o registe r

onl y qualifie dvoluntee r pilot s an dto schedul e flights . Als o attache da s Exhibi t "5 " i s acop y of

PALS ' Pilo t

Manual . PAL S CHARITABL E FLIGHT S Flight s arrange db

y PAL S ar e dedicate dt o charitabl e purpose s wit h ademonstrabl e publi c benefit . Example s o f charitabl e flight s b y PAL S include , bu t ar e no t limite dto , th e transpor t of patient s an descort s t o distan t specialize dmedical facilitie s o r place s of

car e an d rehabilitation . PAL S als o help s familie s of servicemen , i.e. , eithe r

transportin g famil y member s o r serviceme n t o eac h othe r durin g th e cours e of

servicemen' s medica l care . A PAL S pilo t mus t not e i n hi s o r her fligh t lo g th e charitabl e purpos e o f th e flight . N o payment s of

an y kin dar e eve r

mad e t o PALS , t o an y PAL S voluntee r pilots , o r t o an y othe r part y o r entity fo r

th e conduc t

of th e flight s facilitate db y PALS , othe r

tha n fue l reimbursemen t

payment s t o voluntee r pilot s i n accordanc e wit

h th e FAA' s Exemptio n No . 10294 . (Exhibi t

"3". ) TH E PUBLI C INTERES T I N GRANTIN G TH E REQUESTE D EXEMPTIO N I f PAL S i s abl e to us e donate daircraf t fo r (1 ) flight s t o carr y ou t

it s administrativ e tasks , an d(2 ) flight s fo r

patien t o r serviceme n transport , i

t woul dgreatl y enhanc e ou r voluntee r

pilo t organization' s abilit y t o carr y ou t it s charitabl e mission . Tha t woul ddirectl y benefi t

th e public . IMPROVE D SAFET Y Sinc e PAL S propose s t o operat e adonate daircraf t onl y wit h pilot s wh o mee t

th e high standard s establishe db

y PAL S fo r

it s operations , i

t woul daugmen t

acultur e of

safet y an d increas e documentatio n of pilo t compliance , a s wel l a s VP O compliance , wit h safet y mandates . B y grantin g th e requeste dexemptio n t o PALS , th e FA A wil l furthe r

promot e it s safet

y an d regulatory objective s throug h ou r voluntee r

pilo t organization .CONCLUSIO N

Accordingly , i

f th e FA A determine s tha

t Part s 11 9 an d13 5 woul dotherwis e appl y t o PALS ' us e of

donate daircraft , PAL S request s a n exemptio n fro mth e applicatio n of th e requirement s fo r

ai r carrier s and/o r

commercia l operation s t o PALS ' us e of donate daircraf

t fo r PAL S administrativ e wor k an dflight s for

charitabl e an dhumanitaria n purposes .

Respectfull y submitted . PATIEN T AIRLIF T SERVICES , INC . A ByN ^ JosephTIowIey , OnQirma n 12 0 Adam s Boulevar d Farmingdale , N

Y 1173 5 (888)818-123 1N . Y . S . DEPARTMEN T O F STAT E DIVISIO NO F CORPORATION S AN D STAT E RECORD S FILIN G RECEIP T ALBANY , N Y 12231-000 1

ENTIT Y NAME : PATIEN T AIRLIF T SERVICES , INC . DOCUMEN T TYPE : INCORPORATIO N{NOT-FOR-PROFIT ! TYPE : B COUNTY : NAS S FILED:04/13/201 0 DURATION:PERPETUA L CASH#:10041300033 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 9 3 9 8 RIVERHEAD , N Y 11901-939 8 ADDRES S FO R PROCESS : EXIS T DAT E 04/13/201 0

TH E CORPORATIO N 2 0 5 ATLANTI C AVENU E MASSAPEQU APARK , N Y 1176 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 7 5

0 0 1 0 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 8 5 0 0 0 8 5 0 0 .0 0 0 0 0 0 0 0 0 0 0 0 0 0 DOS-102 5 (04/2007 )

# STA T E O F NE W YORK

DEPARTMENT O F ST

A TE I hereb y certif

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

i n th e custod y o f

th e Secretar y o f

Stat e an dtha t

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

sai doriginal .

•••••• ,



# '••-.^^ T o\. y WITNES S m y han dan dofficial sea l 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 Secretar y o f

Stat e

Rev . 05/0 9

# DC-0 8 1004130«0'\'^ ^ CKRTIFICATF . O F INCORPORATIO N

O F Patien t AirLif t Services , Inc . Unde r Sectio n 40 3 n f

the Nol-for-Prof

u Cnrporatin n Lau

Tlie undersigned , fo

r the purpose s o f

formin g acoiporaiio n unde

r Sectio n 40 2 of

the Noi

For-Proti i Corporatio n Law . certifie s that : FIRST : Th

e nam e o f the 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 (a)(5 ) o f Sectio n 10 2 (Definitions ) o f

the Not-for-Profi

t Corporatio n Law . THIRD : Th

e corporatio n i s organize dexclusivel y fo r charitable , educational , an d scientifi c purposes , including , fo r such purposes , the making o f distribution s t o organization s (ha

t qualif y a s exempt

organization s unde

r sectio n 50 1 (c)(3 ) of

the Interna

l Revenue Cod

e o f 1954 . a s amende d(hereinafte r "IRC") , an

dth e regulation s promulgate d thereunde r C*th e Regulations") , o

f th e correspondin g sectio n o f an y futur e Fedeni l ta

x code . Suc h purpose s shall include , servin g children , adults , an dhumanitaria

n organization s b

y anangin g fre

e ai r iransTWrtatio

n lo b e provide db

y others , to r

acces s to healt h car e an dfo r othe r humanitaria

n purposes , an

dt o do an y othe r ac t o v thin g incidenta l l o o r connecte dwit

h the foregoin

g purpose s or

i n ad\anccnien t

thereof , bu t no ! fo r th e pecuniar

y benefi t or gai n o f it s members , director s o

r officers , excep t

a s permitte d under Articl e 5 o f

th e Nui-For-Profi l Corporatio n Law . Nothin g herei n shal l authoriz e th e corporation , directly o r indirectly , t o engag e I

n or includ e amon g it s purposes , an

y o f th e activitie s mentione di

n sectio n 404 <a)-{w

> o f the Not-For-Profit

Corporatio n Law , or sectio n 460- aol'ih e Socia

l Service s law . FOllRTH : Th

e corporatio n shall b

e atyp e B corporation , pursuan t l o Sectio n 20 1 o f th e Not-for-Prot~ aCorporatio n Law . FIFTH : Tlie offic e o f the corporatio n i s t

o be locate di

n th e Count

y o f Nassau , i n th e State oCNe

u York . SIXTH : Th

e name s un O addresse s o f

tli e initia l director s o f

the corporatio n are : { . Joseph I lowlc y 2 5 Dubli n Hil l Road . Greenwich . C T 0683 0 5 Pon dVie w Road . Chester . N

J 0793 0 31 9 Wes t Lyo n Farm . Greenwich . C

T 0683 1 2 3 Roger s Road . Fa

r Hills . N J 0793 1 2 Grea t Fall s Plax-a

. Auburn . .M

E 0421 0 I2r , (ieiiir dDrive . Fas i Ihmiplon . N Y 11^3 7 2 . 3 . 4 . 5 . 6 . Ala

n Sheines s Pete r Rva n Joh n Rochell e Jame s Plat z Harol d1 .e\v



### inn4i:^nnn77 R7 . Rhod z Kupferber

g 1 Aver

y Street , Uni

t 29D . Boston , M

A 0211 1 8 . Joh n SheaP.O . Bo x 1413 . Eas t

Hampton . N

Y 1193 7 SEVENTH ; Th

e Secivtar y o f Slat e i s designateda s agen

t o f the corporatio n upo

n who mproces s agains t

the corporatio n ma

y be served . Th

e addres s t

o whic h th e Secretar

y o f Stat e shall mai l acop y ofan y proces s acceptedo n behalf ofih e corporatio n is : Patient AirLif t Services . Inc . 20 3 Atlanti c Avenue Massapcqu aPark , N

Y 1176 2 FJGHTH : Notwilhslandin g an y othe r provision s o f

thi s Certificat

e of Incorporation . the Corporation shall no t

(i ) conduct

o r carr y o n an y activitie s no

t pemiiite dt

o b e conductedor

carrie do n b y a n organizatio n exempt

unde r sectio n 50 1 {c)(3)o f

the IR C an dth e Regulation s thercuntler . (ii ) mak e contribution s t

o an y organizatio n whic

h engage s i n such proscribe dactivities , o r (iii ) engag e i

n activitie s which arc prohibite db y a n organization , contribution s lo whic h ar e deductibl e unde

r sectio n 17

0 (b X 1 HA ) of th e IR C an dthe Regulation s thereunder . NINTH : N

o substantia

l par t of the activitie s o f

the corporatio n shall b

e curr\'in g o n propaganda , or

otherwis e attemptin g to influenc e legislatio n (excep t a s otherwis e providedb y IRC sectio n 50 1 (h)) , an

dth e corporatio n shall not

participat e in . or interven e i n (includin g th e publicatio n or distributio n o f

statements) , an

y polUica t campaign o

n behalfo f (o r i n oppositio n to ) m y caiididat c to r publi c office . TENTH : N o pan o f

th e ne t earning s ofth e coiporatio n shall inur e t o th e benefit

o f an y member , trustee , director . olTice r ofth e corporation , o

r an y privat e ijidividuu

l (except tha t reasonabl e compensatio n ma y be pai dfo

r service s rendere dt

o o r fo r th e corporation) , an

dn o member , trustee , office r ofth e corporatio n ofan y privat e individua

l shal l b e entitle dt o shar e i n th e distributio n ofan y ofth e corporation' s asset s o n dissolutio n ofth e corporation . ELEVENTH : Th e corporatio n shall hav e aulliorit y to accep t

a s contribution s persona l pix)pcn y an drea l property , an

dt o receive , administer , maintain us e an demploy , i n whol e o r

i n part , it s income funds , securitie s an dproperty , rea

l and/or personal , a s a

n associatio n organize dan

doperate dexclusively fu

r charitabl e an

deducationa

l an dothe r non-profitabl e purpose s beneficia l t o Ui e pubhc . a s such temi s an

dpurpose s ar

e use dan d definedI n or i n connectio n wit

h sectio n 50 1 (c)(3 ) ofth e IRC . an dth e Regulations , an

d to pursue suc

h object s an

dpurpose s cithe

r directly or

b y contributio n lo organiz;tlion s whic h qualif y a s exemp t

organization s pursuan

t lo the cod e an dth e Regulatitms . TWELFTH : Ih c private propert y o f the dirccioi- s an

dofficer s of

the corporatio n slial

l not b e subject to paymen

t ofth e corporat

e debt s t o an y extent whatsoever .

# 100 4 1300 0 T\ \

Certificat e o f Incorporatio n

o f Patien t AirLif t Services , Inc .

Unde rSectio n 40 2 ofth e Not-for-Profi t Corporatio n La w STAT E C' F HE W YCtP. K Di^FvVnMtNTG F STAT E

I t- 1 LI . i-- * 

### Af R 1 3 201 9 TAX$ . EY: ,

File d By : Twomey , Latham , Shea , Kelley , Dubi n & Quartararo , LL P 3 3 Wes t Secon d Stree t - P.O.Bo x 939 8 Riverhea d N Y 11901-939 8 ^ 

# D.C.-0 8 BOUTIN E



# DRAWDOW N 2 4 HOUR • SAM E DA Y

• 2 HOU

R 

# ^3 rINTERNA L REVENU E SERVIC E

P . O . BO X 250 3 CINCIN>IATI , O H 4520 1 'JEPARTMSN T O F TH E TREASUR Y

Dat e 

## MAY 

## 1 1 201 0 PATIEN T AIRLIF T SERVICE S IN C 2 0 5 ATLAfJTI C AV E MAGGAPEQU A PARK , M Y 117i5 2 ET.jjioye r IdeP.'ciCicacio n Nui^ilje r • 27-237002 8 DL. N• 1''053120J1300'- J Conzac C Perso: : : RENE E RAILE Y NORTO NZDi r 3Ji7:- ! Contac^ , Telephon e Number : (877 ) 829-550 0 Accountin g Perio d Ending ; Decembe r 3 1 Publi c Charit yStatus ; 170(b}(1)(Al(vi ) Forrr ' 99 C Required : Ye s Effectiv e Dat e o f ExempLio:i : Apri l 13 , 2C1 0 Con::rilrutio n H'eriuc t i b L 1 . c y Ye s Addendu mApplies : N o

Dea r Applicant : W e ar e please d t o informyo u cna t upo n revie w o f you r applicatio n fo r ta x exemp t StaLut i w e havi s dccevmin-e d -ha C yoi- i ar( = e>-Gfnpt : fro mFt^dp^r^ l i.ncoi'i e ta:. : unde r sectio n 501{ d (3 ) o f Ch e InCerna l Revenu e Code . Contribution s t o yo u ar e deduct ! bi e unde r sectio n 17 0 o f t.h. e Cod e . Yo u ar e als o gua l i f ie d z o receiv e ta x deductibl e bequesii s , devise s , t ran s f e r s o r gift s binde r te'-'t : o r 252 2 o f th e Cod e . Becaus e chi s l^itt-e r coul d h-^l p resol-.^ e an / qa'^sl;:Lon. s regardin g you r exerrp i status , yo u shoul d kee p i t i n you r permar t c t d' J r Organization s exemp t unde r sectio n 501(c)(3 ) o f th e Cod e ar e furthe r classifie d 3 S eitiie r publi c charitie s o r privat e foundations . W e determine d tha t yo u ar e a publi c charit yunde r th e Cod e seccion(s ) liste d mth e headin g o f thi s letter . Pleas e se e enclose d Publicatio n 4221-PC , Complianc e Gu^d e fo r S 0 1 (C 1 '-J, ] Publi c Charities , fo r som e helpfu l informatio n abou t you r responsibilitie s a s a n exemp t organization •

1 4 . DO , c ;PATIEN T AIRLIF T SERVICE S IK C Sincerely ,

Rober t Cho: L Director , Exenp t Organization s Ruling s an d Agreement s Enclosure : Publicatio n 4221-P C

Lette r 9 4 ' (DOC '

# Q

U 5 Deportmen f 80 0 independenc

e Av e S W ofTronspOftalo n Washington . D C 2059 1 Federa l Aviatio n Administratio n .lune22.20 n Exemptio n No . 1029 4 Regulatory Docke t

No . FAA-2011-032 4 Mr , Josep h Howle y Chairma n ofth e Boar do f Director s Patien t AirLif t Services , Inc . 12 0 Adam s Boulevar d Farmingdale . N Y 1173 5 Dea r Mr . Howley : Thi s lette r

i s to infor

myo u that

w e hav e grante dyou r

reques t for exemption . I

t transmit s ou r decision , explain s it s basis , an dgive s yo u th e condition s an dlimitation s ofth e exemption , includin g th e dat e i

t ends . Th e Basi s fo r

Ou r Decisio n B y lette r date dMarc h 24 , 2011 , yo u petitione dth e Federa l Aviatio n Administratio n (FAA ) o n behal f o f Patien t AirLif t Services , Inc . (PALS) , fo r a n exemptio n fro m§ 61.113(c ) o f Titl e 14 , Cod e o f

Federa l Regulation s (1 4 CFR ) t o th e exten t necessar y t o allo w fo

r reimbursemen t

o f it s voluntee r

pilot s fo r fue l cost s incurre di

n conductin g charitabl e flights. Th e FA A ha s determine dtha

t goo dcaus e exist s fo

r no t publishin g asummary ofth e petitio n i n th e Federa l Registe r

becaus e th e requeste dexemptio n woul dno t se t aprecedent , an dan y dela y i n actin g o n this petitio n woul db e detrimenta l to PALS . Th e FAA ha s issue dgrant s o f exemptio n i

n circumstance s similar

i n al l materia l respect s to thos e presente di n you r

petition . I

n Gran t o f Exemptio n Nos . 1000 9 an d1001 9 (copie s enclosed) , th e FA

A foun dthat

th e humanitaria n effort s o f thes e pilot s wh o voluntee r thei r tim e an dpilotin g service s ar e commendable , an dth e FAA want s t o encourag e this kin do f volunteeris man dpubli c servic e fo r th e commo n goo do f

ou r citizens . Th e FAA recognize s th e fac t o f risin g cost s for

fue l an daircraf

t operatin g expenses ; however , whe n mone y i s exchange dfor

transportation , th e publi c expects , an dth e FAA ha s adut y t o demand , ahighe r leve l o f safet y for th e flying public . Th e FA A believe s b y requirin g th e petitioner s an dthei r AFS-n-314- Epilot s t o compl y with th e condition s an dlimitation s se t fort h i n thi s gran t

o f exemption , th e FA A ca n ensur e that

ahighe r leve l o f aviatio n safet

y fo r th e flying publi c wil l b e maintained . Havin g reviewe dyou r

reason s fo

r requestin g a

n exemption , I fm

dthat — • the y ar e similar

i n al l materia l respect s to relie f previousl y requeste di

n th e enclose dGran t o f Exemptio n Nos . 1000 9 an d10019 ; • th e reason s state db

y th e FAA fo

r grantin g th e enclose dGran t o f Exemptio n Nos . 1000 9 an d1001 9 als o appl y t o th e situatio n yo u present ; an d • agran t

o f exemptio n i s i

n th e publi c interest . Ou r Decisio n Unde r th e authorit y containe di n 4 9 U.S.C . 4011 3 an d44701 , whic h th e FA A Administrato r ha s delegate dt o me , I hereb y gran t Patien t AirLif t Services , Inc. , a

n exemptio n from 1 4 CF R§ 61.113(c ) t o th e exten t necessary t o allo w fo

r reimbursemen t

o f it s voluntee r

pilot s fo r fue l cost s incurre di

n conductin g charitabl e flights , subjec t to th e condition s an d limitation s describe dbelow . Condition s an dLimitation s 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 a n annua l rene\v'a l requiremen t

an densure s tha t

onl y qualifie dpilot s wh o ar e registere d an dtraine dconduc t

charitabl e flights. Thi s proces s mus t includ e amean s to verif y registratio n prior

t o flight; b . On-fil e documentatio n authenticatin g registere dpilots ' experience , ratings , FAA 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, a t 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 cunenc y requirement s establishe db y th e FAA an dal l condition s an d limitation s se t

fort h i n this exemptio n an dwil l conduc t th e flight

i n accordanc e with al l applicabl e Federa l regulations ; an d d . A file o f

al l flight an dreimbursemen t

record s that

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

r 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 FAA may . a

t an y tim e o r place , conduc t

inspection s ofth e pilot(s ) an daircraf t bein g flown i

n accordanc e wit

h 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 ) tha

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

h n o les s than 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 ofan y multiengin e aircraft , aminimu mtotal 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 ofan y turbine-powere daircraft , aminimu mtotal tim e o f 1,00 0 hour s a s PIC , aminimu mo f 100 hour s i

n turbine-powere daircraft , an da minimu mo f

5 0 hour s i

n th e specifi c make 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

months immediatel y precedin g th e mont h ofth e flight; f . Minimu mo f

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

dual flight

trainin g wit

h acertiflcate dflight

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

t o th e mont h ofth e flight; g . Mus t hol da2n dclas s medical certiflcat e (pe r § § 61.23(d)(2)(i ) an d61.2) ; h . Mus t hav e acurren t

flight revie w (pe r

§ 61.56(a) ) i

n th e sam e aircraf

t categor>' , 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 categor> % 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 months prio r

to th e flight, th e piiot(s ) mus t hav e logge da

t leas t thre e takeoff

s an dthre e landing s t o aful l sto p i n th e sam e aircraf t category , class , an dtyp e (i f at>'p e ratin g i s required ) bein g flown. However , this conditio n ma y b e accomplishe db

y loggin g a

t leas t thre e takeoff

s an dtlire e landing s t o aful l sto p a t nigh t withi n th e precedin g 3 calenda r

months 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

this exemption , th e pilo t mus t b e curren t

fo r nigh t operation s (pe r

§61.5 7 (b) ) i n a

n aircraf t ofth e sam e category , class , an dt>'p 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

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

- consecutive-hou r

duty da y period ; b . N o pilo t

ma y perfor maduty da

y i n exces s o f

1 2 consecutiv e hour s ( adut y da y start s whe n th e pilo t

arrive s a t th e airport

an dbegin s preparatio n for th e flight an dterminate s upo n completio n ofth e pos t flight ofth 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

a t leas t 1 2 hour s before conductin g anothe r flight. 5 . Passenge r

an dmedical cre w briefin g requirements : Prio r to eac h takeoff

, 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 following : 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 what condition s smokin g i s allowed ; c . Us e o f

safet y belts , shoulder

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

what condition s i

t i s necessary t o hav e hi s o r he r safet y bel t and , if installed , hi s o r

he r shoulde r harnes s fastene dabou t

hi mor her ; d . Th e placemen t

o f seat back s i n a n uprigh t positio n befor e takeof

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

entr y doo r an demergenc y exits ; f . Locatio n o f

surviva l equipment ; g . Us e o f

normal an demergenc y oxyge n installed ; h . Locatio n an doperatio n o f tir e extinguishers ; an d i . Prio r t o eac h takeoff

, th e PI C mus t

ensur e tha

t th e patient , wh o ma

y nee dth e assistanc e o f

anothe r perso n to exi t

th e aircraf

t i f a n emergenc y occurs , ha s receivedabriefin g a s t o th e procedure s to b e followe di f a n evacuatio n occurs , 6 . Pilo t training : Th e exemptio n holde r mus t establis h a

n 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 fo

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

edifio n ofth e Aircraf

t Owner s an dPilot s Associatio n Ai r Safet y Foundafio n Nai l Report ; d . Hig h ris k

phase s o f

flight— i . Takeof

f an dclimb ;ii . Takeof f stall/settling ; iii . Los s o f

airspee dresultin g i

n nonrecoverabl e stal l o r

sink rate ; iv . Los s o f

control ; an d V . Crosswinds/otlie r

condition s leadin g to los s o f directiona l control ; e . Maneuvering— i . Stal l or

los s o f control ; an d ii . Los s o f

airspee dresultin g i

n stall/spin ; f . Descent/approach : Beginnin g o f descen t fro mcruis e altitud e t o misse d approac h poin t

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

airspeed ; i . Collision s wit

h objects , terrain ; 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

fue l mixture ; m . Win dgust s or

wak e turbulence ; n . Landing

— i . Los s o f

directiona l control ; ii . Crosswinds ; iii . Inadequat e airspee dcontrol ; iv . Stalls , hardlanding, short-lon g touchdown ; V . Runway conditions ; an d vi . Runwa y contamination ; o . Fligh t plamiin g an ddecisiomnaking — i . Fligh t planning ; ii . Imprope r

pre-fligh t

planning ; iii . Insufficien t

fue l 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 fiieling ; ix . Weather ; X . Continue dvisual flight rule s int o instrumen t

meteorologica l conditions ; si . Deficien t

instrumen t

flight rule s (IFR ) technique ; xji . Failur e to follo w appropriat e IFRprocedures ; xiii . Descendin 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 h winds ; xvii . Mountainou s terrain ; xviii . Icing ; xix . Los s o f

lif t an dperfonnance ; an d 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 brietlngs ; viii . Communication s processes , decisions , an dcoordination , t o includ e communicatio n wit h ai r traffi c contro l an dpassengers ; ix . Workloa dan dtim e management ; x . Simationa 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 ; an d xiii . Aeronautica l decisiomnakin g an djudgment . 7 . Recurren t

training : An annua l recurren t trainin g progra mmus t

ensure :a . Th e pilo t remain s adequatel y trained , current , 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 to determin e th e crewmember' s knowledg e ofth e aircraf

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

flight trainin g sufficien t

to satisfactoril y complet e th e recurren t proficienc y flight

check . 8 . Aircraf

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

t maintenance : A

M 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 dprio r

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 ofth e exemptio n holde r whic h are : a . I n instrumen t

meteorologica l condition s (IMC ) conditions , eac h pilo t mus t plan to lan da

t airpor t wit h aprecisio n approach ; b . Eac h pilo t

mus t ad d100 feet

to al l instrumen t

approac h minimums ; c . Fo r nigh t landings , th e pilo t

shal l us e runway s wit

h functiona l vertica l guidanc e (visua l approac h slop e indicator , precisio n approac h pat h indicator , instrumen t

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

t night ; e . Ad d5 0 percen t

t o pilo t operatin g handboo k

runwa y length performanc 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 h landin g minimum s (example : Baltimore-Washingto n Internationa l Airport minimum s 200/1/2 , the n th e takeof f minimum s wil l b e a

t leas t 30 0 fee t 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 fro mapilo t o rfixedbas e operato r

with experienc e wit

h tha t airport prior t o flight; h . Pilot s ar e requeste dt o us e nonpunifiv e repor t proces s t o communicat e an y an d al l situation s whe n safet

y 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. , that

coul dcompromis e safet

y for future flights; j . Th e pilo t

mus t ensur e tha

t al l passenger s are restraine db y FAA-approve d seatbelt s o r

FAA-approve dchil dsafet y seat . Th 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 fromth e correc t nmwa y relative to win dconditions ; I . Pilot s wil l utiliz 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 ofth 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 cockpi t

conditio 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 fro mcruis 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 a t leas t th e followin g information :

Pilo t Go/No-G o Checklis t EXCELLEN T O K MARGINA L POO R Pilo t Physica l health Mental health n n D

D n

n n

n Prepared/Confiden t Wel l reste d D D n

D n

D n

D Aircraf t Maintenanc e Fue l reserv e G D D

n D • n

n Pre-fligh t n D D D Equipmen t

sufficien t fo r th e • flight condition s D n D Weight an dbalanc e Takeof f weight/CG_ Landin g weight/C G Weathe r EXCELLEN T O K MARGINA L POO RCurren t

& W X Forecas t

• p n • Condition s Departur e • an c Destinatio n D an a Return n • a• Explai n if Margina l o r

Poor :

Othe r Chil dsafet

y seat 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 YE S N o

Th e checklis t

mus t b e provide dt o th e exemptio n holde r or lef t with aresponsibl e person , suc h a s afixed-base operator , prio r t o conductin g aflight

unde r thi s exemption . Th e complete dchecklis t

mus t b e retaine dfo

r 3 days .1 0

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

n IF Rflight

plan fo r eac h flight. Th e flight

plan ma y b e cancele dupo n acceptanc e o f avisua l approac h clearanc e fro mai r

traffi c control . Thi s exemptio n terminate s o n .lun e 30 . 2013 . unles s soone r supersede do r

rescinded . Sincerely . /s / Melvi n Cintro n Actin g Deput

y Director . Fligh t

Standard s Servic e

Enclosure s

# PILO T AFFIRMATIO N

I promis e no t

t o ac t a s aPatien t

AirLi A Service s Comman dPilo t a s pilot-in-comman dofan y fligh t referre dt o m e b y Patien t AirLif t Service s unles s a t

th e tim e o f

eac h suc h flight: 1 . I hol davali dan dcurren t pilo t certificat e fo r

th e aircraf

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

leas t avali dan dcurren t

Clas s l H 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 with al l Federa l Aviatio n Regulations , includin g thos e regulation s relatin g t o currenc y fo r

canyin g passengers , fli^t reviews , nigh t

flying, ftiel reserve s an d instrumen t

flight . 5 . I a mi n complianc e wit h al 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

flyin g rente do r

owne daircraft , 1 hav e i n 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 . I a mflying an airplan e with avali dstandar dairworthines s certificat e (normal , utility , acrobatic , commute r

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

t fo r th e mission , I attes t

tha t I hav e satisfie dth e requirement s an dcondition s ofth e rraitin g agency . 9 . I hav e flow n 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 with a certifie dflight

instructCM * widii n th e precedin g 3 calenda r month s prio r

to th e month o 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 with th e Patien t AirLif t Service s Manual . I understan dtha t

i t 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 fligh t referre dto m e b y Patien t AirLif t Service s unles s AL L ofth e abov e statement s ar e tru e a t th e tim e ofth 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 dt o PAL S alor ^ wit h al l passenge r

waiver s an daW&

B o n eac h missio n flown.

Las t create d3-24-201 1

## Patien t AirLif t Service s Piio t Handboo k Tabi 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 Liabilit y Release s an dGuardia n Authorizatio n 1 0 Ho w t o Logi n t o A F ID S 1 1 Missio n Assignmen 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 Itinerar y 2 8 D : Sampl e Pos t

Missio n Repor t

2 9

-2 -Dea

r Pilot : O n behalf o f th e PAL S Boar

do f Director s an dStaff

, welcom e an dthan k yo u fo r you r interes t i n volunteering ! Whe

n yo u tak e th e gifts o f

you r talent s an dskill s a s apilo t

an dus e the mto benefi t others , yo

u will b e embarkin g o

n som e o f th e mos t rewardin g experience s o f

you r life . As aPAL S pilot , yo

u will b e flying peopl e who woul dnot b e abl e t o receiv e th e medica l or compassionat

e assistanc e fo

r which they are s o urgentl y i n need . W e recogniz e tha

t PAL S woul dno t

exis t without th e gif t o f time , energ y an

denthusiasti c suppor t fromvolunteer s lik

e you . We understandtha

t you r schedul e ma

y only permit

yo u to do on e fligh t amont h or one fligh t ayear ; eithe

r way , you r efforts ar e greatly valued . Th

e PAL S Boar dan dStaf f pla n t o establis h avoluntee

r suppor t syste mtha t include s communicatio n vi a ou r website , emails , an dpilo t meetings . Yo

u will ge t to know th e patients , bu

t yo u wil l als o mee t your fellow pilots , shar

e flight experiences , provide feedback , an dhav e fun ! I wouldencourag e yo

u to visi t th e websit

e www.palservices.or g t o review ou r Bylaws , Conflict o f Interes t Policy , an dother

filings. W

e hop e thi s wil l assur

e yo u tha t w e ar e committe dto b e atransparent organization . Ou

r prim e focu s i s to serv e patient s an dsuppor t pilots . Thank s again fo

r joinin g ou

r team ! I loo

k forwar dto meetin g yo

u personally . 

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

# Jo e Jo e Howle y joe.howley@palservices.org 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 dfo r othe r humanitaria n purposes . W e hav e anetwor k 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 ofan y kin dar e charge dfor 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 * foimder s hav e extensiv e experienc e wit h voluntee r flying. Amon g them , the y hav e flown thousand s o f

mission s a s pilot-in-command . Althoug h th 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 to 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 tha t 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(cK3 ) tax-exemp t publi c charit y an damembe r ofth e Ai r

Car e Alliance . 

## Wha t kin do f aircraf t doe s PAL S tvpicaUv utUize ? Aircraf t use dfo r

PAL S flights ar e typicall y single

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

PAL S hav e th e sam e statu s a s an y flight mad e with passenger 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 afligh t for friends 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 liabilit y 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 liabilit y insurance . Ai l passenger s flown b y A

-PAL S are require dt o sign awaiver o f liabilit y namin g bot

h th e pilot s an dth e Patient AirLif t Service s organization . Sinc e ther e i s n o remuneratio n fo

r the flights , the y are non-commercia l an dcovere dimde

r apilot' s norma

l liabilit y policy . 

### Wh o Pay s fo r

th e FUshts ? Pilot s ar e responsibl e fo

r al l missio n costs . Thes e cost s ar e ta x deductibl e fo

r th e pilo t a s a charitabl e donation . Many FBO s offe r fue l discoimt s an

dmos t airport s waiv e landin g an d parkin g fee s fo

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

t needs , includin g groundtransportatio n an dlodging . Th e PA L pilo t incur s n o mor

e expens e dia

n he o r sh e woul d incu r o n a n equivalent

busines s or

pleasur e flight . 

### Wha t i s PALS ' Territory ? PAL S cover s flight s 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 sout h a s Virginia . Typica

l fligh t time s i n oiu" genera

l aviatio n aircraf

t wil l rang e fromtw o to thre e hour s pe r leg , coverin g 200-60 0 miles . Flight s originatin g o r terminatin g beyondou

r primar y coverag e are awil l b e conducte db y ou r membe r pilots , o r will b e coordinate dwitii othe r simila r organization s t o provide yo u th e patient s wit

h aseamles s travel itinerary . 

### Wha t Happen s i f

I A mUnabl e t o Fl v aMission ? PALS , believe s i

n Safet y First , therefor

e apilo t i s fi^e to an

dshoul ddeclin e an y missio n they fee l the y ar e imabl e to safel

y complete . Reason s fo

r declinin g afligh

t 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 then

- limits , an dt o fly onl y whe

n the y fee l completely comfortabl e doin g so . Yo u wil l neve

r b e questione d a s to wh y yo u cance l aflight ; tha

t wil l b e you

r call ! Whe n unabl e to fly a s PIC , pilot s ca n choos e to participate a s copilots . 

### Ho w wi U I b e identifie da s aPAL S Pilot ? Al l ofth e PAL S crewmembers , bot h pilo t an dnon-pilot , which hav e participate di n a t leas t one PAL S mission , are eligibl e fo r aPAL S phot o I

D badge . A badg e ca

n b e requeste db y sendin g a n emai l to info(^palservices.org imles s there wa s a n ID photo o f

yo u taken durin g you

r orientation , b e sur

e to include acolo r

jpe g photo o f

yoursel f a s a n attachment

to th e emai l Th

e photo shoul db e apasspor

t typ e headsho t

there i s n o charg e fo

r th e badge . Th e ID badg e wil l b e supplie dwit h aPAL S lanyar

dtha t allow s i t to b e wor n aroim dyou r neck . A clip tha t ca n b e use dto attac h th 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 wea

r a n ID badg e durin g PAL S missions , the y are encourage dto do so . I n additio n t o bein g a

n ai dfo r airpor t security* , th e badg e identifie s th e crew a s PAL S members , whic h help s promote communit y awarenes s o f

Patient AirLif t Services . Th e badg e ca

n als o b e usefu

l to pilot s whe

n requestin g fue

l discoimt s an dth e reductio n o r

waivin g o f

landin g an daux:raf

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 fo

r airpor t securit y purposes , includin g a

t leas t one phot o ID . 

## Ca n I deduc t

m v flight expense s o n m

v taxes ? Yes , PAL S i s a501(cX3 ) 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-pocket expenses . I

f overnigh t lodgin g i s required, tha

t expense , alon g wit

h meals , i s als o deductible . Accurat e record s mus t

b e maintained , includin g receipts , hour s flown, destination , ete . O n pag e 2 9 yo u Ca n se e asample ofth e Missio n Repor t Detail , whic h yo

u ca n us e fo r your ta x record s t o verif y your flight. For

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

ata x professional . 

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

t o encounter ? ninesse s vary . Som

e patient s hav e Uf

e threatenin g diseases , suc h a s cance r or hear t disease . Other s hav e illnesse s tha

t requir e specialize dtreatment

a t distant location s du e to th e fact

ther e ma y onl y b e severa

l specialis t

i n th e worl dtha

t ca n help . Illnesse s are non-communicabl e (cancer , hear

t disease , brai n tumor , etc.) . However , occasionally thi s i s no t th e case . PAL S pilot s will b e made awar

e o f thes e type s o f

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

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

th e flight, an di

n nee dof ver y littl e assistance . I

n 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 patient

i s achild , w e require a

n adult guardia n t o b e present

a s well . Rarely d o passenger s require oxygen , bu t i n th e cas e o f

thos e wh o do , persona

l oxygen bottle s ar e no t allowe dimles s th e bottl e carrie s aDO T cerdflcatio n fo r us e aboar

da n aircraft . Som

e FBO s hav e oxygen available , an dpilot s wit

h a n approve doxygen systemonboar dth e aircraf

t may , i f they 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 dor

onboar dsystemca

n b e used . 

## Ho w d o flights actuall y ge t "pu t together? " Request s fo

r assistanc e ca

n begin 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 , fromon

e o f th e many medica

l facilitie s o r

socia l worker s wit

h who mPAL S maintain s relationships . Onc e th e reques t ha s been 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 fligh

t 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 someone who i s i n fmancia l need , ha s alegitimat

e nee dfo r air transportation , an di s abl e to fly i n agenera

l aviatio n airplane . Onc e they determin e thi s i s a vali drequest , the y wil l enter al l th e pertinent

inf o int o th e Missio n Coordinatio n compute r systemwher

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 dieman dthe y ar e forwarde dal l necessar

y info , a t whic h poin t

they becom

e th e point perso n fo r th e patient

regarding th e fligh

t details .

. z ^

# Voluntee r Opportunitie s Th e Member s o f

Patien t AirLif t Service s consis t

o f bot h pilot 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 agrea t nee dfo r No n Pilo t volunteers , an dther e ar e anumbe r o f way s i n whic h ou 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 to 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 infou^palscrvices.or g o r

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

healt h awareness/support/treatmen t organization s wh o dea l with patients . 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 cilecn.minogucftfjpalscrviccs.ori; : o 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 h w e serve . Thes e event s no t onl y generat e fimd s to hel p u s accomplis h ou r mission , bu t

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

migh t ver y well benefi t

fromit . Fo r

mor e inf

o contac t cilccn.minogiic(fV:DalsL'rviccs.or g o r 1-888-818-123 1 Disaster/Humanitaria n Respons e Voluntee r - PAL S Pilot s hav e alon g histor y o f bein g som e o f

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

Haitia n Earthquake . Ehirin 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 ashor t

perio do f time . Ou r disaste r & Humanitaria n Respons e Volunteer s ca n 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 asuppor t

syste mt o ou r

missio n coordinatio n staff . 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 cilccn.minoguc(ajpalscrvices.or g o r 1-888-818-123 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

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

o contac t eilcen.minoguc(i:f;palscn . ices.or g o r 1-888-818-123 1 

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

t o b e agrea t asse t t o ou r effort s t o hel p thos e i n need . I f yo u ar e intereste di n becomin g avolunteer , pleas e fill ou t th e voluntee r

applicatio n an dmai l i t to : Patien t AirLif t Service s 12 0 Adam s Boulevar d Fanningdale , N Y 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 fo r 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 , with no t

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

an y 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

1,000 hours , with aminimu mo f 25 0 hour s i n typ e fo r atwi n engin e aircraf

t an d100 hour s in typ e for asingl e engin e turbin e aircraf

t bu t no t les s than 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

i n 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 h i n paragrap h (1 ) above . (3 ) In addition , for

eac h missio n t o b e flow n th e pilo t shal l afTir mcurrenc y an dadherenc e t o applicabl e FAR s a s se t fort h in th e PAL S Pilo t

Affirmatio n for

m(exampl e follows) .

-8

-I promis e no t t o ac t a s aPatien

t AirLif t Service s Comman

dPilo t a s pilot-io-comman dofan y flight referre dt o m e by Patient

AirLif t Service s unles s a

t th e tim e o f each such flight: I . I hol davali dan

dcurren t pilo t certificat e fo r aircraf t category , clas s an

dtyp e (i f atyp e ratin g i s required) i

n whic h I will b e actin g a s pilot-in-command . I hol da t leas t avali dandcurren

t Clas s mmedica

l certificat e I a mIF Rrated , curren

t an dqualifie di

n th e aircraf

t category , clas s andtyp e (i f atyp e ratin g i s required ) t o b e flown. I a mi n complianc e wit

h all Federa

l Aviatio n Reguladons , includin g thos e reguladon s relatin g t o currenc y fo

r canyin g passengers , fUgh

t reviews , nigh

t flying, fue

l reserve s an

dinstrumen

t flight . I a mi n complianc e wit

h all Federa

l Aviatio n Regulation s relatin g t o th e us e o f alcoho l an

d dmgs , includin g reportin g requirement s specifiedi n th e regulations . Whethe r flying rente dor

ownedaircraft , I hav e i

n forc e liabilit

y insuranc e apphcabl e t o th e fligh t providin g minimu

mcoverag e o f

$1,000,00 0 pe

r occurrenc e and$100,00 0 pe r sea t I a mflying a n airplan e wit

h avaU dstandar dairwortiiines s certificat

e (normal , utility , acrobatic , commuter o r transpor t category) . I f I a mrentin g a

n aircraf t fo r th e mission , 1 attes t

tha t I hav e satisfie dth e requirement s and condition s ofth e rentin g agency . I hav e flown a

t 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 flow

n aminimu

mof 1 2 hour s a s PIC durin g th e 9 0 day s immediately precedin g th e mission , or

i n th e altemative , I hav e complete d2 hour s o f dua l trainin g wit

h acertifie dflight instructor within th e precedin g 3 calenda r month s prio r

to th e mont

h o 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 ) II . 1 a mi n complianc e wit

h th e Patient

AirLif t Service s Manual . 5 . 6 . 7 . 8 . 9 .

I understan dtha

t it i s m y responsibility andobligatio n to declin e t o serv e a s pilot-in-comman do n an y flight referredt o m e by Patient

AirLif t Service s unles s AL

L ofth e abov e statement s ar e tru e a t th e tim e ofth 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 dt o PAL S alon g wit h ai l passenge r

waiver s an daW&B o n eac h jnissionftown .

JIJ L

# UabilH vWaive ran d 6iianila n AultM»Hyafin n

Liabilit y waiver s an dguardia

n authorization s are usedt 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 liabilit y resultin g fromtheir

participatio n i

n thes e volunteer , uncompensate dmissions . A signe d Uabilit y waive r fo r eac h adult

an dasignedguardia

n authorizatio n fo

r each minor

mus t b e obtaine dfix)mever

y passenge

r o n ever y PAL S fligh

t prior to th e flight' s departure . Thi s include s copilot s wh o ar e no t PAL S members . Th e only exceptio n t o havin g forms signe dfo r ever y flight i s roundtrip s goin g nonstop from th e departur

e airpor t to th e destinatio n airpor

t an dlate r returnin g nonstop to th e departur e airpor t 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 , liabilit

y waiver s an dguardia

n authorization s ar

e require donl y prio r

to th e beginnin g ofth e first leg . A singl e liabilit

y waive r for mca n b e use dfo

r eithe r one or tw o adult passengers . A separat

e guardia n authorizatio n for

mi s required fo

r each minor

passenger . Thes e forms , alon g wit

h asigne dpilo t

affirmation an dwritte n aircraf t weight an dbalanc e calculatio n fo

r the 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 aircraf t mdes s previousl y sen t

t o PALS . A t th e botto mo f

th e liabilit

y releas e i s aplac e fo

r th e patien t or othe r passenger s to initia

l (or th e patient' s guardia n to initial , i

n th e cas e o f

aguardia n authorization ) tha t allo w th e patient' s an dothe r passengers * name s and/or photograph s to b e use db y PAL S fo r publi c relation s purposes . I

f th e patient

o r passenger , o r

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

b e used . 

### Note : Waive r

an dGuardia n Authorizatio n form s ar e maintaine da t an dcan b e downloade dfromth e Pilo t pag e o n th e PAL S website .

aiL i

# Ho w t o lotfi n ftw you r

Missio n Whe n all paperwor

k ha s bee n filledout

an dyo u ar e read y to fly you

r first mission , yo

u ca n d o s o b y goin g onlin e to th e PAL S pilo t websit e a t www.palscrviccs.or

g an dclickin g o

n "Availabl e Missions " o

r b y usin g th e PAL S AFID S (ou r Mission Coordinatio n System ) logon directiy , signin g in , an dthe n goin g to th e "Mission s Available " lin k o n th e lef t handside ofth e AFID S hom

e page . Th

e firs t time yo u lo g i n to AFIDS , yo

u will nee dyou

r PAL S Membe

r I D Number , you

r las t nam e an dyou r zip code a s provide do

n you r PAL S application . Onc e yo u hav e loggedi

n a s amembe

r wit h your ID# , yo u shoul dgiv e yoursel f

aUseraame an

d Password . Afte

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

r chosen usemam e an dpasswor dever y tim e yo u logi n i n th e future . Yo

u will no t b e abl e t o login usin g you r ID #afte r you r initia l login . Thi s proces s help s u s maintai n ahighe r level of securit y fo r AFIDS . I f yo u forge t you r password , click

o n th e lin

k o n th e login pag e an

dyour passwor d will b e emaile dt o th e emai l addres s w e hav e i n th e system . Link s to variou s AFID S function s ar e locate do

n th e lef t blu e ba r tha t yo u will b e abl e t o view an dus e onc e you'v e logge di n to AFIDS . Fil e missio n report s Mission s Availabl e Mission s Pendin g Mission s Visua

l Manag e E-mail subscription s Block Mas s Email s Un-block Mas s Email s Missio n Summar

y Yea r En dRepor t Edit you r Dat a MO P Director y Membe r Roste r Rene w You r Membership Other feature s will b e adde dperiodicall y to improv e th e system . 

### Al ^

### T o selec t amission : • Yo u ca n selec t amissio n b y clickin g o

n "Availabl e Missions " o

n th e left-hand colum n o n th e www.palservices.or g pilot' s page , or

b y usin g th e PAL S AFID S logon directly , signin g in , an dthe n goin g to th e "Mission s Available " lin k o n th e lef t hand side ofth e AFID S hom

e page . • Onc e yo

u fin da n ope n missio n tha

t yo u ar e intereste din , click

o n th e wor

d "open " next

to tha t mission . Onc e th e missio n i s selected , yo u will b e prompte dto login t o AFIDS . • Follo w th e logi

n instruction s liste dabove . • Review th e missio n an dselec t "Reques t thi s Mission " a

t th e botto mo f

th e page . • O n th e Missio n Reques t

page , inser

t 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 will the n receiv e aconfirmatio n email alon g wit h th e mission' s paperwor

k fix>mth e Missio n Coordinator lettin g yo

u kno w you

r messag e wa s received . I f th e missio n i s alread

y filled, yo

u will als o receiv e a

n email fromth e Missio n Coordinator notifying yo u ofth e mission' s status . • Onc e th e missio n ha s been assigne dto you , a s confirmedb y acoordinator , pleas e follow th e Pilo t

i n Comman

dSuggeste dChecklis t

include di n thi s handbook . 

## Yo u ca n ge t

mor e out o f flyin g tha n jus t

bein g abl e t o fly ! 

# Than k yo u fo r bein g apar t

o f th e PAL S team !

jdZj ^

## Mtealo n Asaltfnmeir t Procedure g

Onc e amissio n ha s bee

n assigne dt o apilot , aconfirmatio n email will b e sen t fix}mamissio n coordinator

wit h arepor t containin g al l pertinen

t contac t information fo

r th e patient

and/or passengers . Yo

u will als o b e adde dinto th e Missio n Coordinatio n Syste m"AFIDS " a s th e Missio n Pilo t

fo r th e le g ofth e missio n yo

u hav e chose

n to fly. Yo

u ca n loo k up 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 . Click

o n th e lin k to "Missio n Summary" . Her e i s asuggeste dchecklis t

fo r yo u to review afte

r bein g assigne damission . 1 . Introductio n an dverify/exchang e phone/cel l number s an de-mail addresses . Mak e sur e yo u hav e th e patient s contac t numbe r wit h yo u o n th e da

y o f th e mission . 2 . Verif

y departur e time/appointmen

t tim e an ddate . Confir

mth e time the y nee dt o b e a t their destination . 3 . Inquir

e about passenger s flying and/or

genera l aviatio n experienc e 4 . Inquir

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

y weight , companions ' weight , an dremindpassenger s of baggag e weight/siz e limit s 6 . Discus s meetin g time an dplace , FB O telephon e number , address , etc . I f needed , discus s alternat

e airports

- possibl e cancellation s 7 . Remindpassenger s o f Waive r requiremen

t 8 . Se t FUgh t expectation s (ETE , weather , etc ) 9 . Infor mPAL S offic e o f AN Y change s o r

addition s t o information . I f ther e ar e AN Y las t minute change s to an

y par t of 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 if yo u an dyou r aircraf t ca n handl e th e changes , th e retur n pilo t or linkin g pilo t

migh t no t b e abl e to .



### idl ^

# PAL S Pilo t i n Comman dChecklis t Th e followin g i s asuggeste dcheckHs t tha t coul db e use dfo r

ever y 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 wit h an 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 reconfu mmeetin g arrangements , verif y wh o th e othe r

passenger s wil l b e (i f

any ) an dconfir mth 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 firs t contactin g amissio n coordinator . PAL S mus t b e notifie dimmediately , becaus e an increas e i n th e numbe r

(an dweight ) o f

passenger s coul daffec t

th e retu mflight

an dth e groun dtransportatio n

• Callin g th e link

pilot s (i f any ) t o reconfir mplan 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 , PIREP s an dTFR s • Filin g aflight

pla n usin g "CMF " identifier . Se e ''Us e o f 'CMF ' (Compassio n Flight ) Cal l Sign " below , an dth e lin k 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 wit h yo 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 fo r roun dtrip mission s whe n bot h flight s occur

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

t pla n mus t b e filedfo

r al l PAL S FLIGHT S carryin g passengers . A n IF R fligh t pla n i s strongly suggested . However , aVF Rflight pla n i s acceptabl e i f

VF R condition s are forecas t

to exis t alon g th e entir

e rout e fromone hou

r befor e departur e to tw o hour s afte

r schedule darriva

l 3 . One liabilit

y release or

guardia n authorizatio n fromeach passenge r i s acceptabl e fo r roundtri p mission s whe

n bot h flight s occur

th e sam e da y an dcarr y th e sam e passenger s 

# Da y o f

Fligh t 1 . Weathe

r conditions , mor

e precis e flight

time 2 . Ffl

e FUgh t Plan s 3 . Contac t

Passenger , verif

y thei r conditio n fo

r flight, an dcommunicat

e current weathe r condition s an

drevised ETE . 

# Passenge r

Pic k u p Sinc e man y passenger s ma

y b e nervou s flyers, even thos e tha t hav e flown many 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 are afe w thing s tha

t yo u ca n d o to help ensur

e their menta l comfort . First , dres s professionally an densur e tha t th e aircraf

t i s clea n an dth e interio r uncluttered . Second , arriv e early an db e waitin g whe n th e passenge

r arrives . Next , greet

them i n afriendly an dprofessiona l wa y an dcomplet

e th e paperwor

k i n aprofessiona

l manner . Allo w enough time fromth e schedule dmeetin g tim e unti l flie fUgh t i s to depar

t s o tha t th e pre fUgh t time i s unhurried . Pla

n t o depar t a t aschedule dtim

e an dmee t tha t schedule . 1 . Hav e themsig n th e Waive r 2 . Handout

PAL S material/boardin g for m 3 * Obtai n picture s i f

desirabl e 4 , Escor

t themto th e aircraf

t afte r ashor t briefing abou

t ram p safet y 5 , Complet

e athorough prefligh

t briefin g G A Aircraft/passenge

r intro - if necessar y Weathe r Particular s o f

thi s missio n (Forecas t

weather , ETE , ete ) Wha t i s expecte dor

desire do f them- (steril e cockpit/en route ) Wha t to do i f the y hav e problem s or

issue s 6 , Ope

n IFRATF Rflight pla n and/or us e FUgh t Followin g

A ^

# 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 . Escor t

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

transportatio n i f

necessar y 4 . Confir mtransportatio 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 e 6 . Con:^)Iet

e th e Pos t Missio n Repor t

For m 

# 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

Comfor t 5 . Relie f

packages/bottle(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 refreshment

j d ^

## Linke dMission s

Whe n w e receiv e reques t for distance s tha t

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 into tw o —o r eve n 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

communication s i s importan t for ever y PA L Flight , it

i s critica l fo r

lin k missions . I t

i s vita l tha t al l th e pilot s involve dkno w tha t 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 lin k airport(s) . Therefore , a s soo n a s apilo t accept s ale g o f

alin k 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 o f th e missio n jus t

prio r t o th e firs t

aircraft' s departur e fromth e originatin g airport t o verif y tha t everyon e involve di s i n agreemen t

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

-17

-

## Us e of

"Compassio n Flight " Identifie r an dCal l Sig n "Compassio n Flight " an

dth e three-letter

identifie r "CMF " wer

e assigne di

n a s a n Internationa

l Civi l Aviatio n Organizatio n (ICAO ) Radiotelephon y Designator

an dThre e Lette

r Identifier , respectively . Thes e tw o designation s ca

n b e use dto identif

y aircraf t conductin g bon afide, non-profit PAL S missions . The y ar e approve dfo

r bot h domesti c an dinternationa l fUghts . "PAL S Flight " an

d"CMF " ar e no t

t o b e use ddurin g apositionin g or ferr y le g of aflight whe n patients , supplies , o r

emergenc y personne l ar

e no t bein g transporte dunles s suc h aflight le g ha s tim

e constraint s such tha t ther e migh t b e anee dfo

r helpfu l (bu t not priority ) handlin g b y ATC . "Compassio n Flight " an d "CMF " als o canno t

b e use dfo

r routin e personal , busines s or commercia

l flights. Filin g aFligh t

Plm i Pilot s filing aflight

pla n fo r aPAL S flight

shoul dfollow norma

l flight pla n procedures , excep t

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

use dfo r th e aircraf

t registration (tail ) number , th e pilo t shal l ente r th e ICA O Three

Lette r Identifie r CM F followedb y thre e additiona l character s or

numbers , consistin g ofth e fma l thre e character s ofth e actua l tai l numbe

r ofth e aircraf

t to b e used . 2 . A n exceptio n to th e abov e applie s if i t 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 . I n thi s cas e th e las t

fou r character s woul db e use di

n orde r t o avoi dconfusion . (The bloc k ca n holdamaximu

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

a n aircraft' s actua

l tai l numbe

r i s N-1234M , i n th e AIRCRAF T IDENTIFICATIO N block

ente r CMF34M ; d o no t

us e th e incorrect , overlon g entr y o f CMF1234M . b . I n th e REMARK

S block , th e pilo t

shoul denter , separate db y spaces , the word s Compassion , followe db y th e ful l registratio n numbe

r (i.e. , tai l number

) ofth e aircraft , followe db y PALS . Example : Compassio n N1234M PAL S Note : AT C close s ou t

flight plan s b y tai l number , no t

b y cal l sign .

-18

-

## Us e of "Lifeguard' ^ Identifie r

an dCal l Sig n I f 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 durin g th e flight, o r othe r condition s occu r

tha t 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 o f "Compassio 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 to minimiz e th e fligh t tim e require dt o reac h a n airpor t 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 aUfeguar

dprefi x t o thei r

fUgh t identifier . Thi s coul dresult

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

operation s bein g conducte db y othe r

users . I t i s intende dfo r

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

### CanceUations , Change s an dDelay s Pilot s ar e free t o declin e to fly an y assigne dflight, whethe r fo r weather , mechanica l problems , financia l limitations , schedulin g confUct s o r persona l reasons . Safety i s th e primar y concem . Pilot s ar e encourage dto se t

thei r ow n persona l minimum s an drecogniz e tiieir limits . The y shoul dfly onl y whe n the y fee l completel y comfortabl e doin g so . A pilot' s decisio n t o depar t o n schedule , dela y th e fUgh t o r cance l i t i s final . Shoul di t becom e necessar y to cance l a n 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 relatedt o th e mission , suc h a 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 . I t 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 a n 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 h Friday) . Outsid e norma l busines s hours , cal l PAL S a t 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 an emerpenc v are : Eilee n Minogu e - Directo r o f Operation s 516-640-139 1 Kare n Krolikowsk i 516-640-139 0

- Missio n Coordinatio n Manage r -19

- D o NO T US 9 ontal l t o notif y PAL S o f fligh t cmncollatlons , chango s o rdolay s

# p ^

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

thi s communicatio n i s to : 1 . Provide all volunteer s wit h guideline s o

n th e natur e o f a crisi s an dho w i t coul daffec

t PALS . 2 . Provide volunteer s wit h aset o f recommende dactio n step s an dcontac t

number s i n th e even t o f a n emergenc y or

crisi s whil e o n aPALS mission . Wha t i s th e potentia

l impact o n PALS ? Th e mismanagemen

t of information or

an y miscommunicatio n relate dto a crisi s coul dlea

dt o seriou s consequence s fo r PALS . Thes e risks include : • Investigation s • Lawsuit s • Negativ e publicit

y • Traumato patients , passenger s or volunteer s • Potentia

l shutdown o f

PAL S operation s I n orde r to minimiz e such risks i

t i s essentia

l tha t astandar dapproach b 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 pubU c an di n th e opinio n of

regulator s an

dother publi c officials . Accident : A

n occurrenc e associate dwit h th e operatio n o f

a n aircraf t or vehicle , whic h take s plac e betwee n th e time an

y perso n board s th e aircraf

t o r vehicl e wit

h th e intentio n o f

fUgh t or transportatio n an

dall suc h person s hav e disembarked , an di n whic h an

y perso n suffers seriou s injur y or death , or i n whic h th e aircraf

t or vehicl e receive s substantia l damage . Incident : i s a

n occurrenc e tha

t ma y no t necessaril y rise t o th e severit y of a n accident . Seriou s Injury : i s a

n injur y requirin g hospitalization . Substantia l Damage : Substantia

l damag e i s damag e whic h adversel y affects the operationa l capabiHt y of a n aircraf t or vehicl e i n PAL S service . 

### Crisi s & Ris k

Managemen t

Do s an dDon'ts ? D o mak e patient car e an dcomfor

t #1 priorit

y D o Contac t

PAL S headquarter s immediately D o refer all querie s to PAL S headquarter s D o cooperat

e wit h FAA/NTS B authoritie s D o stat e onl y facts to 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

admit liabilit y

-20 -

## Missio n Photo s

Pilot s ar e requeste dto provide photo s to PAL S of th e pilot , patient

an dothe r passenger s th e firs t

tim e a particula r patien t i s bein g transporte db y th e pilo t i n command , i f

appropriate , an dif

th e patient

an dothe r passenger s agree to hav e thei r photo s taken . Th

e preferenc e i s fo

r one photo inside th e aircraf t showin g onl y th e patien

t an dpassengers , an

done outside phot

o ofth e pilot(s) , patien

t an dpassenger(s) . Th e photo s ar

e bes t take n wit h adigita l camer ausin g jpe g format . The

y ca n b e sen t to PAL S a s attachment s to a

n email . Th

e emai l shouldinclude th e missio n numbe r an dth e name s ofth e pilot(s) , patien t an dothe r passengers . A t th e botto mofth e liabilit

y releas e i s aplac e fo

r th e patient

an dothe r passenger s to 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/or

photograph s fo

r publi c relations purposes . I f th e patient

an d othe r passenger s (or

guardian , i

n th e cas e o f

aminor) do not

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

b e used . Yo u ma y als o wis h to provide copie s o f th e photo s to th e patient , eithe r a s har dcopie s o r

a s jpe g files E

maile dto them . Man

y patient s lik

e havin g photo s a s souvenir s o f their PALS flights, an

denjoy sharin g the mwit h famil y an dfriends. 

## Fe e Waiver s an dFue l Discount s Many , but no t al l - airport s waiv e landin g an dparkin g fee s fo

r PAL S fUghts . Man

y FBO s als o giv e fiie

l discount s fo

r PALS flights. Yo

u shoul dalway s ask . I t ma y prov e helpfii

l t o hav e th e Pos t

Missio n Repor

t i n handwhe

n requestin g fe

e waiver s and/or

fue l discounts . Wearin g your

PAL S FUgh

t phot o I D badg e ma

y als o prov e helpful . I

n addition , bein g clearly identifie da s aPAL S flight pilo t ma y mak e yo u eligibl e fo

r other discoimt s and/or

waivers .

-21

-

# L 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 daUow s u s t o provid e mor e accurat e informatio n a t th e en do f th e year for you r taxes . Th e dat afromth e missio n recor di s pulle dint o th e missio n report 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 for PAL S fix)myou 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 reflect 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 : • Login t o AFID S

• CUc

k on the lin k "Fil e Missio n Report ' locate do n th e left-handblu e colum

n ofth e screen . Al

l o f you r mission leg s fo

r whic h ther e ar e outstandin g missio n report s ar e Uste dfo r you . • Check

amission le g andthen click "submit " t

o fil l out th e missio n repor

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

r each ofth e missio n leg s yo u hav e flown. Th

e syste mprovide s aconfirmation pag e tha t you ca n ^sm i fo r you r records . Yo u will als o hav e acces s t o astatement yea r roun da s wel l a s th e endo

f th e yea r showin g th e hour s you hav e flown fo r PALS . • I f yo u missio n wa s canceUed , d o NOT fil l out amissio n report . Pleas e notif y th e Missio n Coordinator

immediately 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 mission ha s bee

n cancelled . Thi s i s ver

y importan

t t o kee p ou r monthl y missio n andfinancia

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 time i n air i s bein g tracke dfo

r PALS . • Sometime s severa

l missio n leg s ar

e complete di

n asingl e fUght

. Fo r example , yo

u ma y hav e mor

e tha n one passenge

r goin g fromth e sam

e origi n t o the sam

e destination , o

r athree-legge dflight

wit h mor e tha n on e passenger . Yo

u ma y grou p thes e missio n leg s into on e missio n repor t by checkin g eac h ofth e missio n leg s tha

t wer e apar t of tha t flight. Ente

r th e Hobb s tim

e fo r th e trip . • Fo

r example , tw o passengers , Bill andMary , g o fiomSMO t o SM A an dth e roundtri p i s 1. 8 hours . Check th e bo x next

t o the missio n le g fo

r Bil l AN D th e missio n le g fo

r 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 n differen t

days . • Sometime s th e dat e ofth e missio n changes . Fo r example , you ma

y dela y aflight du e t o weathe

r t o th e nex t morning . Ente

r th e new date i

n th e mission repor

t form . Th e listin g wil l continu e t

o show th e schedule d date , but othe r report s usedinternally will reflect th e correc t

date . -22 -Missio n Photo s

Missio n photo s i

n jpe g forma

t shoul db e sen

t a s emai l attachment s to PAL S a t www.palservices.org . B e sure to include th e name s ofth e pilot , patient an dpassengers , th e dat

e ofth e fUgh

t an dth e missio n number . Mfapio n Commgntflr

Y Patien t AirLif t Service s continually strive s to improv e th e PAL S FUgh t experienc e fo

r patients , passenger s an dpilots . Pilot s ar

e encourage dto ai di

n thi s proces s with : • Comment s o n ho w futur e flights coul db e made bette r fo r patient s an

dpassengers . • Suggestion s o

n ho w th e interactio n between pilot s an dmissio n coordinator s coul db e improved . • Information o n an

y significant

physical , medica

l or behavior problem s wit

h th e patient

that coul d affec t futur e fUght s wit h tha t patient . • Heartwarming , interestin g or humorou s anecdotes , especially thos e tha t woul db e suitabl e fo

r us e i n publi c relations activities . • An y other informatio n tha

t th e pUo t feel s i s relevant . Pleas e not e an y ofth e abov e o n your

Pos t Missio n Repor

t i n th e comment s section .



# L -23 -

### Piio t Checklis t o f Do s an d Don't s D o Contac t patien t earl y an d Prio rt o Missio n a s ofte n a s necessar y Confir m patien t an d passenge rdat a an d infor m missio n coordinato ro f an y change s Choos e an d us e optima l airport s an d FBO' s Us e handboo k

dunn g mission s a s a referenc e Fil e a fligh t pta n usin g th e "CMF " Identifie r 

### Don' t Chang e an y missio n particular s withou t informin g missio n coordinatio n Misus e o rabus e you r Compassio n Fligh t Statu s Relegat e you rresponsibilitie s a s Pilo t i n Comman d

Mai l o rFa

x complete d weigh t an d balanc e dat a Prio rt o Departur e an d waive rform s Accep t undocumente d passenger s o rbaggag e Provid e fo rneed s o f th e Durin g th e Missio n patien t an d passenger s Kee p passenger s informe d o f flight progres s Compl y wit h al l applicabl e regulation s an d insuranc e requirement s Compromis e Safet y Excee d aircraft' s o ryou row n limitation s Unnecessaril y maneuve ro r communicat e i n an y wa y tha t migh t undul y concer n you r passenger s Afte rth e Missio n Fil e Pos t Missio n Repor t onlin e withi n 4 8 hour s afte r missio n completio n Maintai n currenc y an d proficienc y Ensur e PAL S record s ar e curren t an d complet e Updat e an d commi t t o persona l mtntmum s Mak e separat e arrangement s wit h patient s regardin g schedulin g futur e flight s Forge t t o revie w thi s lis t

-24 -

# Attachment s



# L -25

-

# 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 mak e certai n tha t AL L ofth e followin g i s forwarde do n t o Patien t AirLif t Service s afte r

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

fe w page s o f

logboo k showin g tota

l 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 check ride) fi-omyou

r lo g book 6 . A cop y o f

you r lates t IPC (i f applicable ) fromyou

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 (you 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 fo r Shir t Me dL X

L XXL : 9 . Pleas e emai l acurren t digita l photo o f yoursel f (passpor t typ e headsho t desire dfo r I.D . badge ) t o eileen.minogLie(?f.jpalservices.orf l 10 . Pleas e mai l all of

th e abov e to : Patien t AirLif t Service s 12 0 Adam s Boulevar d Farmingdale , N Y 1173 5 o r fa x to : 631-755-218 4 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 ,[-'.lii=t:i».^l.)rjnd.i'iT'i41 i SHW ^ \ I f yo u alread y hav e a password : Usemam e Passwor d Use rLogi n

Porgr. t y oi/ rPSSSW'-ird ^ Of f r f yo u ar e a member : 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



# L -27 -

### -cPatlen t AirLif t Service s 24-hou rHotline : 888-818-123 1 Office : 888-818-123 1 Fax : 631-755-218 4 Missio n # : 101 5 Missio n Itinerar y Date : 05/14/201 0 Primar y Coordinator : MISSIO N DATE : 05/17/201 0 Appointmen t Oate/Tlme : 1 1 a m (nee d PATIEN T INF O

Name : :)ac 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 Address : 12 3 mai n anytown , NY Language : Bas t Contact :

Other : Email : dd@creative.cD m Treatin g Physician : Releasin g Ptiysician : Phone :

Le g 1 : Patien t AirLif t Service s —888-818-123 1 FROM : MMU(ET ) GM T - 5 ->ETD : TO : BOS(ET ) GM T - 5 ->ETA : Pilot : Ala n Pilo t ->Alrcraft : C18 2 Airpor t Name : Morristow n Mun i City/St : Morristown , N J FBO : FB O Phone : Airiwr t Name : Genera l Edwar d Cfty/St : Boston , M A Lawrenc e Loga n FBO : FB O Phone : Phone : Work : (973 ) 974-xxx x Home : (908 ) 955-xxx x Fax : (973 ) 974-xxx x Cetll : (949 ) 289-xxx x Email : xxxxe5sam@yahoo.co m Secondar y Email : alan.p1lot@palserv)ces.or g N Number : N-xxx x Ice : 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 (passenger , com|>anlon(s) , baggage) : 22 5 Phon e

-28

-

## -D



# Patien t AirLif t Seivice s ![i,\^iM:i#.M.I*:iC'1'.nT4:f 1

Retur n t o th e Missio n Sumniar y

-29

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