Regulation (EU) 2024/2076
CERTIFICATE FOR AERO-MEDICAL EXAMINERS (AMEs)
European Union ([40])
Competent Authority
AERO-MEDICAL EXAMINER CERTIFICATE
CERTIFICATE NUMBER/REFERENCE:
Pursuant to Commission Regulation (EU) No 1178/2011 and Regulation (EU) 2015/340 ([41]) and subject to the conditions specified below, the [competent authority] hereby certifies
[NAME OF THE AERO-MEDICAL EXAMINER]
[PRACTICE ADDRESS(ES) OF THE AERO-MEDICAL EXAMINER]
as aero-medical examiner
CONDITIONS:
1. This certificate is limited to the privileges specified in the attachment to this AME certificate;
2. This certificate requires compliance with the implementing rules and procedures specified in Part-MED/Part ATCO.MED ([42]).
3. This certificate shall remain valid from [dd/mm/yyyy] until [dd/mm/yyyy ([43])] subject to compliance with the requirements of Part-MED/Part ATCO.MED (2) unless it has been surrendered, superseded, suspended or revoked.
Date of issue: dd/mm/yyyy Signature: [Competent Authority]
EASA Form 148 Issue 2
AERO-MEDICAL EXAMINER CERTIFICATE
Attachment ([44]) to AME certificate number:
PRIVILEGES AND SCOPE
[Name and academic title of the aero-medical examiner] has obtained the privilege(s) to undertake aero-medical examinations and assessments for the issuance of medical certificates and medical reports as stated in the table below and to issue these medical certificates and medical reports for:
Class 1 revalidation/renewal |
[valid until]/[Not Applicable] |
Class 2/LAPL/Cabin crew Initial/revalidation/renewal |
[valid until] |
Class 3 ([45]) revalidation/renewal |
[valid until]/[Not Applicable] |
Date of issue: dd/mm/yyyy Signature: [Competent Authority]
[40] 'European Union' to be deleted for non-EU Member States
[41] Reference to Regulation (EU) No 1178/2011 or Regulation (EU) 2015/340 as well as Part-MED and Part ATCO.MED shall be modified as per the certificate’s scope.
[42] Reference to Regulation (EU) No 1178/2011 or Regulation (EU) 2015/340 as well as Part-MED and Part ATCO.MED shall be modified as per the certificate’s scope.
[43] Expiry date format: day/month/year.
[44] This attachment may be issued as part of the AME certificate or as a separate document.
[45] Class 3 shall be added only for the AMEs approved to perform class 3 aero-medical examinations.
The AME certificate, per EASA Appendix VII to Part-ARA, grants privileges limited to the attachment, requires compliance with Part-MED/Part ATCO.MED, and remains valid only unless surrendered, superseded, suspended, or.
* Summary by Aviation.Bot - Always consult the original document for the most accurate information.
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