PIC Mission Report

Wings for Children
Flight Division
Post Office Box 1962, 1900 Oak Street
Myrtle Beach, South Carolina 29578-1962
843-448-9294 Fax: 843-448-6445

Mission Date: ______________ Departure Time: ___________ Return Time: __________

Crew Information

PIC’s Name: ________________________________ Phone No. ___________________

Street Address: ___________________________ City, State, Zip: ____________________

Co-Pilots Name: ______________________________ Phone No. ____________________

Street Address: ____________________________ City, State, Zip: ___________________

Aircraft Information

N Number: _____________ Make: ___________________ Model: ___________________

Flight Time for Mission: ___________________________ Distance: ______________ NM

Time: VFR ________________________ Time: IFR: ______________________________

Aircraft Expenses

Aircraft Owned: _________ Rented: __________ Hourly Rate: $ _________ If Rented dry,

Total cost paid for fuel: $__________ Other expenses: $_____________, details: ________

____________________.

Other Mission expenses:

Purpose ________________________________________________

                  Cost $____________

Purpose: _________________________________________________

                  Cost $____________

Mission Information

Passenger(s) Name(s) and/or cargo carried

__________________________________________________________________________

Brief Mission Description: _____________________________________________________

___________________________________________________________________________

___________________________________________________________________________

This report must be completed and returned to Wings for Children, Flight Division, before you can receive a tax receipt.