AF Form 1055: Youth Flight Medication Permission Download – If your child participates in Air Force Child and Youth Programs (CYP) — including Youth Centers, School Age Care, before/after-school programs, summer camps, or Youth Flight activities on a U.S. military base — you may need AF Form 1055, Youth Flight Medication Permission. This official form gives trained program staff legal permission to administer prescription or over-the-counter medication to your child during program hours.
Military families across the United States rely on this form to keep children safe and healthy while parents serve. Below is everything you need to know about AF Form 1055 in 2025, including how to download it, fill it out step-by-step, current Air Force policies, and answers to frequently asked questions.
What Is AF Form 1055?
AF Form 1055 is the official U.S. Air Force “Youth Flight Medication Permission” form. It is used exclusively in Air Force Child and Youth Programs (CYP) and Youth Programs (YP) to document parent/guardian authorization for medication administration.
The form creates a clear record that:
- Parents approve the specific medication
- Staff know exact dosage, timing, and instructions
- Daily (or annual for emergency meds) permission is verified
- Trained CYP staff log every dose administered
Important: The form remains the current, active version and is referenced in the latest Department of the Air Force Instruction (DAFI) 34-144, Child and Youth Programs (2 October 2024, incorporating Change 1, 18 July 2025).
Who Needs AF Form 1055?
You must complete AF Form 1055 if your child:
- Attends Youth Flight / School Age Care, Youth Center programs, or any CYP activity on a U.S. Air Force base
- Requires medication (prescription or certain OTC) during program hours
- Needs emergency medications such as EpiPens, inhalers, or diabetes supplies
Parents or legal guardians are responsible for completing the form. It applies to children and youth typically ages 5–12 (or up to 18 in some extended programs).
Why Is This Form Required?
Air Force policy prioritizes child safety and legal compliance. Trained CYP staff can only administer medication when a completed AF Form 1055 is on file. This protects your child, the staff, and the program while meeting federal and DoD health standards.
Key rules from current policy:
- Medication must be in the original labeled container with your child’s name, medication name, dosage, and physician instructions.
- Only staff trained annually by medical personnel may administer medication.
- Routine daily medications are given once or twice per 10-hour day (time-sensitive exceptions apply).
- Youth 9 years and older may self-carry emergency medication with written parent permission.
How to Download AF Form 1055 (Free Official PDF)?
Direct official download (always current version): Download AF Form 1055 PDF Here
This link comes straight from the Air Force e-Publishing website. Save and print it — or complete it digitally where allowed at your base.
Step-by-Step: How to Fill Out AF Form 1055?
Follow these instructions (based on current Air Force CYP Medication Administration Guides):
- CYP Staff Section (Top)
Staff will usually fill: Date received, Child’s full name. - Medication Information (Parent/Guardian completes)
- Medication name
- Purpose of medication
- Prescription number (Rx #) or “N/A” for OTC
- Expiration date
- Dosage amount and route (e.g., 5 mL by mouth)
- Times to administer
- Stop date (maximum 12 months)
- Special instructions
- Physician/provider name and date seen
- Parent Authorization
Print the name of the specific Youth Flight / CYP program.
Sign and date to authorize staff to administer the medication. - Daily Permission Verification (Critical)
At the bottom of the form is a daily log section.- Each day your child needs scheduled medication, you (or authorized guardian) must initial and date the verification line.
- For emergency/as-needed medications (EpiPen, inhaler, etc.), one annual authorization may suffice.
- Staff Medical Log
After each dose, trained staff records: date, time given, dosage, and their initials/signature. Errors must be crossed out, initialed, and explained (no white-out).
Pro Tip: Bring the completed form and original medication container to your Youth Center orientation or registration. Many bases require the first dose to be given by the parent at home.
Current Air Force CYP Medication Policies (2025)
- DAFI 34-144 governs all Child and Youth Programs nationwide.
- Parents must initial AF Form 1055 daily for routine medications.
- Overnight care or field trips allow advance daily authorizations.
- No medication is given during open recreation unless it is an emergency prescription.
- All staff receive annual training from medical personnel.
Local base Youth Programs may have slight variations — always confirm with your installation’s Family Support Center or Youth Center.
Frequently Asked Questions (FAQs)
Q: Is AF Form 1055 only for prescription drugs?
A: No. It covers both prescription and certain over-the-counter medications. Check with your Youth Center for OTC requirements.
Q: How long is the form valid?
A: Usually up to 12 months or until the stop date you list, whichever comes first. New forms are required for new medications or changes.
Q: Can my child self-administer?
A: Youth 9+ may self-carry and self-administer emergency medications (inhalers, EpiPens) with written parent permission on the form.
Q: What if my child has special needs?
A: Work with the CYP Inclusion Action Team and provide a current Individualized Education Plan or 504 plan along with AF Form 1055.
Q: Where do I turn in the form?
A: Directly to your base Youth Center or School Age Care program staff.
Final Tips for Air Force Families
- Always use the official e-Publishing link above to ensure you have the latest version.
- Keep a copy for your records.
- Communicate any medication changes immediately to program staff.
- Contact your local Youth Flight / CYP staff if you have questions — they are there to support military families.
Ready to get started?
Download AF Form 1055 – Youth Flight Medication Permission (Official PDF)
Serving our country means trusting the Air Force to care for your children while you serve. AF Form 1055 makes that possible — safely, legally, and with complete peace of mind.
Last updated: April 2025. Always verify current policies with your local Air Force Child and Youth Program.