No.152/1, Minuwangoda Road, Katunayake

Death Onboard Reporting

Civil Aviation Authority of Sri Lanka

Death Onboard Occurrence Report Form

Step One
Step Two
Step Three
Step Four
Final Step

Basic Details

Flight Number

Aircraft Type

Registration

Operator

Sector

Information on Deceased Passenger

Passport Number

Nationality

Date of Birth

Age

Gender

Occupation

Full Name

Residence Address

Date & Reason for Death

Seat Number

Death Date

Time of death - UTC

Place of Death

Cause of Death

Details of medical practitioner

Name

Designation

Licence No

Country

Reported By

Captain Name

License No

Re-Email

First Officer Name

License No

Re-Email

I hereby declare that the information given above is true and accurate to the best of my knowledge.

Death Onboard Reporting

Civil Aviation Authority of Sri Lanka

Death Onboard Occurrence Report Form

Report Submited Successfully!

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Form Submitted Successfully

Oops.. Something wrong.

**NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format**

Error - Invalid Text Format or Fill Required(*) Feilds

Basic Details

Information on Deceased Passenger

Date & Reason for Death

Details of medical practitioner

Reported By

Death Onboard Reporting

Civil Aviation Authority of Sri Lanka

Death Onboard Occurrence Report Form

Report Submited Successfully!

Oops.. Something wrong. Please try again later.

Form Submitted Successfully

Oops.. Something wrong.

NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format Error - Invalid Text Format or Fill Required(*) Feilds

Error - Invalid Text Format or Fill Required(*) Feilds

Basic Details

Information on Deceased Passenger

Date & Reason for Death

Details of medical practitioner

Reported By

**NOTE : Please Fill all the Mandatory Fields(*) & Follow the Correct Text Format**