APPENDIX 3

SAMPLE NOTAM

_______________ AIRPORT

CARC NOTAM # ______________________________DATE:______________

AIRPORT I.D. # _______________________________TIME:______________

NOTAM TEXT:

 

NOTIFICATON:
# # # # TOWER
_____________   ____________    _____________    _____________
PHONE #             INITIALS            TIME                CALLED IN BY

 

# # # # FSS    
_____________    _____________    _____________     ____________
PHONE #              INITIALS               TIME                   CALLED IN BY

 

AIRLINES
____________________ _____________________
____________________ _____________________
____________________ _____________________
CANCELLED:

NOTIFICATON:

 

# # # # TOWER 
____________    ____________    _____________     ____________
PHONE #            NITIALS                TIME                 CALLED IN BY

 

# # # # FSS         
_____________   _____________    _____________   _____________
PHONE #              INITIALS               TIME                  CALLED IN BY

 

 

AIRLINES
____________________ _____________________
____________________ _____________________
____________________ ____________________