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REPORTING FORM

This form is for submitting a report on airport conditions, noise complaints, or UAS activity to the Oregon Department of Aviation. Reporter will receive a confirmation from ODA within 10 days from when the report is received by ODA. Questions? Call 503-378-2521

Question Title

* TYPE OF REPORT

Airport Conditions

Noise Complaint

UAS Activity

Other (please specify)

Question Title

* INFORMATION

Name (First, M.I., Last) *

Group/Organization

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number *

Question Title

* START DATE/TIME OF INCIDENT OR ACTIVITY

Date / Time

Date

Time

AM/PM

Question Title

* END DATE/TIME OF INCIDENT OR ACTIVITY

Date / Time

Date

Time

AM/PM

Question Title

* LOCATION OF INCIDENT OR ACTIVITY

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Question Title

* AIRCRAFT N NUMBER

Question Title

* REMARKS

Question Title

* If your report has any supporting materials, please attach them here:

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

DOCX, DOC, JPEG, JPG, PDF, PNG file types only.

Choose File