Appendix IV -- EASA Form 20b -- Permit to Fly (issued by approval organisations)

• Regulation (EU) No 748/2012 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)

Appendix IV — EASA Form 20b — Permit to Fly (issued by approval organisations) Regulation (EU) No 748/2012 Appendix IV <table border="1" cellpadding="0" cellspacing="0" width="603"> <tr> <td valign="top" width="236"> <p>Member State of the Competent Authority having issued the organisation approval under which the permit to fly is issued; or</p> <p>‘EASA’ when approval issued by EASA</p> </td> <td colspan="2" valign="top" width="368"> <p>         PERMIT TO FLY</p> </td> </tr> <tr> <td valign="top" width="236"> </td> <td colspan="2" valign="top" width="368"> </td> </tr> <tr> <td colspan="2" valign="top" width="308"> <p>Name and Address of the organisation issuing the permit to fly</p> </td> <td valign="top" width="296"> <p><a href="#_ftn45">[45]</a></p> </td> </tr> <tr> <td colspan="2" valign="top" width="308"> <p>This permit to fly is issued pursuant to Regulation (EC) No 216/2008, Article 5(4)(a) and certifies that the aircraft is capable of safe flight for the purpose and within the conditions listed below and is valid in all Member States</p> <p>This permit is also valid for flight to and within non-Member States provided separate approval is obtained from the competent authorities of such States.</p> </td> <td valign="top" width="296"> <p>1.          Nationality and registration marks:</p> </td> </tr> <tr> <td colspan="2" valign="top" width="308"> <p>2.          Aircraft manufacturer/type:</p> </td> <td valign="top" width="296"> <p>3.          Serial No:</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>4.          The permit covers: [purpose in accordance with <a href="#_DxCrossRefBm1649097379">21.A.701(a)</a></p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>5.          Holder: [Organisation issuing the permit to fly]</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>6.          Conditions/remarks:</p> </td> </tr> <tr> <td colspan="3" valign="top" width="603"> <p>7.          Validity period:</p> </td> </tr> <tr> <td colspan="2" valign="top" width="308"> <p>8.          Place and date of issue:</p> </td> <td valign="top" width="296"> <p>9.          Authorised signature:</p> <p>              Name:</p> <p>              Approval Reference No:</p> </td> </tr> <tr height="0"> </tr> </table> EASA Form 20b --- [[45]](#_ftnref45)    For use by Organisation Approval holder. #### Appendix IV — EASA Form 20b — Permit to Fly (issued by approval organisations) *Regulation (EU) 2024/1108* *Appendix IV* **Permit to Fly (issued by approved organisations) – EASA Form 20b** <table cellpadding="7" cellspacing="0"> <col/> <col/> <col/> <tr valign="top"> <td><p align="left"> The Member State of the competent authority that has issued the organisation approval under which the permit to fly is issued; or</p> <p align="left">‘EASA’ when the approval is issued by EASA.</p> </td> <td colspan="2"><p align="center"> <br/> </p> <p align="justify"> <br/> </p> <p align="center">PERMIT TO FLY</p> </td> </tr> <tr valign="top"> <td colspan="2"><p align="left"> Name and address of the organisation that issues the permit to fly.</p> </td> <td><p align="left"> (*)</p> </td> </tr> <tr valign="top"> <td colspan="2"><p align="left"> This permit to fly is issued pursuant to Regulation (EU) 2018/1139 and certifies that the aircraft is capable of safe flight for the purpose and within the conditions listed below, and is valid in all Member States.</p> <p align="left">This permit to fly is also valid for flights to and within non-Member Statesthird countries provided a separate approval is obtained from the competent authorities of those States.</p> </td> <td><p align="left"> 1. Nationality and registration marks:</p> </td> </tr> <tr valign="top"> <td colspan="2"><p align="left"> 2. Aircraft manufacturer/type:</p> <p align="left">[for unmanned aircraft, please insert control and monitoring unit model and designation]</p> </td> <td><p align="left"> 3. Serial No:</p> </td> </tr> <tr> <td colspan="3" valign="top"><p align="left"> 4. The permit to fly covers: [purpose in accordance with <u><a href="#_DxCrossRefBm485230871">21.A.701(a)</a></u>]</p> </td> </tr> <tr> <td colspan="3" valign="top"><p align="left"> 5. Holder: [Organisation that issues the permit to fly]</p> </td> </tr> <tr> <td colspan="3" valign="top"><p align="left"> 6. Conditions/remarks:</p> </td> </tr> <tr> <td colspan="3" valign="top"><p align="left"> 7. Validity period:</p> </td> </tr> <tr valign="top"> <td colspan="2"><p align="left"> 8. Place and date of issue:</p> </td> <td><p align="left"> 9. Authorised signature:</p> <p align="left"> <br/> </p> <p align="left"> Name:</p> <p align="left"> <br/> </p> <p align="left"> Approval Reference No:</p> </td> </tr> <tr> <td colspan="3" valign="top"><p> <b>EASA Form 20b— Issue 2</b></p> <p>(*) For use by the organization approval holder.</p> </td> </tr> </table>