Faa Form 8610 2 PDF Details

Did you know that the Faa Form 8610 2 is used to request permission for an aerial photography flight? The form must be completed and submitted to the aviation unit of the local law enforcement agency at least 72 hours before the proposed flight. You can find more information about this form on our website.

This knowledge will help you grasp better the details of the faa form 8610 2 before you begin filling it out.

QuestionAnswer
Form NameFaa Form 8610 2
Form Length4 pages
Fillable?Yes
Fillable fields93
Avg. time to fill out19 min 40 sec
Other namesform 8610 2, faa 8610 2, faa form 8610 2 pdf, 8610

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AIRMAN CERTIFICATE AND/OR RATING APPLICATION

PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a:

The authority for collecting this information is contained in 49 U.S.C. §§ 40113, 44702, 44703, 44709 and 14 C.F.R. Part 6 5. The principal purpose for which the information is intended to be used is to identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except for the Social Security Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate and/or rating. The informa- tion collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 847, titled “Aviation Records on Individuals” and will be subject to the rou- tine uses published in the System of Records Notice (SORN) for DOT/FAA 847 (see www.dot.gov/privacy/privacyactnotices), including:

(a)Providing basic airmen certification and qualification information to the public upon request; examples of basic information include:

The type of certificates and ratings held, limitations, date of issuance and certificate number;

The status of the airman’s certificate (i.e., whether it is current or has been amended, modified, suspended or revoked for any reason);

The airman’s home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c);

Information relating to an airman’s physical status or condition used to determine statistically the validity of FAA medical standards; and the date, class, and restrictions of the latest physical

Information relating to an individual’s eligibility for medical certification, requests for exemption from medical requirements, and requests for review of certificate denials.

(b)Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety.

(c)Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities.

(d)Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official investigation in which an airman is involved.

(e)Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the public upon request.

(f)Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. Department of Justice (DOJ) for collection pursu- ant to 31 U.S.C. 3711(g).

(g)Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected certificates to perform job responsibilities for those employers.

(h)Making airmen records available to users of FAA’s Safety Performance Analysis System (SPAS), including the Department of Defense Commercial Airlift Division’s Air Car- rier Analysis Support System (ACAS) for its use in identifying safety hazards and risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the effectiveness of targeted oversight actions.

(i)Making records of an individual’s positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or refusal to submit to testing required under a DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of indi- viduals who, in their commercial capacity, administer the drug and alcohol testing programs of aviation entities.

(j)Providing information about airmen through the Civil Aviation Registry’s Comprehensive Airmen Information System to the Department of Health and Human Services, Office of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identify airmen to the child support agencies nationwide in enforcing child support obligations, establishing paternity, establishing and modifying support orders and location of obligors. Records listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security Administration’s secure environment.

(k)Making personally identifiable information about airmen available to other Federal agencies for the purpose of verifying the accuracy and completeness of medical information provided to FAA in connection with applications for airmen medical certification.

(l)Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine basis so that AMEs may render the best medical certification decision.

(m)Making airman, aircraft and operator record elements available to users of FAA’s Skywatch system, including the Department of Defense (DoD), the Department of Homeland Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events.

(n)Other possible routine uses published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses (65 F.R. 19477-78) For example, a record from this system of records may be disclosed to the United States Coast Guard (Coast Guard) and to the Transportation Security Administration (TSA) if information from this system was shared with either agency when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is necessary to accomplish a DOT, TSA or Coast Guard function related to this system of records.

FAA FORM 8610-2 (2-85)

TEAR OFF

BEFORE USE

U.S. Department of Transportation Federal Aviation Administration

SUPPLEMENTAL

INFORMATION

Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0022. Public reporting for this collection of information is estimated to be approximately 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information.

All responses to this collection of information are required to obtain a benefit per 14 CFR Part 65. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

FAA Form 8610-2 (2-85)

Electronic Version (Adobe)

TYPE OR PRINT ALL ENTRIES IN INK

Form Approved

OMB. No. 2120-0022 12/31/2020

U.S. Department of Transportation

Federal Aviation Administration

 

 

 

 

 

 

 

AIRMAN CERTIFICATE AND/OR RATING APPLICATION

 

 

 

 

 

 

 

MECHANIC

 

 

 

REPAIRMAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARACHUTE RIGGER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AIRFRAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SE

NIO

R

 

M

ASTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POWERPLANT

 

 

 

 

 

 

 

 

 

 

SEAT

 

 

CHEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Specify Rating)

 

 

'

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BACK

 

 

LAP

 

APPLICATION FOR:

ORIGINAL ISSUANCE

 

ADDED RATING

 

 

 

 

 

 

K. PERMANENT MAILING ADDRESS

 

 

 

 

<![endif]>INFORMATION

 

A. NAME (First, Middle, Last)

 

 

 

 

 

 

 

 

 

 

 

 

 

B. SOCIAL SECURITY NO.

C. DOB (Mo., Day., Yr.)

 

D. HEIGHT

 

E. WEIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER AND STREET, P.O. BOX, ETC.

 

 

 

 

 

 

 

 

 

 

 

 

 

IN.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. HAIR

G. EYES

 

H. SEX

I. NATIONALITY (Citizenship)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

<![endif]>APPLICANT

 

J. PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES (If "Yes," explain on an attached sheet keying to appropriate item number).

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L. HAVE YOU EVER HAD AN AIRMAN CERTIFICATE SUSPENDED OR REVOKED?

 

 

 

M. DO YOU NOW OR HAVE YOU EVER HELD AN FAA AIRMAN

 

 

 

 

 

 

 

NO

 

 

 

 

 

 

 

 

 

CERTIFICATE?

NO

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIFY TYPE:

 

 

 

 

 

<![endif]>I.

 

N. HAVE YOU EVER BEEN CONVICTED FOR VIOLATION OF ANY FEDERAL OR STATE STATUTES

 

 

 

 

DATE OF FINAL CONVICTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERTAINING TO NARCOTIC DRUGS, MARIJUANA, AND DEPRESSANT OR STIMULANT

 

 

 

 

 

 

 

 

 

 

 

DRUGS OR SUBSTANCES?

 

NO

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. CIVIL

 

 

 

 

B. MILITARY

 

 

 

 

 

C. LETTER OF RECOMMENDATION FOR

 

 

<![endif]>OR

<![endif]>FOR

 

 

EXPERIENCE

 

 

 

 

EXPERIENCE

 

 

 

 

 

REPAIRMAN (Attach copy)

 

 

<![endif]>-

 

 

 

(1) NAME AND LOCATION OF SCHOOL

 

 

 

 

 

 

 

 

 

 

<![endif]>CERTIFICATEII.

<![endif]>APPLIEDRATING

<![endif]>OFBASISON

D. GRADUATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OF APPROVED

(2) SCHOOL NO.

(3) CURRICULUM FROM WHICH GRADUATED

 

 

 

 

(4) DATE

 

 

 

 

 

 

 

COURSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. STUDENT HAS MADE SATISFACTORY PROGRESS

(1) SCHOOL NAME

 

 

NO.

(2) SCHOOL OFFICIAL'S SIGNATURE

 

 

 

 

 

 

AND IS RECOMMENDED TO TAKE THE ORAL/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST (FAR 65.80)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. SPECIAL AUTHORIZATION TO TAKE

 

(1) DATE AUTH.

(2) DATE AUTH. EXPIRES (3) FAA INSPECTOR SIGNATURE

(4) FAA DIST OFC.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MECHANIC'S ORAL/PRACTICAL TEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(FAR 65.80)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. MILITARY

(1) SERVICE

(2) RANK OR PAY LEVEL

(3) MILITARY SPECIALITY CODE

COMPETANCE

 

 

 

OBTAINED IN

 

 

 

B. APPLICANT'S OTHER THAN FAA CERTIFICATED SCHOOL GRADUATES. LIST EXPERIENCE RELATING TO CERTIFICATE AND RATING APPLIED FOR. (Continue on separate sheet, if more space is needed).

<![endif]>EXPERIENCEOFRECORDIII.

DATES: MONTH AND YEAR

EMPLOYER AND LOCATION

 

 

TYPE WORK PERFORMED

 

 

FROM

TO

 

 

 

 

 

 

 

 

 

 

 

 

SEAT

CHEST

BACK

LAP

FOR

PACKED AS A -

 

 

C. PARACHUTE RIGGER APPLICANTS:

 

 

 

MASTER

 

 

 

 

 

 

RATING

SENIOR

MILITARY

 

INDICATE BY TYPE HOW MANY

 

 

 

 

 

 

 

ONLY

RIGGER

RIGGER

 

PARACHUTES PACKED

 

 

 

 

 

 

 

 

 

 

IV. APPLICANT'S CERTIFICATION

I CERTIFY THAT THE STATEMENTS BY ME ON THIS APPLICATION ARE TRUE A. SIGNATURE

B. DATE

I FIND THIS APPLICANT MEETS THE EXPER- V.IENCE REQUIREMENTS OF FAR 65 AND IS

ELIGIBLE TO TAKE THE REQUIRED TESTS.

DATE

INSPECTOR'S SIGNATURE

FAA DISTRICT OFFICE

FOR FAA USE ONLY

Emp. .reg. D.O. .seal .con iss.

Act

.lev .TR .s.h. .Src

#rte

Rating (1)

Rating (2)

Rating (3)

Rating (4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIMITATIONS

 

 

 

FAA Form 8610-2 (2-85) SUPERSEDES PREVIOUS EDITION

ELECTRONIC VERSION (ADOBE)

RESULTS OF ORAL AND PRACTICAL TESTS

MECHANIC

I. GENERAL - Airframe and powerplant

 

 

 

 

EXPIRATION

 

 

 

 

 

ORAL TEST

PASS

 

DATE:

 

 

FAIL

QUES.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST

PASS

EXPIRATION

 

 

FAIL

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJ.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II. AIRFRAME STRUCTURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRATION

 

 

 

 

 

ORAL TEST

PASS

 

DATE:

 

 

FAIL

 

 

 

 

 

 

 

 

 

 

QUES.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST

PASS

EXPIRATION

 

 

FAIL

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJ.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III. AIRFRAME SYSTEMS AND COMPONENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRATION

 

 

 

 

 

ORAL TEST

PASS

 

DATE:

 

 

FAIL

 

 

 

 

 

 

 

 

 

 

QUES.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST

PASS

EXPIRATION

 

 

FAIL

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJ.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV. POWERPLANT THEORY AND MAINTENANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRATION

 

 

 

 

 

ORAL TEST

PASS

 

DATE:

 

 

FAIL

QUES.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST

PASS

EXPIRATION

 

 

FAIL

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJ.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V. POWERPLANT SYSTEMS AND COMPONENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRATION

 

 

 

 

 

ORAL TEST

PASS

 

DATE:

 

 

FAIL

 

 

 

 

 

 

 

 

 

 

QUES.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICAL TEST

PASS

EXPIRATION

 

 

FAIL

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJ.

 

 

 

 

 

 

 

 

 

 

NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARACHUTE RIGGER

 

SEAT

PASS

FAIL

 

 

 

 

 

BACK

PASS

FAIL

<![endif]>TYPE

 

 

 

CHEST

PASS

FAIL

 

 

 

 

 

 

LAP

PASS

FAIL

 

 

 

 

 

 

PASS

FAIL

 

 

 

 

 

 

REMARKS

 

DESIGNATED EXAMINER'S REPORT

I HAVE INDICATED

THE RESULT AS:

I have personally tested this applicant in accordance with pertinent procedures and standards, and

APPROVED (Temporary Certificate Issued)

APPROVED (Temporary Certificate NOT Issued)

DISAPPROVED

FAR 65.80 - ORAL/PRACTICAL PASSED

ATTACH- MENTS:

REPORT OF WRITTEN TEST

FAA FORM 8610-2

SUPERSEDED CERTIFICATE

TEMPORARY CERTIFICATE

LETTER

SEAL SYMBOL CARD

DATE TEST COMPLETED

EXAMINER'S SIGNATURE

DESIGNATION NO.

APPLICANT'S CERTIFICATION

THIS BLOCK MUST BE COMPLETED BY THE APPLICANT AT THE TIME OF ISSUANCE OF TEMPORARY CERTIFICATE (FAA FORM 8060-4)

 

A. HAVE YOU EVER HAD AN AIRMAN CERTIFICATE SUSPENDED OR REVOKED?

NO

 

Yes If "Yes," explain on an attached sheet.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. HAVE YOU EVER BEEN CONVICTED FOR VIOLATION OF ANY FEDERAL OR STATES STATUTES

 

 

 

 

DATE OF FINAL CONVICTION

 

PERTAINING TO NARCOTIC DRUGS, MARIJUANA, DEPRESSANT OR STIMULANT

NO

YES

 

 

 

DRUGS OR SUBSTANCES? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I CERTIFY THAT THE STATEMENTS BY ME ARE TRUE.

B. DATE

A. SIGNATURE

I HAVE -

EXAMINED THIS APPLICANT'S PAPERS.

PERSONALLY TESTED THIS APPLICANT IN ACCORDANCE WITH PERTINENT PROCEDURES AND STANDARDS.

FAA INSPECTOR'S REPORT

 

WITH THE INDICATED RESULT -

 

 

 

 

 

 

 

PARACHUTE SEAL

 

 

APPROVED

SYMBOL ASSIGNED

 

 

 

DISAPPROVED

 

ANSWER SHEET GRADED

 

 

 

 

 

(Military Competency)

 

 

 

 

 

 

 

DATE

 

INSPECTOR'S SIGNATURE

 

FAA DISTRICT OFFICE

 

 

 

 

 

 

 

 

ELECTRONIC VERSION (ADOBE)

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In the MECHANIC'S ORAL/PRACTICAL TEST, (1) DATE AUTH, (2) DATE AUTH, (4) FAA DIST OFC, COMPETANCE OBTAINED IN, (1) SERVICE, (2) RANK OR PAY LEVEL, (3) MILITARY SPECIALITY CODE, (Continue on separate sheet, DATES: MONTH AND YEAR, FROM, EMPLOYER AND LOCATION, TYPE WORK PERFORMED, R O F D E L P P A G N T A R, and E C N E R E P X E F O D R O C E R field, put down your information.

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