FORM REPORTING VRS ( FAX )

Facsimile Sheet of Voluntary and Confidential Report ( VRS )
Dear Administrator of VRS
Facsimile Number :
Dir Administrator of VRS,
I will submit the voluntary report to you as follow.
Please be useful for aviation safety.
Best regards,
[Name]
[Email]
[Telephone]
[Kind of Duty] (Pilot, Stewardess , Mechanic, ATC , Airport Staff, etc)
[Outline Of Reporting]
(1) Content of Report
(2) Situation of Occurrence
(3) Comments ( Important Information, Lesson Learn, Issue, etc.)
If you need more papers or you want to show a picture on the paper, you can add more paper if necessary