Navigate / EASA

AMC 21.B.520(b) Application for a permit to fly

ED Decision 2012/020/R

The competent authority must receive an application for permit to fly in a form and manner established by that authority, e.g. on EASA Form 21 (see below) completed by the applicant.

Application for Part 21 Permit to Fly

1.  Applicant:

[Name of applicant]

2.  Aircraft nationality and identification marks:

 

3.  Aircraft owner:

 

4.  Aircraft manufacturer/type

5. Serial number

6.  Purpose of flight

[Use terminology of 21.A.701(a) and add any additional information for accurate description of the purpose, e.g. place, itinerary, duration…]

[For an application due to a change of purpose (ref. 21.A.713): reference to initial request and description of new purpose]

7.  Expected target date(s) for the flight(s) and duration

8.  Aircraft configuration as relevant for the permit to fly

8.1     The above aircraft for which a permit to fly is requested is defined in [add reference to the document(s) identifying the configuration of the aircraft. Same as required in AMC 21.A.263(c)(6) or AMC 21.A.709(b) application approval form 18A or 18B, box 6]

8.2     The aircraft is in the following situation related to its maintenance schedule:

 

[Describe status]

9.  Approval of flight conditions [if not available at the time of application, indicate reference of request for approval]

 

[Reference to:

1.   EASA approval, if flight conditions are approved by EASA; or

2.   DOA approval form (see AMC 21.A.263(c)(6)), if approved under DOA privilege; or

3.   Competent authority approval.

10.   Date:

 

 

 

11.  Name and signature:

 

[Authorised signatory]

 

EASA Form 21