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Appendix II -- EASA Form 15a, 15c and 15d -- Airworthiness Review Certificate

Available versions for ERULES-1963177438-4098

Regulation (EU) 2021/699 found in: Initial Airworthiness and Environmental Protection (748/2012) Part-21 Part-21L (Jul 2024)
Regulation (EU) 2024/1108 found in: Initial Airworthiness and Environmental Protection (748/2012) (Nov 2025)

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Appendix II — EASA Form 15a and 15c —
Airworthiness Review Certificate

Regulation (EU) 2021/699

Appendix II

Airworthiness Review
Certificate – EASA Form 15a

<table border="1" cellpadding="0" cellspacing="0" width="603">
<tr>
<td valign="top" width="603">
[MEMBER STATE]
A Member of the European Union<a href="#_ftn42">[42]</a>
AIRWORTHINESS
 REVIEW CERTIFICATE
ARC reference: ……….
Pursuant to Regulation (EU) 2018/1139 of
 the European Parliament and of the Council the [COMPETENT AUTHORITY OF THE
 MEMBER STATE] hereby certifies that the following aircraft:
Aircraft manufacturer:
 …………………………………………………………………………………………………………………………………..
Manufacturer's
 designation: ………………………………………………………………………………………………………………………….
Aircraft
 registration: ………………………………………………………………………………………………………………………………………
Aircraft
 serial number: …………………………………………………………………………………………………………………………………..
is considered airworthy at the time of the review.
Date of
 issue: …………………………………………………………….. Date of expiry: …………………………………………………………
Airframe
 flight hours (FH) at date of issue<a href="#_ftn43">[43]</a>:
 …………………………………………………………………………………………………..
Signed: ……………………………………………………………………….
 Authorisation No: ……………………………………………………
1st extension: The aircraft has remained
 in a controlled environment in accordance with point M.A.901 of Annex I
 (Part-M) to Commission Regulation (EU) No 1321/2014 for the last year. The
 aircraft is considered to be airworthy at the time of the issuance of this
 certificate.
Date of
 issue: …………………………………………………………….. Date of expiry: …………………………………………………………
Airframe
 flight hours (FH) at date of issue2: …………………………………………………………………………………………………..
Signed:
 ………………………………………………………………………. Authorisation No: …………………………………………………….
Company Name: ………………………………………………………..
 Approval reference: ………………………………………………….
2nd extension: The aircraft has remained
 in a controlled environment in accordance with point M.A.901 of Annex I
 (Part-M) to Commission Regulation (EU) No 1321/2014 for the last year. The
 aircraft is considered to be airworthy at the time of the issuance of the
 certificate.
Date of
 issue: …………………………………………………………….. Date of expiry: …………………………………………………………
Airframe
 flight hours (FH) at date of issue2: …………………………………………………………………………………………………..
Signed: ……………………………………………………………………….
 Authorisation No: …………………………………………………….
Company
 Name: ……………………………………………………….. Approval reference: ………………………………………………….
</td>
</tr>
</table>

EASA Form 15a – Issue 5

Airworthiness Review
Certificate – EASA Form 15c

NOTE: persons and organisations
performing the airworthiness review in combination with the 100‑h/annual
inspection may use the reverse side of this form in order to issue the CRS
referred to in point ML.A.801 corresponding to the 100‑h/annual
inspection.

<table border="1" cellpadding="0" cellspacing="0" width="603">
<tr>
<td valign="top" width="603">
AIRWORTHINESS
 REVIEW CERTIFICATE (ARC) (for aircraft complying with Part-ML)
ARC
 reference: ………………
Pursuant to Regulation (EU)
 2018/1139 of the European Parliament and of the Council:
[NAME OF THE COMPETENT AUTHORITY]
 (**)
hereby certifies that:
☐…..it has performed an
 airworthiness review in accordance with Regulation (EU) No 1321/2014 on the
 following aircraft:
[or]
☐.….the following new aircraft:
Aircraft
 manufacturer:………………………………….Manufacturer’s designation:…………………………………………..
Aircraft
 registration:……………………………………Aircraft serial number:……………………………………………………..
(and that this aircraft) is
 considered airworthy at the time of the review.
Date of issue:
 ..................................................................Date of
 expiry: ………………………………………………..
Airframe flight hours (FH) at date
 of review (*): …………………………………………………………………………..……….
Signed:
 ..............................................................Authorisation
 No (if applicable): ……………………………………
[OR]
[NAME OF APPROVED ORGANISATION,
 ADDRESS and APPROVAL REFERENCE] (**)
[or]
[FULL NAME OF THE CERTIFYING STAFF AND
 PART-66 LICENCE NUMBER (OR NATIONAL EQUIVALENT)] (**)
hereby certifies that it has
 performed an airworthiness review in accordance with Regulation (EU) No
 1321/2014 on the following aircraft:
Aircraft
 manufacturer:………………………………….Manufacturer’s designation:………………………………………….
Aircraft
 registration:……………………………………Aircraft serial number:…………………………………………………….
and that this aircraft is considered
 airworthy at the time of the review.
Date of issue:
 ..................................................................Date of
 expiry: ……………………………………………….
Airframe flight hours (FH) at date
 of review (*): ……………………………………………………………………………………
Signed:
 ............................................................................Authorisation
 No (if applicable): ……………………………………….
===================================================================================
1st extension: The aircraft complies
 with the conditions of ML.A.901(c) of Annex Vb (Part-ML)
Date of issue:
 ..................................................................Date of
 expiry: …………………………………………………
Airframe flight hours (FH) at date
 of issue (*): ……………………………………………………………………………………….
Signed:
 ............................................................................Authorisation
 No: …………………………………………….
Company name:
 .............................................................Approval
 reference: …………………………………….......
===================================================================================
2nd extension: The aircraft complies
 with the conditions of ML.A.901(c) of Annex Vb (Part-ML)
Date of issue:
 ..................................................................Date of
 expiry: …………………………………………………
Airframe flight hours (FH) at date
 of issue (*): ……………………………………………………………………………………….
Signed:
 ............................................................................Authorisation
 No: …………………………………………….
Company name:
 .............................................................Approval
 reference: …………………………………….......
</td>
</tr>
</table>

(\*)         Except for balloons and airships

(\*\*)      The issuer of the Form can tailor it to his need by deleting the name,
the certifying statement, the reference to the subject aircraft and the
issuance details that are not relevant for his use.

EASA Form 15c, Issue 4

---

[[42]](#_ftnref42)    Delete for non-EU Member
States.

[[43]](#_ftnref43)    Except for airships.

#### Appendix II — EASA Form 15a, 15c and 15d — Airworthiness Review Certificate

*Regulation
(EU) 2024/1108*

*Appendix II*

**EASA
Form 15a, 15c and 15d — Airworthiness Review Certificate;**

**Airworthiness
Review Certificate – EASA Form 15a**

<table cellpadding="7" cellspacing="0">
<col/>
<tr>
<td valign="top">
 


[MEMBER
			STATE]

 


A
			Member of the European Union<a href="#_ftn45" name="_ftnref45">[45]</a>

 


AIRWORTHINESS
			REVIEW CERTIFICATE

 


ARC
			reference: ……….

 


Pursuant
			to Regulation (EU) 2018/1139 of the European Parliament and of the
			Council the [COMPETENT AUTHORITY OF THE MEMBER STATE] hereby
			certifies that the following aircraft:

Aircraft
			manufacturer: …………………………………………………………………………………………………………………………………..

Manufacturer's
			designation: ………………………………………………………………………………………………………………………….

Aircraft
			registration: ………………………………………………………………………………………………………………………………………

Aircraft
			serial number: …………………………………………………………………………………………………………………………………..

is
			considered airworthy at the time of the review.

 


Date
			of issue: ……………………………………………………………..
			Date of expiry: …………………………………………………………
<a name="_Ref40876089"></a>
Airframe
			flight hours (FH) at date of issue<a href="#_ftn46" name="_ftnref46">[46]</a>:
			…………………………………………………………………………………………………..

Signed:
			……………………………………………………………………….
			Authorisation No: ……………………………………………………

 


1st
			extension: The aircraft has remained in a controlled environment
			in accordance with point M.A.901 of Annex I (Part-M) to
			Commission Regulation (EU) No 1321/2014 for the last year. The
			aircraft is considered to be airworthy at the time of the issuance
			of this certificate.

Date
			of issue: ……………………………………………………………..
			Date of expiry: …………………………………………………………

Airframe
			flight hours (FH) at date of issue2:
			…………………………………………………………………………………………………..

Signed:
			……………………………………………………………………….
			Authorisation No: …………………………………………………….

Company
			Name: ………………………………………………………..
			Approval reference: ………………………………………………….

 


2nd
			extension: The aircraft has remained in a controlled environment
			in accordance with point M.A.901 of Annex I (Part-M) to
			Commission Regulation (EU) No 1321/2014 for the last year. The
			aircraft is considered to be airworthy at the time of the issuance
			of the certificate.

Date
			of issue: ……………………………………………………………..
			Date of expiry: …………………………………………………………

Airframe
			flight hours (FH) at date of issue2:
			…………………………………………………………………………………………………..

Signed:
			……………………………………………………………………….
			Authorisation No: …………………………………………………….
Company
			Name: ………………………………………………………..
			Approval reference: ………………………………………………….
</td>
</tr>
</table>

***EASA
Form 15a – Issue 5***

**Airworthiness
Review Certificate – EASA Form 15c**

NOTE:
persons and organisations performing the airworthiness review in
combination with the 100‑h/annual inspection may use the
reverse side of this form in order to issue the CRS referred to in
point ML.A.801 corresponding to the 100‑h/annual
inspection.

<table cellpadding="7" cellspacing="0">
<col/>
<tr>
<td valign="top">
AIRWORTHINESS
			REVIEW CERTIFICATE (ARC) (for aircraft complying with Part-ML)

ARC
			reference: ………………

Pursuant
			to Regulation (EU) 2018/1139 of the European Parliament and of the
			Council:

[NAME
			OF THE COMPETENT AUTHORITY] (**)

hereby
			certifies that:

			☐…..it
			has performed an airworthiness review in accordance with
			Regulation (EU) No 1321/2014 on the following aircraft:

[or]

			☐.….the
			following new aircraft:

Aircraft
			manufacturer:………………………………….Manufacturer’s
			designation:…………………………………………..

Aircraft
			registration:……………………………………Aircraft
			serial number:……………………………………………………..

(and
			that this aircraft) is considered airworthy at the time of the
			review.

Date
			of issue:
			..................................................................Date
			of expiry: ………………………………………………..

Airframe
			flight hours (FH) at date of review (*):
			…………………………………………………………………………..……….

Signed:
			..............................................................Authorisation
			No (if applicable): ……………………………………

[OR]

[NAME
			OF APPROVED ORGANISATION, ADDRESS and APPROVAL REFERENCE] (**)

[or]

[FULL
			NAME OF THE CERTIFYING STAFF AND PART-66 LICENCE NUMBER (OR
			NATIONAL EQUIVALENT)] (**)

hereby
			certifies that it has performed an airworthiness review in
			accordance with Regulation (EU) No 1321/2014 on the following
			aircraft:

Aircraft
			manufacturer:………………………………….Manufacturer’s
			designation:………………………………………….

Aircraft
			registration:……………………………………Aircraft
			serial number:…………………………………………………….

and
			that this aircraft is considered airworthy at the time of the
			review.

Date
			of issue:
			..................................................................Date
			of expiry: ……………………………………………….

Airframe
			flight hours (FH) at date of review (*):
			……………………………………………………………………………………

Signed:
			............................................................................Authorisation
			No (if applicable): ……………………………………….

===================================================================================

1st
			extension: The aircraft complies with the conditions of
			ML.A.901(c) of Annex Vb (Part-ML)

Date
			of issue:
			..................................................................Date
			of expiry: …………………………………………………

Airframe
			flight hours (FH) at date of issue (*):
			……………………………………………………………………………………….

Signed:
			............................................................................Authorisation
			No: …………………………………………….

Company
			name:
			.............................................................Approval
			reference: …………………………………….......

===================================================================================

2nd
			extension: The aircraft complies with the conditions of
			ML.A.901(c) of Annex Vb (Part-ML)

Date
			of issue:
			..................................................................Date
			of expiry: …………………………………………………

Airframe
			flight hours (FH) at date of issue (*):
			……………………………………………………………………………………….

Signed:
			............................................................................Authorisation
			No: …………………………………………….
<a name="_Hlk193389134"></a>
Company
			name:
			.............................................................Approval
			reference: …………………………………….......
</td>
</tr>
</table>

(\*) Except
for balloons and airships

(\*\*) The
issuer of the Form can tailor it to his need by deleting the name,
the certifying statement, the reference to the subject aircraft and
the issuance details that are not relevant for his use.

***EASA
Form 15c, Issue 4***

**Airworthiness
Review Certificate – EASA Form 15d**

<table cellpadding="7" cellspacing="0">
<col/>
<tr>
<td valign="top">
AIRWORTHINESS
			REVIEW CERTIFICATE (ARC)

(for
			unmanned aircraft (UA) that comply with Part-ML.UAS)

ARC
			reference: …………………………………………………………………………………………………………………………………………

Pursuant
			to Regulation (EU) 2018/1139 of the European Parliament and of the
			Council,

 


[NAME
			OF THE COMPETENT AUTHORITY]

 


hereby
			certifies that:

			☐ it
			has performed an airworthiness review, in accordance with Annex I
			(Part‑ML.UAS) to Commission Delegated Regulation
			(EU) 2024/1107, of the following UA:

[or]

			☐ the
			following new UA:

UA
			manufacturer: ………………..………….UA manufacturer
			designation: ……………………………………………………..

UA
			registration: …………………………………UA serial
			number: ……………………………………………………………………..

(and
			this aircraft) is considered airworthy at the time of the review.

Date
			of issue: 
			..................................................................Expiry
			date: …………………………………………………………..

UA
			flight hours (FHs) on the date of the review:
			…………………………………………………………………………………..……….

Signed:
			..............................................................Authorisation
			No (if applicable): ……………………………………………

 


[OR]

 


[NAME
			OF APPROVED ORGANISATION, ADDRESS and APPROVAL REFERENCE] (*)

 


hereby
			certifies that it has performed an airworthiness review, in
			accordance with Annex I (Part‑ML.UAS) to Commission
			Delegated Regulation (EU) 2024/1107, of the following UA:

 


UA
			manufacturer: …………………………….UA manufacturer
			designation: …………………… …………………………..

UA
			registration: …………………………………UA serial
			number: ………………………………………………………………..

and
			this aircraft is considered airworthy at the time of the review.

Date
			of issue: 
			................................................................Expiry
			date: ………………………………………………………..

UA
			flight hours (FHs) on the date of the review: 
			……………………………………………………………………..……………….

Signed:
			 
			............................................................Authorisation
			No (if applicable): …………………………………………

 


===================================================================================

First
			extension: The UA complies with the conditions of
			point ML.UAS.901(c) of Annex I (Part‑ML.UAS) to
			Commission Delegated Regulation (EU) 2024/1107

Date
			of issue:
			..................................................................Expiry
			date: ………………………………………………………………

UA
			flight hours (FHs) on the date of issue:
			…………………………………………………………………………………………………….

Signed:
			............................................................................Authorisation
			No: …………………………………………………….

Name
			of approved organisation: 
			....................................................Approval
			reference: ………………………….......

 


===================================================================================

 


Second
			extension: The UA complies with the conditions of
			point ML.UAS.901(c) of Annex I (Part‑ML.UAS) to
			Commission Delegated Regulation (EU) 2024/1107

Date
			of issue:
			..................................................................
			Expiry date: ……………………………………………………………

UA
			flight hours (FHs) on the date of issue:
			…………………………………………………………………………………………………….

Signed:
			............................................................................Authorisation
			No: ……………………………………………………
Name
			of approved organisation: 
			.....................................................Approval
			reference: ………………………….......
</td>
</tr>
<tr>
<td valign="top">
EASA
			Form 15d - Issue 1
(*)	The
			issuer of the form may tailor it to their needs by deleting the
			name, the certifying statement, the reference to the subject
			aircraft and the issuance details that are not relevant for their
			use.
</td>
</tr>
</table>

---

[[45]](#_ftnref45) Delete
for non-EU Member States.

[[46]](#_ftnref46) Except
for airships.

Compare / EASA/ Incorporated Amendments/ Compare & Highlight Differences

Appendix II -- EASA Form 15a, 15c and 15d -- Airworthiness Review Certificate

View