NDAC - APPLICATION FOR COMMERCIAL AERIAL APPLICATOR LICENSE

APPLICATION FOR COMMERCIAL AERIAL APPLICATOR LICENSE
No person may engage in the activity or business of aerial application in the State of North Dakota without first obtaining an aerial applicator's license from the North Dakota Aeronautics Commission. (See 6-02-02)

SAVE often to prevent losing any data while completing this online form.

If you need to preview the regulations of this state before applying, click here.
Date of Application

MonthDayYear
Date
Full Name of Owner/Applicant*
Business Name (Who holds the Part 137?)*
Do NOT spray without FAA Part 137
Owner/Applicant Mailing Address
City
State
Zip Code
Telephone Number*
Email Address*
example@example.com
County*
FAA Part 137 Agriculture Operator Certification Number (MUST provide copy of certificate with this form. Questions about your FAA Part 137 should be directed to the Flight Standards District Office (FSDO) at: (701) 492-5800)*
Upload Copy of Part 137 here:*

Cancelof
CHIEF PILOT INFORMATION (see North Dakota Administrative Code 06-02-02-04)

All operators or contractors employing one or more commercial pilots for the purpose of conducting aerial application by aircraft in this state shall employ at least one chief pilot. A chief pilot must produce evidence of a commercial federal aviation administration license with a minimum of seven hundred fifty flight hours as pilot in command, of which a minimum of two hundred fifty flight hours as pilot in command must be in the class of aircraft in which the sprayer or duster equipment will be installed and used for aerial application. In addition, the chief pilot must have at least two years apprentice commercial aerial application experience as pilot in command and has accumulated at least two hundred hours total aerial application flying time as an employee, supervised by a North Dakota chief pilot who holds a federal aviation administration part 137 certificate, who may recommend the applicant and certify the applicant's qualifications for the operational level sought, or certified to by an affidavit of the applicant, subject to investigation by the aeronautics commission, which may approve or deny the application.
Are the Chief Pilot and the Owner/Operator the same person?*

YesNo
Chief Pilot Full Name*
Chief Pilot Mailing Address
City
State
Zip Code
Telephone Number*
Email Address*
example@example.com
ND Chemical Restricted Certification Number*
Expiration Date*
If expired, you must contact NDSU Extension Service at 701-231-7180.
Pilot FAA Certification Number*
Will you be adding any additional airmen (other than the Chief Pilot)?*

YesNo

AIRMEN TO BE INCLUDED ON LICENSE

It is the responsibility of the chief pilot to determine the amount of supervision a pilot requires. The chief pilot must be familiar with the area in which the supervised pilot or pilots are flying and be able to contact each pilot daily as needed. Pilots with less than two years' experience and less than two hundred fifty hours of actual aerial application must be under the direct, personal supervision of a chief pilot and must be based out of the same airport as the airport in which the chief pilot is operating. The chief pilot or the chief pilot's designated representative of every aerial application operation licensed by the aeronautics commission must be located within North Dakota during the time of actual aerial application operations and the chief pilot shall be responsible for the actions of all pilots under the chief pilot's supervision. You must notify our office of any airmen added after approval of this application.

Non-resident aerial applicators from neighboring states may use their chemical certificate as a reciprocating agreement. For more information, contact the NDSU Extension Service at (701) 231-7180. Expired certificates will not be accepted. (Do not list Chief Pilot information.)

	Pilot Name	Mailing Address	ND Chemical Restricted Certification Number	Expiration Date (If expired, you must contact NDSU Extension Service at 701-231-7180)	Pilot FAA Certification Number
Pilot 1

All aerial applicators hiring any personnel must take out ND Worker's Compensation and document the number.

ND WORKER'S COMPENSATION (701) 328-3800, toll free: 800-777-5033 or (https://www.workforcesafety.com)
ND WORKER'S COMPENSATION NUMBER*
Worker's Compensation Number (If not required, put NONE)
Do you have additional airmen to add?

YESNO

	Name	Mailing Address	ND Chemical Restricted Certification Number	Expiration Date (If expired, you must contact NDSU Extension Service at 701-231-7180)	Pilot FAA Certification Number
Pilot 2
Pilot 3

Add additional airmen information here:
Include ND Chemical Cert Number and Pilot FAA Cert Number

AIRCRAFT TO BE INCLUDED ON LICENSE

All aircraft operated in aerial application requiring a North Dakota aerial applicator's license shall be registered with the North Dakota Aeronautics Commission prior to actual use of the aircraft in this state and prior to the issuance of an aerial applicator's license. Annual registration fees shall be in accordance with the schedule set forth in North Dakota Century Code sections 2-05-11 and 2-05-18 and shall be paid in full in advance. You must notify our office of any aircraft added after approval of this application.
Do you have more aircraft to add?

YESNO

Aircraft

	N-Number	NDAC Registration Number (if unknown, leave blank): This number will not be provided until your aircraft is registered with the state (based on maximum gross weight of your aircraft)
Aircraft 4
Aircraft 5
Aircraft 6
Aircraft 7
Aircraft 8
Aircraft 9
Aircraft 10
Aircraft 11
Aircraft 12
Aircraft 13
Aircraft 14
Aircraft 15

Did the Owner/Operator or Chief Pilot attend the Professional Aerial Applicators' Support System (PAASS) Program in 2024?*

YESNO

Date of Last Professional Aerial Applicators' Support System (PAASS) Program attended by the Owner/Operator or the Chief Pilot

MonthDayYear
Date of Attendance
Who Attended
Chief Pilot or Owner/Operator must attend
Title
Location of Meeting
List City and State

If PAASS was not taken in this current year, an alternative safety meeting is required. Which alternative meeting did you attend? If you still need to meet the requirement, you can view the 2024 North Dakota Aeronautics Commission safety video here.
In-Person NDAC Safety Meeting (March 3, 2024)Virtual NDAC Safety MeetingFlying in the Wire and Obstruction Environment Course (March 13, 2024)
Flying in the Wire

Date of In Person Safety Meeting

MonthDayYear
Date
Where was meeting held?
List City and State

Date of Virtual Safety Meeting

MonthDayYear
Date

SUBMIT ACREAGE REPORT BY DECEMBER 1
The licensee shall file with the Aeronautics Commission no later than December 1st of the year of application a summary of the total number acres treated IN 2024 by category, such as for weed control, insect control, fertilizer application, fungicide application, etc. Failure of any licensed aerial applicator to furnish copies of such reports upon request of the aeronautics commission, in a reasonable time, shall be grounds for suspension of an aerial applicator's state license.

After the current year (2024) spray season has ended, you may submit the acreage summary HERE.
By signing below, I certify that I understand and meet the requirements to be a licensed aerial applicator operating in North Dakota.
Print Name*
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR COMMERCIAL AERIAL APPLICATOR LICENSE

SUBMIT ACREAGE REPORT BY DECEMBER 1