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FAA CACI Asthma Worksheet for AMEs

Pilots whose asthma is stable and well controlled, on or off medication, can be certified at the AME's office under the FAA's CACI program. This worksheet, updated 09/24/2025, sets the limits: symptoms no more than 2 days a week, rescue inhaler use no more than twice a week, oral steroid courses no more than twice a year and no asthma hospitalization in the past year.

Who completes it

The AME completes the worksheet from a current, detailed Clinical Progress Note written after a clinic visit with the treating physician or specialist, such as a pulmonologist or allergist, no more than 90 days before the AME exam.

Submitting and payment

How to submit it
If all criteria are met, the AME issues, notes 'CACI qualified asthma' in Block 60 and keeps the documents on file without sending them to the FAA; otherwise the AME defers and submits them.
Who pays
The FAA does not set AME examination fees; the pilot pays the examiner, and the FAA recommends the usual and customary local fee for similar services.

Good to know

  • In the last year the pilot may have no inpatient stays and no more than 2 outpatient or urgent care visits for exacerbations, with symptoms fully resolved.
  • Accepted medications are inhaled long- or short-acting beta agonists, inhaled corticosteroids and leukotriene receptor antagonists such as montelukast; monoclonal antibodies do not qualify for CACI.
  • Spirometry within 90 days must show FEV1 and FVC both at least 80% predicted before bronchodilators, unless the only treatment is as-needed albuterol on 1 or 2 days a week.
  • A short oral or IM steroid course during a flare is acceptable, but the AME cautions the pilot not to fly until the course ends and symptoms resolve.

Get the official form

Download the current version from the source each time; forms change without notice.

CACI - Asthma Worksheet

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

How often can a pilot use a rescue inhaler and still meet the FAA asthma CACI?

No more than two times a week, with symptoms on no more than 2 days a week and oral corticosteroids for exacerbations no more than twice a year. The treating clinician's progress note should document these frequencies so the AME can check each one against the worksheet.

Does a pilot with asthma need spirometry for the FAA CACI?

Usually. Spirometry from the last 90 days must show FEV1 and FVC both at or above 80% predicted before bronchodilators. It is not required when the only treatment is as-needed use of a short-acting beta agonist such as albuterol on one or two days a week.