AGE 60

CLASS ACTION PROJECT

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PDF Application

PDF Cover Letter

PDF Attorney Agreement

To download the form you must have Adobe Reader.  To download this for free visit Adobe Acrobat Family

New applicants may either download the PDF application form above, or choose the on-line form below to submit your initial payment via paypal.

All applicants must download the Cover Letter and Attorney Agreement, via the buttons above, and mail in a signed copy of the acceptance page (4). If you chose to download the application, mail it in with the signed acceptance page and your check to: Age 60 CAP, PO Box 646, Midway, UT 84049.

Read the cover letter and agreement carefully. Submitting your application and signed approval implies that you are willing to support the CAP as described in the "Overview" section.

Join online by filling in this Plaintiff Application Form and submitting with your assessment via PayPal. (PayPal will charge a $7.50 handling fee)

Plaintiff Information Form: 

First Name:   Last Name:   Middle Initial:   Suffix:

Permanent Address:

City:   State:   Zip:   Country:

Secondary Address:

City:   State:   Zip:   Country:

Home Phone: /  Cellular Phone: /

Other Phone: /

Email:   Secondary Email:

Birth date:

Last Part 121 Airline:

Last Part 121 Airline Dates - Hire Date:   Official Retirement Date: 

History of aviating career: (brief overview in chronological order with dates of employment)

Did you acquire a flying job after retiring from last Part 121 job?  No Yes

Describe your post 60 employment history:

Medical certificate held at date of retirement: 1st Class 2nd Class

Medical overview following retirement

Do you have the same medical coverage in retirement as when you were employed full time? No Yes  

Did you receive the full pension you had earned upon retirement? No Yes

Did you receive a reduced pension upon retirement, or subsequent to retirement, 
due to your employer defaulting on your pension plan? No Yes

Did you receive a Lump Sum payment upon retirement? No Yes

Given the opportunity, would you have remained at
your last Part 121 position past your 60^th birthday? No Yes

Did you attempt to remain in your last Part 121 position past your 60^th birthday? No Yes

What methods did you pursue to remain in your Part 121 job past your 60^th birthday?
(Please elaborate on any professional organizations seeking change to the Rule, petitions for exemptions, letters to legislators, your company or union, articles written for newspapers, professional publications, forums, etc. SWAPA pilots may include a statement about referendums, SWAPA and SWA support for legislative change to the Rule, amicus briefs for petition. JetBlue pilots may include a statement about their corporate support for changing the Rule).  

Was there a compelling reason to continue to work for your Part 121 employer past your 60^th birthday?
(college tuition, extraordinary medical expenses, multiple airline jobs during career which left
you with insufficient retirement funds or income)

Home     An Overview     Court Filing     Application and Attorney Agreement     Contact     News

The Intent     Who      Plaintiff Criteria     How Long     How Much     Who Will Pay     The Awards     The Odds     Why a Class Action     The Lawyers