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Applicant must fill in completely numbers 1 through 20 of the application The following numbered instructions apply to the numbered headings on the application form that follows this page NOTICE – Intentional falsification may result in federal criminal prosecution Intentional falsification may also result in suspension or revocation of all airman, ground instructor, and medical Applications Code Applications Home By completing the log-in below, I am affirming that I will safeguard all Sensitive Personally Identifiable Information (SPII), as defined in the DOT Information Technology and Information Assurance Policy 2006-22 (Revision 1), Implementation of DOT’s Protection of Sensitive Personally Identifiable Information (SPII) SPII is information that if released for Complete the form below to request an FAA MedXPress account An e-mail containing your initial password and instructions for completing the Account Request process will be sent to the address provided FAA MedXPress allows applicants to complete and submit their FAA Form 8500-8 on-line FAA MedXPress securely transmits the completed form and makes it available to a designated AME to review at the time of the applicant’s medical examination NOTE: Do you have questions about MedXPress? Go to FAA’s Frequently Asked Questions page to learn more Frequently Asked Questions | Federal Aviation Administration For help with: Your FAA MedXPress account, logging in, account lock-out, etc Guidance with the operation of FAA MedXPress Contact FAA MyIT Service Center:You are accessing a U S Government authorized information system, which includes (1) this computer, (2) this computer network, (3) all computers connected to this network, (4) all devices and storage media attached to this network or to a computer on this network, and (5) all cloud services and hosting environments supporting this information system This information system is provided for U Your request for an FAA MedXPress account has been received A temporary password and instructions for completing the Account Request process will be sent to your email account You are accessing a U S Government authorized information system, which includes (1) this computer, (2) this computer network, (3) all computers connected to this network, (4) all devices and storage media attached to this network or to a computer on this network, and (5) all cloud services and hosting environments supporting this information system This information system is provided for U For help with: Your FAA MedXPress account, logging in, account lock-out, etc Guidance with the operation of FAA MedXPress Contact FAA MyIT Service Center: By e-mail: helpdesk faa gov (Monitored 24 7) By phone: 1-844-FAA-MyIT (1-844-322-6948) (Monitored 24 7) FAA MyIT Service Center cannot answer questions related to entries on the application Complete the form below to request an FAA MedXPress account An e-mail containing your initial password and instructions for completing the Account Request process will be sent to the address provided

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