Passenger / Crew and Cargo Manifest – TEST FORM Crew Name: Flight Manager Name & Phone: Ordering Unit: Incident / Project Name: Incident / Project Number: Center Carrier Name or Vehicle List Departure Location: ETD Arrival Location: ETA Make / Model / License: Report To: If Delayed, Contact: Passenger / Cargo Name (Include contact numbers for Position / AD Class Passenger Cargo M/F Home Unit / Jetport leaders – CRWB, Asst. CRWB, CRWB-T, etc.) Weight Weight (e.g. FFT2/AD-C) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Passenger / Cargo Weight: Total Weight: Number of Passengers on Page: Signature of Authorized Representative: Date: Send comments to by November 1, 2014 05/14
Passenger / Crew and Cargo Manifest – TEST FORM Crew Name: Flight Manager Name & Phone: Ordering Unit: Center Incident / Project Name: Incident / Project Number: Carrier Name or Vehicle List Make / Model / License: Departure Location: ETD Arrival Location: ETA Report To: If Delayed, Contact: Passenger / Cargo Name (Include contact numbers for leaders – CRWB, Asst. CRWB, CRWB-T, etc.) M/F Passenger Weight Cargo Weight Position / AD Class (e.g. FFT2/AD-C) Home Unit / Jetport 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Number of Passengers on Page: Passenger / Cargo Weight: Total Weight: Signature of Authorized Representative: Date: Send comments to by November 1, 2014 05/14