EASA Form 15a

• Regulation (EU) 2019/1383 found in: Continuing Airworthiness (No 1321/2014) Part-M Part-145 Part-66 Part-147 Part-T Part-ML Part-CAMO Part-CAO (Jul 2024)

#### EASA Form 15a Regulation (EU) 2019/1383 <table border="1" cellpadding="0" cellspacing="0"><tr><td valign="top" width="601"><p>[MEMBER STATE]</p><p>A Member of the European Union (*)</p><p>AIRWORTHINESS REVIEW CERTIFICATE (ARC)</p><p>ARC reference: ……….</p><p>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:</p><p>Aircraft manufacturer: …………………………………………………………………………………………………………………….</p><p>Manufacturer’s designation: ……………………………………………………………………………………………………………</p><p>Aircraft registration: ………………………………………………………………………………………………………………………..</p><p>Aircraft serial number: …………………………………………………………………………………………………………………….</p><p>is considered airworthy at the time of the review.</p><p>Date of issue: ...................................................... Date of expiry: ……………………………………………………..</p><p>Airframe Flight Hours (FH) at date of issue (**): ……………………………………………………………………………….</p><p>Signed: ................................................................ Authorisation No: ……………………………......................</p><p>1st extension: The aircraft has remained in a controlled environment in accordance with point <a href="#_DxCrossRefBm1518544877">M.A.901</a> 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 issue.</p><p>Date of issue: ...................................................... Date of expiry: ……………………………………………………..</p><p>Airframe Flight Hours (FH) at date of issue (**): ……………………………………………………………………………….</p><p>Signed: ................................................................ Authorisation No: ……………………………......................</p><p>Company Name: ................................................. Approval reference: ……………………………………………..</p><p>2nd extension: The aircraft has remained in a controlled environment in accordance with point <a href="#_DxCrossRefBm1518544877">M.A.901</a> 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 issue.</p><p>Date of issue: ...................................................... Date of expiry: …………………………………………………….</p><p>Airframe Flight Hours (FH) at date of issue (**): ………………………………………………………………………………</p><p>Signed: ................................................................ Authorisation No: …………………………….....................</p><p>Company Name: ................................................. Approval reference: …………………………………………….</p></td></tr></table> EASA Form 15a Issue 5 (\*) Delete for non-EU Member States. (\*\*) Except for airships.