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WEIGHT AND BALANCE CLEARANCE FORM F
TACTICAL
(USE REVERSE FOR TRANSPORT MISSIONS)

DATE
AIRPLANE TYPE
FROM
HOME STATION
MISSION/TRIP/FLIGHT/NO.  
SERIAL NO. 
TO
PILOT
REMARKS

[[4 Columns]]
REF | ITEM | WEIGHT | 1 INDEX OR MOM/
1 | BASIC AIRPLANE (From Chart C) | - | -
2 | OIL ( Gal.) | - | -
3 | DISTRIBUTION OF LOAD
[[/4 columns]]

[[7 columns]]
COMPT. | CREW NO. | CREW WEIGHT | BAGGAGE | CARGO AND MISC. || WEIGHT | 1 INDEX OR MOM/
[[/7 columns]]

COMPUTER PLATE NO. (If used)

Pertinent instructions to the pilot for shifting load and crew during takeoff and landing should be noted above.

CORRECTIONS (Ref. 11)
[[4 columns]]
COMPT | ITEM | CHANGES (+ or –) WEIGHT | CHANGES (+ or –) 1 INDEX OR MOM/
[[/4 columns]]
TOTAL WEIGHT REMOVED | - | -
TOTAL WEIGHT ADDED | + | +
NET DIFFERENCE (Ref. 11)

LIMITATIONS
2 GROSS WT. TAKEOFF (lb.) | 2 GROSS WT. LANDING (lb.)
3 PERMISSIBLE C. G. TAKEOFF | FROM | TO (% M. A. C. or IN.)
4 PERMISSIBLE C. G. LANDING | FROM | TO (% M. A. C. or IN.)

1 Enter constant used.
2 Enter values from current applicable T. O.
3 Applicable to gross weight (Ref. 12).
4 Applicable to gross weight (Ref. 15).

[[3 columns]] 
[[ITEM]] | WEIGHT | 1 INDEX OR MOM/
4 OPERATING WEIGHT | - | -
[[/3 columns]]

[[6 columns]]
5 AMMUNITION | COMPT. | ROUNDS | CALIBER || WEIGHT | 1 INDEX OR MOM/
[[/6 columns]] 

[[4 columns]]
6 BOMBS, ROCKETS, ETC. | FORWARD || WEIGHT | 1 INDEX OR MOM/
- | AFT || - | -
- | EXTERNAL || - | -
- | ROCKETS || - | -
7 FUEL | BUILT IN ( Gal.) || - | -
- | BOMB BAY ( Gal.) || - | -
- | EXTERNAL ( Gal.) || - | -
8 | WATER INJ. FLUID ( Gal.) || - | -
9 | JATO OR RATO || - | -
10 | TAKEOFF CONDITION (Uncorrected) || - | -
11 | CORRECTIONS (If required) || - | -
12 | TAKEOFF CONDITION (Corrected) || - | -
13 | TAKEOFF C. G. IN % M. A. C. OR IN. || - | -
14 LESS EXPENDABLES | JATO OR RATO || - | -
- | BOMBS || - | -
- | AMMUNITION || - | -
- | FUEL || - | -
15 | ESTIMATED LANDING CONDITION || - | -
16 | ESTIMATED LANDNG C. G. IN % M. A. C. OR IN. || - | -

COMPUTED BY (Signature)
WEIGHT AND BALANCE AUTHORITY (Signature)
PILOT (Signature)

DD FORM 365F 1 SEPT 54

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