AMC2 21.A.130(b) Statement of Conformity for Products (other than complete aircraft), parts, appliances and materials -- The Authorised Release Certificate (EASA Form 1)

• ED Decision 2021/011/R found in: Initial Airworthiness and Environmental Protection (748/2012) Part-21 Part-21L (Jul 2024)

AMC2 21.A.130(b) Statement of Conformity for Products (other than complete aircraft), parts, appliances and materials — The Authorised Release Certificate (EASA Form 1) ED Decision 2021/011/R A.      INTRODUCTION This AMC relates specifically to the use of the [EASA Form 1](#_DxCrossRefBm1649096870) for manufacturing purposes under Part 21 Subpart F. It can be used as a supplement to the completion instructions in Part 21, [Appendix I](#_DxCrossRefBm1649097171) which covers the use of the EASA Form 1. 1.       PURPOSE AND USE The EASA Form 1 is prepared and signed by the manufacturer. For production under Part 21 Subpart F it is presented for validation by the competent authority. Under Subpart F the certificate may only be issued by the competent authority. A mixture of items released under Subpart G and under Subpart F of Part 21 is not permitted on the same certificate. 2.       GENERAL FORMAT Refer to Part 21 [Appendix I](#_DxCrossRefBm1649097171). 3.       COPIES Refer to Part 21 [Appendix I](#_DxCrossRefBm1649097171). The Part 21 Subpart F originator must retain a copy of the certificate in a form that allows verification of original data. 4.       ERROR(S) ON THE CERTIFICATE If an end user finds an error(s) on a certificate, they must identify it/them in writing to the originator. The originator may prepare and sign a new certificate for validation by the competent authority if they can verify and correct the error(s). The new certificate must have a new tracking number, signature and date. The request for a new certificate may be honoured without re-verification of the item(s) condition. The new certificate is not a statement of current condition and should refer to the previous certificate in block 12 by the following statement: ‘This certificate corrects the error(s) in block(s) [enter block(s) corrected] of the certificate [enter original tracking number] dated [enter original issuance date] and does not cover conformity/condition/release to service.’ Both certificates should be retained according to the retention period associated with the first. 5.       COMPLETION OF THE CERTIFICATE BY THE ORIGINATOR Refer to Part 21 Appendix I for completion of the certificate. Specific Part 21 Subpart F instructions that differ from the Part 21 [Appendix I](#_DxCrossRefBm1649097171) are provided below. Block 1   –    Approving competent authority/Country State the name and country of the competent authority under whose jurisdiction this certificate is issued. When the competent authority is the Agency, ‘EASA’ must be stated. Block 12  –   Remarks Examples of conditions which would necessitate statements in Block 12 are: a)      When the certificate is used for prototype purposes, the following statement must be entered at the beginning of Block 12:           ‘NOT ELIGIBLE FOR INSTALLATION ON IN-SERVICE TYPE-CERTIFICATED AIRCRAFT’. b)      Re-certification of items from ‘prototype’ (conformity only to non-approved data) to ‘new’ (conformity to approved data and in a condition for safe operation) once the applicable design data is approved.           The following statement must be entered in Block 12:           RE-CERTIFICATION OF ITEMS FROM ‘PROTOTYPE’ TO ‘NEW’:           THIS DOCUMENT CERTIFIES THE APPROVAL OF THE DESIGN DATA [insert TC/STC number, revision level], DATED [insert date if necessary for identification of revision status], TO WHICH THIS ITEM (THESE ITEMS) WAS (WERE) MANUFACTURED. c)       When a new certificate is issued to correct error(s), the following statement must be entered in Block 12:           ‘THIS CERTIFICATE CORRECTS THE ERROR(S) IN BLOCK(S) [enter block(s) corrected] OF THE CERTIFICATE [enter original tracking number] DATED [enter original issuance date] AND DOES NOT COVER CONFORMITY/CONDITION/RELEASE TO SERVICE’. d)      In case of an engine, when the competent authority has granted an exemption from the environmental protection requirements, the following statement must be entered in block 12: ‘ENGINE EXEMPTED FROM [*REFERENCE TO THE TYPE OF EMISSION*] EMISSIONS ENVIRONMENTAL PROTECTION REQUIREMENT’ Additionally, for production under Subpart F, this block must include the Statement of Conformity by the manufacturer under [21.A.130](#_DxCrossRefBm1649096912). For this purpose, the appropriate Block 13a statement must be included in the block 12 and not referenced in a separate document. The statement may be pre-printed, computer generated or stamped, and must be followed by the signature of the manufacturer’s authorised person under [21.A.130](#_DxCrossRefBm1649096912)(a), the name and the position/identification of such person and the date of the signature. Block 13b –  Authorised Signature This space shall be completed with the signature of the competent authority representative validating the Block 12 manufacturer Statement of Conformity, under [21.A.130](#_DxCrossRefBm1649096912)(d). To aid recognition, a unique number identifying the representative may be added. Block 13c –  Approval/Authorisation Number Enter the authorisation number reference. This number or reference is given by the competent authority to the manufacturer working under Part 21 Subpart F. ##### AMC2 21.A.130(b) Statement of Conformity for Products (other than complete aircraft), parts, appliances and materials — The Authorised Release Certificate (EASA Form 1) *ED Decision 2021/011/R* A. INTRODUCTION This AMC relates specifically to the use of the [EASA Form 1](#_DxCrossRefBm485230360) for manufacturing purposes under Part 21 Subpart F. It can be used as a supplement to the completion instructions in Part 21, [Appendix I](#_DxCrossRefBm485230667) which covers the use of the EASA Form 1. 1. PURPOSE AND USE The EASA Form 1 is prepared and signed by the manufacturer. For production under Part 21 Subpart F it is presented for validation by the competent authority. Under Subpart F the certificate may only be issued by the competent authority. A mixture of items released under Subpart G and under Subpart F of Part 21 is not permitted on the same certificate. 2. GENERAL FORMAT Refer to Part 21 [Appendix I](#_DxCrossRefBm485230667). 3. COPIES Refer to Part 21 [Appendix I](#_DxCrossRefBm485230667). The Part 21 Subpart F originator must retain a copy of the certificate in a form that allows verification of original data. 4. ERROR(S) ON THE CERTIFICATE If an end user finds an error(s) on a certificate, they must identify it/them in writing to the originator. The originator may prepare and sign a new certificate for validation by the competent authority if they can verify and correct the error(s). The new certificate must have a new tracking number, signature and date. The request for a new certificate may be honoured without re-verification of the item(s) condition. The new certificate is not a statement of current condition and should refer to the previous certificate in block 12 by the following statement: ‘This certificate corrects the error(s) in block(s) [enter block(s) corrected] of the certificate [enter original tracking number] dated [enter original issuance date] and does not cover conformity/condition/release to service.’ Both certificates should be retained according to the retention period associated with the first. 5. COMPLETION OF THE CERTIFICATE BY THE ORIGINATOR Refer to Part 21 Appendix I for completion of the certificate. Specific Part 21 Subpart F instructions that differ from the Part 21 [Appendix I](#_DxCrossRefBm485230667) are provided below. Block 1 – Approving competent authority/Country State the name and country of the competent authority under whose jurisdiction this certificate is issued. When the competent authority is the Agency, ‘EASA’ must be stated. Block 12 – Remarks Examples of conditions which would necessitate statements in Block 12 are: a) When the certificate is used for prototype purposes, the following statement must be entered at the beginning of Block 12: ‘NOT ELIGIBLE FOR INSTALLATION ON IN-SERVICE TYPE-CERTIFICATED AIRCRAFT’. b) Re-certification of items from ‘prototype’ (conformity only to non-approved data) to ‘new’ (conformity to approved data and in a condition for safe operation) once the applicable design data is approved. The following statement must be entered in Block 12: RE-CERTIFICATION OF ITEMS FROM ‘PROTOTYPE’ TO ‘NEW’: THIS DOCUMENT CERTIFIES THE APPROVAL OF THE DESIGN DATA [insert TC/STC number, revision level], DATED [insert date if necessary for identification of revision status], TO WHICH THIS ITEM (THESE ITEMS) WAS (WERE) MANUFACTURED. c) When a new certificate is issued to correct error(s), the following statement must be entered in Block 12: ‘THIS CERTIFICATE CORRECTS THE ERROR(S) IN BLOCK(S) [enter block(s) corrected] OF THE CERTIFICATE [enter original tracking number] DATED [enter original issuance date] AND DOES NOT COVER CONFORMITY/CONDITION/RELEASE TO SERVICE’. d) In case of an engine, when the competent authority has granted an exemption from the environmental protection requirements, the following statement must be entered in block 12: ‘ENGINE EXEMPTED FROM [*REFERENCE TO THE TYPE OF EMISSION*] EMISSIONS ENVIRONMENTAL PROTECTION REQUIREMENT’ Additionally, for production under Subpart F, this block must include the Statement of Conformity by the manufacturer under [21.A.130](#_DxCrossRefBm485230403). For this purpose, the appropriate Block 13a statement must be included in the block 12 and not referenced in a separate document. The statement may be pre-printed, computer generated or stamped, and must be followed by the signature of the manufacturer’s authorised person under [21.A.130](#_DxCrossRefBm485230403)(a), the name and the position/identification of such person and the date of the signature. Block 13b – Authorised Signature This space shall be completed with the signature of the competent authority representative validating the Block 12 manufacturer Statement of Conformity, under [21.A.130](#_DxCrossRefBm485230403)(d). To aid recognition, a unique number identifying the representative may be added. Block 13c – Approval/Authorisation Number Enter the authorisation number reference. This number or reference is given by the competent authority to the manufacturer working under Part 21 Subpart F.