Instrument Rating Request

AIRFIELD GOUGE Instrument Check

OPNAV 3710/2

Fill out a clean web form, then download the original editable OPNAV PDF. This version includes instrument approach counts, written examination, Q/U flight evaluation, editable remarks, and examiner information. Nothing you type is sent to a form server.

01 / Applicant information

1. Name (Last, First, MI)

2. Rank

3. EDIPI

4. Date of last evaluation

5. Unit

6. Crew position & qualifications

02 / Aircraft and check flight

7. Hours in model

8. Date of check flight

9. Aircraft model

10. Aircraft BUNO

11. Flight duration (hours)

12. Expiration date

03 / Rating and instrument hours

15. Current rating

16. Issued rating

18. Actual, last 12 mo.

18. Simulated, last 12 mo.

18. Actual, last 6 mo.

18. Simulated, last 6 mo.

18. Actual, all years

18. Simulated, all years

04 / Miscellaneous summary and pilot experience

13. Precision approaches · last 6 mo.

13. Precision approaches · last 12 mo.

13. Non-precision approaches · last 6 mo.

13. Non-precision approaches · last 12 mo.

14. Total pilot time

18. Total years flying experience

05 / Written examination

19. Written examination result

Satisfactorily Unsatisfactorily

20. First exam grade

21. Second exam grade

22. Third exam grade

23. Examining officer

24. Examining officer rank

25. Examining officer unit

26. Date of exam

06 / Flight evaluation

Each item defaults to Qualified (Q). Choose Unqualified (U), or Not marked for an optional or unassessed item. The exported PDF keeps the original Q/U checkboxes editable.

07 / Examiner and remarks

29. Flight examiner

30. Rank

31. Date

33. Remarks (editable template)

34. Unit commander

35. Rank

36. Date

Signature boxes 17, 32, and 37 remain untouched in the original PDF. Sign later in an approved compatible viewer.