Faa Form 8110 12 PDF Details

A faa form 8110 12, also known as a Certificate of Waiver or Authorization, is a document that allows an individual or organization to conduct an activity that would otherwise be prohibited by Federal Aviation Regulations. The form must be completed and submitted to the FAA for approval prior to the activity taking place. Activities that may require a waiver include flying drones near airports or flying unmanned aircraft in certain airspace. There are many restrictions and conditions associated with waivers, so it is important to consult with the FAA before submitting a request.

QuestionAnswer
Form NameFaa Form 8110 12
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesAES-200, SUPSERSEDES, 7a-d, 6a-c

Form Preview Example

U.S. Department of Transportation

Federal Aviation Administration

INFORMATION FOR APPLICANT

APPLICATION FOR TYPE CERTIFICATE, PRODUCTION CERTIFICATE,

OR SUPPLEMENTAL TYPE CERTIFICATE

Paperwork Reduction Act Statement:

This collection of information is for the purpose of issuing a U.S. Type Certificate, Production Certificate, or Supplemental Type Certificate to any applicant meeting the criteria established in 14 CFR parts 21. The FAA uses the information to evaluate an applicant’s application for a U.S. Type Certificate, Production Certificate, or Supplemental Type Certificate. The information on FAA Form 8110-12, Application for Type Certificate, Production Certificate, or Supplemental Type Certificate is solicited under the authority of 49 U.S.C. 44702 as implemented by 14 CFR parts 21. The burden associated with completing FAA Form 8110-12 is 48 minutes. Providing this information is mandatory if an applicant wishes to obtain a Type Certificate, Production Certificate, or Supplemental Type Certificate. Confidentiality is neither provided nor necessary. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number associated with this collection of information is 2120-0018. Comments concerning the burden and suggestions for reducing the burden should be directed to the FAA at 800 Independence Ave. SW Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200

Tear off this cover sheet before submitting this form.

FAA FORM 8110-12 (11/12) SUPSERSEDES PREVIOUS EDITION

 

U.S. DEPARTMENT OF TRANSPORTATION

 

FORM APPROVED

 

 

 

 

 

FEDERAL AVIATION ADMINISTRATION

 

OMB No. 2120-0018

 

 

 

 

EXP DATE: 2/28/2013

APPLICATION FOR TYPE CERTIFICATE, PRODUCTION CERTIFICATE, OR SUPPLEMENTAL TYPE

 

 

CERTIFICATE

 

 

 

1. Name Of Applicant

2. Application made for :

 

3. Product Involved

 

 

Type Certificate

Production Certificate

Aircraft

 

 

Supplemental Type Certificate

Amended Type Certificate

Engine

 

 

Amended Supplemental Type Certificate

Propeller

 

 

 

4. Address

b.

City

State

c. Zip Code

5.TYPE CERTIFICATE (Complete item 5a below)

a.Model designation(s) (All models listed are to be completely described in the required technical data, including drawings representing the design, material, specifications, construction, and performance of the aircraft, aircraft engine, propeller which is the subject of this application.)

6.PRODUCTION CERTIFICATE (Complete items 6a-c below. Submit with this form, in manual form, one copy of quality control data or changes thereto covering new products, as required by applicable FAR.)

a. Factory address (if different from above)

b. Application is for

 

 

New production certificate

 

 

 

 

 

 

Additions to production

 

 

Certificate (Give P.C. No.)

 

 

c.Applicant is holder of or a licensee under a Type Certificate or a Supplemental Type Certificate

(Attach evidence of licensing agreement and give certificate number)

P.C. No.

T.C./S.T.C. No.

7.SUPPLEMENTAL TYPE CERTIFICATE (Complete items 7a-d below)

a.Make and model designation of product to be modified

b.Description of modification

c. Will data be available for sale or release to other persons?

d. Will parts be manufactured for sale?

(Ref. FAR 21.303)

 

 

Yes

 

No

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

8. CERTIFICATION - I certify that the above statements are true.

Signature of certifying official

Title

Date

FAA FORM 8110-12 (11/12) SUPERSEDES PREVIOUS EDITION

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1. You will need to fill out the certifying accurately, hence be mindful while working with the segments that contain all these blanks:

Part # 1 for filling in 6a-c

2. Your next part would be to complete these blanks: Certificate Give PC No, c Applicant is holder of or a, Attach evidence of licensing, SUPPLEMENTAL TYPE CERTIFICATE, a Make and model designation of, b Description of modification, TCSTC No, c Will data be available for sale, Yes, d Will parts be manufactured for, Yes, CERTIFICATION I certify that the, Signature of certifying official, Title, and Date.

Tips on how to fill in 6a-c portion 2

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