Medical Certificate Fit to Fly KLM employees (pilot or cabin attendant)

This form is intended for doctors outside The Netherlands to hand off a fit-to-fly statement for KLM employees (pilot and cabin attendant) that they have treated. The doctor fills in the form, signs it and gives it to the KLM employee. The KLM employee must hand it over to his supervisor.

If you prefer to fill in the form in print, you can download the form here.

  • Part A: to be completed by KLM/KLC employee

  • Part B – To be completed by Medical Doctor

  • Date Format: MM slash DD slash YYYY
  • You can fill in this part after you e-mail the form to yourself and print it.