b. ATTACHED - If the DD Form 365-4 is attached.
c.
(Filed at)______/(date)______, when citing a previously filed DD Form 365-4 for a normal loading.
d.
(Filed with)______/when impracticable to file a DD Form 365-4 with the flight plan.
Item (20) AIRCRAFT SERIAL NUMBER/UNIT/HOME STATION
a. Enter aircraft serial number as follows:
(1)
USAF, USCG - Enter aircraft tail number.
(2)
USA - Enter aircraft serial number.
(3)
USN - Enter aircraft bureau number.
(4)
Formation flights - Enter only lead aircraft's number.
b. Enter the aircraft unit of assignment.
c. Enter the location identifier of home station (e.g., 50251/60 MAW/SUU).
Item (21) SIGNATURE OF APPROVAL AUTHORITY - To be signed by the appropriate approval authority.
Item (22) CREW, PASSENGER LIST
a.
If the list of crew members will not fit in the given blocks, the crew list may be continued on the back of the DD Form 175 original copy, or attached on a separate piece of paper. The attachment may be a copy of crew orders, or any piece of paper with the appropriate information on it. When a crew list is attached, check the appropriate box.
b.
If a passenger manifest is used, check the appropriate box. A single manifest for stopover flights may be filed at the departure point, provided it clearly shows crew/passenger changes for subsequent stops.
c.
If the crew or passenger list is not filed with the flight, indicate the location of the crew or passenger list in the space provided beside the crew/passenger entry on the flight plan.
Item (23) ACTUAL DEPARTURE TIME (Z) - For Base Operations use.
Item (24) DUTY - Enter the symbol for the duty to be performed by each crew member listed, as prescribed by appropriate service directives. For formation flights, identify the crew duty symbol and position of the aircraft in formation (e.g., IP/1, P/2, etc.).
Item (25) NAME AND INITIALS
a.
The name of the pilot in command must appear in the first block of the crew list on the DD Form 175.
b.
Names of all crew members except the pilot in command may be listed separately and attached to the flight plan (i.e., a copy of crew orders or other crew list).
c.
If there are more crew members than blocks, the list may be continued on the back of the original copy of the DD Form 175.
Item (26) RANK - Enter the appropriate military rank or suitable civilian classification (e.g., CDR, 2LT, CW3, SGT, DAC, etc.).
Item (27) SSN - Enter individual social security number. (Optional)
Item (28) ORGANIZATION AND LOCATION
a.
Enter individual organization/location identifier. If there is no identifier, enter installation name.
b.
For formation flights enter the aircraft tail number (United States Air Force, United States Coast Guard), serial number (United States Army), or bureau number (United States Navy) applicable to that particular crew member or passenger.
c.
If the crew is composed of members from different military services, identify the branch in parenthesis.
4-3 FLIGHT PLAN VIP CODES -
a.
Pilot VIP notification procedures. It is the responsibility of each aircraft commander transporting VIPs to insure that flight plans reflect high rank on board. A follow-up report is made approximately 15 to 30 minutes prior to arrival at destination base (United States Air Force and Navy installations only). Follow-up action is essential to preclude any embarrassment to the VIP, the station Commander, or the aircraft Commander. When available, Pilot to Dispatcher or Command Post radio should be used.
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