NDAC - DRONE REGISTRATION - SFN 11627D

APPLICATION FOR REGISTRATION OF AERIAL APPLICATING DRONE

SFN 11627
AIRCRAFT INFORMATION

Only drones that spray chemical need to register with the state.
Owner or Company Name*
Telephone Number
Contact Name
Responsible for Annual Registration Information
Mobile/Additional Telephone Number
Address
Email Address*
example@example.com
City
State
ZIP Code
County

AIRCRAFT INFORMATION (Drone)
What Business Name will this drone be spraying under in North Dakota?*
Any company/any pilot/any aircraft that sprays chemical from the air must be registered with our office.
Aircraft FAA Number (If no FAA number yet, use last 5 digits of drone serial number)*
N-
Airport Location Base/Closest airport to your Business*
Aircraft Make*
Aircraft Model
Year Manufactured
Manufacturer Serial Number
Weight (Max weight is 500 lb)*

Per 6-02-02-04.2 (Safety Standards for Unmanned Aircraft): The current maximum operating weight on an unmanned aircraft while conducting aerial application is five hundred pounds.

Total to Remit
Comments
How do you want to pay?*

Bill me electronicallyI'll send a check with copy of application (you will receive a copy once you 'submit')
Signature*

Clear
Date

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Date
Year
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