CHANGE OF ADDRESS NOTIFICATION 

(Airman Certificate Holder) 

PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a: 

The authority for collecting this information is contained in 49 U.S.C. §§ 40113, 44702, 44703, 44709, and 14 C.F.R. Parts 61, 63, 

and/or 65. The principal purpose for which the information is intended to be used is to identify and evaluate your qualifications and 

eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except for the Social Security Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate 

and/or rating. The information collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 

847, titled “Aviation Records on Individuals” and will be subject to the routine uses published in the System of Records Notice

(SORN) for DOT/FAA 847 (see www.dot.gov/privacy/privacyactnotices), including: 

(a) Providing basic airmen certification and qualification information to the public upon request; examples of basic information 

include: 

• The type of certificates and ratings held, limitations, date of issuance and certificate number; 

• The status of the airman’s certificate (i.e., whether it is current or has been amended, modified, suspended or revoked for any 

reason); 

• The airman’s home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c); 

• Information relating to an airman’s physical status or condition used to determine statistically the validity of FAA medical standards; and the date, class, and restrictions of the latest physical 

• Information relating to an individual’s eligibility for medical certification, requests for exemption from medical requirements, and 

requests for review of certificate denials. 

(b) Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety. 

(c) Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities. 

(d) Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official

investigation in which an airman is involved. 

(e) Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the 

public upon request. 

(f) Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. 

Department of Justice (DOJ) for collection pursuant to 31 U.S.C. 3711(g). 

(g) Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected 

certificates to perform job responsibilities for those employers. 

(h) Making airmen records available to users of FAA’s Safety Performance Analysis System (SPAS), including the Department of 

Defense Commercial Airlift Division’s Air Carrier Analysis Support System (ACAS) for its use in identifying safety hazards and 

risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the effectiveness of targeted oversight 

actions. 

(i) Making records of an individual’s positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or 

refusal to submit to testing required under a DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of individuals who, in their commercial capacity, 

administer the drug and alcohol testing programs of aviation entities. 

(j) Providing information about airmen through the Civil Aviation Registry’s Comprehensive Airmen Information System to the 

Department of Health and Human Services, Office of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identify airmen to the child support agencies 

nationwide in enforcing child support obligations, establishing paternity, establishing and modifying support orders and location of 

obligors. Records listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security 

Administration’s secure environment. 

(k) Making personally identifiable information about airmen available to other Federal agencies for the purpose of verifying the 

accuracy and completeness of medical information provided to FAA in connection with applications for airmen medical certification. 

(l) Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine 

basis so that AMEs may render the best medical certification decision. 

(m) Making airman, aircraft and operator record elements available to users of FAA’s Skywatch system, including the Department 

of Defense (DoD), the Department of Homeland Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events. 

(n) Other possible routine published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses 

(65 F.R. 19477-78) For example, a record from this system of records may be disclosed to the United States Coast Guard (Coast 

Guard) and to the Transportation Security Administration (TSA) if information from this system was shared with either agency 

when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is 

necessary to accomplish a DOT, TSA or Coast Guard function related to this system of records.

AC Form 8060-55 (10/09) Supersedes previous edition
CHANGE OF ADDRESS NOTIFICATION 

(Airman Certificate Holder) 

Please be advised. This form is only used for updating your address with the Federal 

Aviation Administration, Airmen Certification Branch. Completing and submitting 

this form to the Airmen Certification Branch, does not result in the issuance of a 

replacement certificate. If a replacement reflecting your current address is desired, 

please submit AC Form 8060-56. 

 

Name: _______________________________________ SSN: __________________ 

 (Please Print) 

(If your preferred mailing address is a Post Office Box, Rural Route, General Delivery, 

or Star Route, you must provide a physical residential address, directions, or a map for 

locating your residence.) 

New Address: ____________________________________________________________ 

________________________________________________________________________ 

________________________________________________________________________ 

________________________________________________________________________ 

Date of Birth: ______________________ Place of Birth: _______________________ 

______________________________________ ______________________________ 

Signature Date 

Please mail this request to: 

Federal Aviation Administration 

Airmen Certification Branch, AFS-760 

P O Box 25082 

Oklahoma City, OK 73125-0082 

AC Form 8060-55 (10/09) Supersedes previous edition