Request for Change of Certificate Number


If you hold an airman certificate that uses your Social Security Number (SSN) as your certificate number and would like our office to change that certificate number to a unique number other than your SSN or would like our office to remove your SSN completely from our records, please check the appropriate box below, complete and sign the form, and return it to the following address:


FAA, Airmen Certification Branch, AFS-760
P0 Box 25082
Oklahoma City, OK 73125


1. Please assign unique numbers to each of my certificates and reissue. (Pilot and CFI will have the same number.) I understand that my SSN will not appear on any certificate and will be used only as an identification number by the Airmen Certification Branch.


2. Please assign unique numbers to each of my certificates and reissue. (Pilot and CFI will have the same number.) I understand that my SSN will not appear on any certificate and will not be used to identify my airmen certification records. A pseudo number will be assigned to my airmen certification records for identification purposes. I agree that I will not furnish my SSN on any future applications for Airman or Medical certifications.



Name: ___________________________________ SSN: __________________________ (Please Print)

Address: __________________________________________________________________


Date of Birth: ____________________ Place of Birth: ______________________________


Signature: ____________________________