Form 8130-6 APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE

FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE

Form Approved OMB No. 2120-0018
Expires: October 31, 2026

INFORMATION FOR APPLICANT

APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE

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 2120-0018. Public reporting for this collection of information is estimated
to be approximately 42 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 or retain
benefits per 14 CFR Part 21. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden: Information Collection
Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 761771524.

REMOVE THIS COVER SHEET BEFORE SUBMITTING THIS FORM

FAA Form 8130-6 (xx/xx) SUPERSEDES PREVIOUS EDITION

Form Approved OMB No. 2120-0018
Expires: October 31, 2026

FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE

APPLICATION FOR
U.S. AIRWORTHINESS
CERTIFICATE

U.S. Department
of Transportation

I. AIRCRAFT
DESCRIPTION

Federal Aviation
Administration
1. REGISTRATION MARK
5. AIRCRAFT SERIAL NO.
8. NUMBER OF ENGINES

INSTRUCTIONS - Print or type. Do not write in shaded areas; these are for
FAA use only. Submit original only to an authorized FAA Representative. If
additional space is required, use attachment.

2. AIRCRAFT MANUFACTURE's or BUILDER’S NAME

3. AIRCRAFT MODEL DESIGNATION

6. ENGINE MANUFACTURE's or BUILDER’S NAME

7. ENGINE MODEL DESIGNATION

9. PROPELLER MANUFACTURE's or BUILDER’S NAME

4. YR. MFR.

FAA CODING

11. AIRCRAFT IS (Check if applicable)

10. PROPELLER MODEL DESIGNATION

IMPORT
APPLICATION IS HEREBY MADE FOR: (Check applicable items)
A

STANDARD AIRWORTHINESS CERTIFICATE (Indicate category)

1

UTILITY

NORMAL

ACROBATIC

TRANSPORT

COMMUTER

BALLOON

OTHER

SPECIAL AIRWORTHINESS CERTIFICATE (Check appropriate items)

II. CERTIFICATION REQUESTED

B
7

PRIMARY

9

LIGHT-SPORT

2

LIMITED

5

PROVISIONAL (Indicate class)
RESTRICTED (Indicate special

3

purpose to be conducted)

EXPERIMENTAL PURPOSE

4

(Indicate purpose(s) to be conducted)

SPECIAL FLIGHT PERMIT (Indicate

8

C

6

D

10

(Indicate Class)

operation to be conducted, then complete Section
VI or VII as applicable on reverse side)

1

Airplane

2

Powered-Parachute

3

Weight-Shift-Control

5

Rotorcraft

6

Powered-Lift

7

Lighter-than-Air

8

Other (Specify)
2

4

Glider

1

CLASS I

1

AGRICULTURE

3

AERIAL SURVEY

5

WEATHER CONTROL

2
7
8

FOREST and WILDLIFE CONSERVATION

4

PATROLLING

6

AERIAL ADVERTISING

1

RESEARCH AND DEVELOPMENT

2

AMATEUR-BUILT

3

EXHIBITION

4

AIR RACING

5

CREW TRAINING

6

MARKET SURVEY

7

SHOW COMPLIANCE WITH THE CFR

9

OPERATING FORMER MILITARY AIRCRAFT

CLASS II

OTHER (Specify)
Special Purpose Operation(s) (Specify)

8

OPERATING PRIMARY CATEGORY KIT-BUILT AIRCRAFT

10

Operating Light-Sport Category Kit-Built Aircraft

11

Operating Former Light-Sport Category Aircraft (previously issued §21.190 airworthiness certificate)

12

UNMANNED
AIRCRAFT

12 A

RESEARCH AND DEVELOPMENT

12 B

MARKET SURVEY

12 D

EXHIBITION

12 C

CREW TRAINING

12 E

SHOW COMPLIANCE WITH THE CFR

1

FERRY FLIGHT FOR REPAIRS, ALTERATIONS, MAINTENANCE, OR STORAGE

2

EVACUATE FROM AREA OF IMPENDING DANGER

3

OPERATION IN EXCESS OF MAXIMUM CERTIFICATED TAKE-OFF WEIGHT

4

DELIVERING OR EXPORTING

5

PRODUCTION FLIGHT TESTING

6
CUSTOMER DEMONSTRATION FLIGHTS
MULTIPLE AIRWORTHINESS CERTIFICATES for RESTRICTED CATEGORY AIRCRAFT (Check ABOVE “Restricted Operation” and “Standard” or “Limited” as applicable)
CURRENT AIRWORTHINESS CERTIFICATE to RETAIN

DATE of ISSUANCE
IF DEALER, CHECK HERE

A. REGISTERED OWNER (As shown on certificate of aircraft registration)
NAME

ADDRESS

III. OWNER’S CERTIFICATION

B. AIRCRAFT CERTIFICATION BASIS (Check applicable blocks and complete items as indicated)
AIRCRAFT SPECIFICATION OR TYPE CERTIFICATE DATA SHEET (Give No. and
Revision No.)

AIRWORTHINESS DIRECTIVES (Check if all applicable ADs are complied with and give the
number of the last AD SUPPLEMENT available in the biweekly series as of the date of application)

SUPPLEMENTAL TYPE CERTIFICATE (List number of each STC incorporated)

RESERVED
C. AIRCRAFT MAINTENANCE RECORDS
CHECK IF RECORDS IN COMPLIANCE
WITH 14 CFR section 91.417

EXPERIMENTAL ONLY (Enter hours flown since last certificate

TOTAL AIRFRAME HOURS

issued or renewed)

D. CERTIFICATION - I hereby certify that I am the registered owner (or his agent) of the aircraft described above, that the aircraft is registered with the Federal Aviation Administration in
accordance with Title 49 of the United States Code 44101 et seq. and applicable Federal Aviation Regulations, and that the aircraft has been inspected and is airworthy and eligible for the
airworthiness certificate requested.
NAME AND TITLE (Print or type)

DATE OF APPLICATION

SIGNATURE

IV. INSPECTION
AGENCY
VERIFICATION

THE AIRCRAFT DESCRIBED ABOVE HAS BEEN INSPECTED AND FOUND AIRWORTHY BY: (Complete the section only if 14 CFR part 21.183(d) applies)
14 CFR part 121 CERTIFICATE HOLDER (Certificate No.)

PRINT NAME and TITLE of INSPECTOR as entered in logbook

(Check ALL applicable block items A and B)

V. FAA
REPRESENTATIVE
CERTIFICATION

CERTIFICATED FOREIGN REPAIR STATION (Certificate No.)

AIRCRAFT MANUFACTURER (Give name or firm)
DATE as entered in logbook

A. I find that the aircraft described in Section I or VII
meets /
does not meet requirements for:
B. Inspection for a special flight permit under Section
VII was conducted by:
DATE

FAA OFFICE

CERTIFICATED REPAIR STATION (Certificate No.)

CERTIFICATED MECHANIC (Certificate No.)

THE CERTIFICATE REQUESTED

FAA INSPECTOR

CERTIFICATE HOLDER UNDER
FAA INSPECTOR’S SIGNATURE or DESIGNEE’S
SIGNATURE AND NO.

FAA Form 8130-6 (xx/xx) SUPERSEDES PREVIOUS EDITION

DENIAL LETTER ISSUED

AMENDMENT OR MODIFICATION OF CURRENT AIRWORTHINESS CERTIFICATE
FAA DESIGNEE
14 CFR part 65

14 CFR part 121 OR 135

14 CFR part 145

FAA INSPECTOR’S CERTIFICATION FILE REVIEW SIGNATURE

Page 1 of 2

Form Approved OMB No. 2120-0018

FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE

Expires: October 31, 2026

A. MANUFACTURER

VI. PRODUCTION
FLIGHT TESTING

NAME

ADDRESS

B. PRODUCTION BASIS (Check applicable item)
PRODUCTION CERTIFICATE (Give production certificate number)
TYPE CERTIFICATE
Aircraft that may not currently meet applicable airworthiness requirements but is capable of safe flight:
C. GIVE QUANTITY OF CERTIFICATES REQUIRED FOR OPERATING NEEDS
NAME AND TITLE (Print or type)

DATE OF APPLICATION

SIGNATURE

A. DESCRIPTION OF AIRCRAFT
REGISTERED OWNER

ADDRESS

BUILDER (Make)

MODEL

SERIAL NUMBER

REGISTRATION MARK
CUSTOMER DEMONSTRATION FLIGHTS (Check if applicable)

VII. SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN PRODUCTION FLIGHT TEST

B. DESCRIPTION OF FLIGHT
FROM

TO

VIA

DEPARTURE DATE

DURATION

C. CREW REQUIRED TO OPERATE THE AIRCRAFT AND ITS EQUIPMENT
PILOT

CO-PILOT

FLIGHT ENGINEER

OTHER (Specify)

D. THE AIRCRAFT DOES NOT MEET THE APPLICABLE AIRWORTHINESS REQUIREMENTS AS FOLLOWS:

E. THE FOLLOWING RESTRICTIONS ARE CONSIDERED NECESSARY FOR SAFE OPERATION: (Use attachment if necessary)

F. CERTIFICATION - I hereby certify that I am the registered owner (or his agent) of the aircraft described above; that the aircraft is registered with the Federal Aviation Administration in
accordance with Title 49 of the United States Code 44101 et seq. and applicable Federal Aviation Regulations; and that the aircraft has been inspected and is safe for the flight described.
DATE

NAME AND TITLE (Print or type)

VIII. AIRWORTHINESS
DOCUMENTATION
(FAA/DESIGNEE use only)

A. Operating Limitations and Markings in Compliance With 14 CFR Section 91.9,
As Applicable
B. Current Operating Limitations Attached

SIGNATURE

J. Superseded, terminated, or canceled airworthiness certificate Issued in Accordance With
14 CFR Section

CAR

(Original attached)

K. Airworthiness Certificate Issued via this Application in Accordance With

C. Data, Drawings, Photographs, etc. (Attach when required)

14 CFR Section

D. Current Weight and Balance Information Available in Aircraft

L. Light-Sport Category Statement of Compliance, FAA Form 8130-15

E. Major Repair and Alteration, FAA Form 337 (Attach when required)

M. Reserved

F. This inspection Recorded in Aircraft Records
G. Statement of Conformity, FAA Form 8130-9 (Attach when required)
H. Foreign Airworthiness Certification for Import Aircraft (Attach when required)
I. FAA Form 8100-1, Conformity Inspection Record

FAA Form 8130-6 (xx/xx) SUPERSEDES PREVIOUS EDITION

(Copy attached)

N. Denial Letter (Copy attached)
O. Certification file forward to registry DOES NOT contain information that is proprietary,
confidential, company-sensitive, subject to International Traffic in Arms Regulations (ITAR)
(22 CFR, subchapter M), subject to Export Administration Regulations (EAR) (15 CFR part
734), or otherwise restricted from public or foreign disclosure.
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