Name * First Name Last Name Phone * (###) ### #### Email * Aircraft Registration * Aircraft Make & Model * Annual Inspection Out of Phase Items - due for annual inspection Please list defects you are aware of and would like to address at this time Date Maintenance needs to be completed by Please type your full name below. By typing your name below, you are signing this form electronically * First Name Last Name Thank you for filling out the KAS Maintenance Request form.
