AC 21-12D CHAPTER 5. SECTION III, OWNER’S CERTIFICATION, ITEM A, REGISTERED OWNER Note: Title 14 CFR Part 47, Aircraft Registration, details the requirements to register aircraft.
5.1 Name.
Enter the name as exactly shown on the aircraft registration certificate.
5.2 Address.
Enter the address as exactly shown on the aircraft registration certificate.
5.3 If Dealer, Check Here.
This data field should be marked if the aircraft is registered under a dealer’s aircraft registration certificate.
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AC 21-12D CHAPTER 6. SECTION III, OWNER’S CERTIFICATION, ITEM B, AIRCRAFT
CERTIFICATION BASIS In this section, enter information about the aircraft’s certification. If the application is for multiple airworthiness certificates, the certification information for each requested certificate should be entered. In AWC, select the certification information from the applicable drop-down list. On Form 8130-6, mark all boxes that apply to the application and complete the requested data in each data field as it applies.
6.1 Aircraft Specification or Type Certificate Data Sheet.
6.1.1 For aircraft with TCs, enter the TC number (for example, “T00001SE”). When revisions exist, use the TC number plus “Rev” and the revision number (for example, “T00001SE Rev 46”). The revision number is the version found on page 1 of the aircraft’s TCDS.
6.1.2 For a new aircraft or model where the TCDS or specification has been approved but not yet published, enter the date of approval in month/day/year format, the TC number, and the word “Preliminary” (for example, “01/02/2010 AB123 Preliminary”).
6.1.3 Older aircraft (predating TCDS) may have been originally certificated with aircraft specifications. Specifications may be located on the DRS website using the TCDS link and searching by the type or model aircraft. Enter the specification number as shown on the “TC Number” line.
6.1.4 For special airworthiness certificate for the light-sport category or the experimental purposes of operating light-sport category kit-built aircraft or operating former lightsport category aircraft mark the box and enter “N/A.” A manufacturer’s statement of compliance, Form 8130-15, must be provided with the application pursuant to § 21.190.
For additional information about light-sport aircraft, refer to the FAA Light-Sport Aircraft website.
6.2 Airworthiness Directives.
Regardless of the type of airworthiness certificate requested, indicate the aircraft is in compliance with all applicable ADs (refer to 14 CFR Part 39, Airworthiness Directives, and 14 CFR 21.99, Required design changes). Airworthiness Directives Biweekly (AD biweekly) can be found on the DRS website.
6.2.1 If the aircraft is in compliance with all ADs, check the box and then enter the latest AD biweekly supplement number published as of the date of application. Use a four-digit year, a dash, and publication number format. As an example, if the day of the application is 09/30/2024, 2024-19 would be the latest supplement published, enter “2024-19” in the data field.
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AC 21-12D
6.2.2 For a special airworthiness certificate for the light-sport category or the experimental purposes of operating former light-sport category aircraft or operating light-sport category kit-built aircraft, you should enter “None”
6.2.3 In AWC, if answered “No” to the “All Applicable ADs Are Compiled With” field, a prompt is displayed indicating that the application is not eligible for a standard or special airworthiness certificate and to contact the local FAA office for guidance. AWC will not allow the continuation of this application.
6.3 Supplemental Type Certificate.
This data field is applicable for all standard airworthiness certifications. This data field is also applicable for special airworthiness certifications in the restricted, limited, provisional, and primary categories. When one or more STCs are installed, mark the box and complete the data field with the required information. When no STCs are installed, leave the box unmarked and enter “N/A.”
6.3.1 Enter the STC number of each STC installed. If more space is needed, use an attachment. When using an attachment, list the STCs installed by STC number only. For aircraft involved in FAA STC projects, ensure the STC number for the completed project is listed in the data field at the time of application.
6.3.2 For a special airworthiness certificate for the light-sport category or an experimental purpose, in AWC select the “Not Applicable” box, for paper Form 8130-6 user, leave the box unmarked and enter “N/A” in the data field.
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AC 21-12D CHAPTER 7. SECTION III, ITEM C, AIRCRAFT MAINTENANCE RECORDS
7.1 Maintenance Records Are in Compliance with applicable 14 CFR requirements.
Check this block if maintenance records are in compliance with requirements applicable to the airworthiness certificate which you are applying for.
7.2 Total Airframe Hours.
Enter in this data field the aircraft’s total time in service measured in hours. Time in service should be determined from your aircraft maintenance records.
7.3 Experimental Only.
7.3.1 This data field should only be completed when—
• Submitting an application for a new or renewed special airworthiness certificate for an experimental purpose (experimental airworthiness certificate),
• Requesting a change from an experimental airworthiness certificate back to a previously held standard airworthiness certificate, or
• Requesting a change from an experimental airworthiness certificate back to a previously held special airworthiness certificate in another category.
7.3.2 Enter “0” if applying for an original issuance of an experimental airworthiness certificate with zero hours flown.
7.3.3 If renewing an experimental airworthiness certificate or making an application to change back a previously held certificate, enter in this data field the number of hours the aircraft has flown since the issuance of the current experimental airworthiness certificate.
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AC 21-12D CHAPTER 8. SECTION III, ITEM D, CERTIFICATION For AWC, refer to the AWC User Guide and this section of the AC when completing the Owners Certification. Once required information has been completed, click “Save” or “Save and Next.”
A pop-up display will appear with a certification declaration. Read and verify the certification statement and agree to proceed. On Form 8130-6, read and verify the certification statement on the application before completing this item. On Form 8130-6 there are three blocks to complete.
8.1 Date of Application.
Enter the date that you attest to the certification statement in month/day/year format (for example, “02/09/2025”).
8.2 Name and Title.
Enter (print or type) the full name and title of the person certifying the application. A full name may include first name, a middle initial, and last name. Titles may include owner, president, director, or agent. Examples of a full name and title are “John E. Doe, Owner” and “John Doe, Director of Quality Assurance.” If an agent completes the application, a notarized letter from the aircraft’s registered owner authorizing the agent to act on the owner’s behalf should be included (upload to AWC if necessary).
8.3 Signature.
The person whose name appears in the “Name and Title” data field should sign the signature data field. When using the paper version of FAA Form 8130-6 the user should ink sign. For AWC users, AWC provides for electronic signatures.
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AC 21–12D CHAPTER 9. SECTION IV, INSPECTION AGENCY VERIFICATION Complete this section only for standard airworthiness applications of used aircraft or surplus U.S. military aircraft (except an experimental aircraft that previously had been issued a different airworthiness certificate under this section). To qualify for a standard airworthiness certificate, show the aircraft conforms to a type design approved under a TC or an STC. The aircraft must also be in compliance with all applicable FAA issued ADs. The aircraft must be inspected and found airworthy by one of four methods (refer to paragraphs 9.1 through 9.4 of this section). The aircraft has been inspected in accordance with the performance rules for 100-hour inspections, refer to 14 CFR 43.15, or an equivalent performance standard acceptable to the FAA (refer to 14 CFR 21.183(d)(2)).
Note: Do not complete this section when applying for an amended certificate, § 21.177.
9.1 Title 14 CFR Part 121 Certificate Holder.
Mark this box and enter the certificate number when the aircraft has been inspected and found airworthy by a Part 121 certificate holder.
9.2 Certificated Mechanic.
Mark this box and enter the certificate number when the aircraft has been inspected and found airworthy by a certificated mechanic.
9.3 Certificated Repair Station.
Mark this box and enter the certificate number when the aircraft has been inspected and found airworthy by a mechanic at a certificated repair station.
9.3.1 Certificated Foreign Repair Station.
Mark this box and enter the name (and number if applicable) of the foreign maintenance organization that inspected and found the aircraft airworthy if all of the following are met:
• The U.S. has a bilateral agreement with implementation procedures with the exporting country that includes acceptance of this aircraft category by the U.S. for import,
• The inspection was performed by a maintenance organization appropriately certificated by the exporting CAA, and
• The inspection was completed while the aircraft was operated on the registry of the exporting CAA and within 60 days of submitting the application for a U.S.
airworthiness certificate.
9.3.2 Reserved.
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AC 21–12D
9.4 Aircraft Manufacturer.
Mark this box and enter the manufacturer name when the aircraft has been inspected and found airworthy by the manufacturer who holds the TC.
9.5 Date.
Enter the date the inspection agency attests to the verification statement. Enter the date in month/day/year format (for example, “02/09/2025”).
9.6 Name and Title.
Print the name and title of the authorized person at the inspecting agency who completed the inspection as entered in the aircraft logbook. A full name may include first middle initial as appropriate, and last name. Titles may include mechanic, technician, inspector, manager, or director. “John E. Doe, Avionics Technician” and “John Doe, Director of Quality Assurance” are some examples of a full name and title.
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AC 21–12D CHAPTER 10. SECTION VI, PRODUCTION FLIGHT TESTING Note 1: Manufacturers applying for a special flight permit with the purpose of flighttesting production aircraft, complete this section. Refer to 14 CFR 21.197(a)(3).
Note 2: Manufacturers producing fully assembled aircraft in the light sport category, in AWC, select Light Sport Aircraft, on Form 8130-6, complete only items A and C. Item B should be left blank. Refer to 14 CFR 21.197(a)(3).
10.1 Item A, Manufacturer.
10.1.1 Name.
Enter the name of the manufacturer or legal name of the company.
10.1.2 Address.
Enter the company’s full physical address, which includes street address, city, state, and zip code.
10.2 Item B, Production Basis.
10.2.1 Production Certificate.
Mark this box if the manufacturer holds a PC and has produced the aircraft under this certificate. If the box is marked, a PC number should be entered in the data field space.
10.2.2 Type Certificate.
Mark this box if this aircraft was produced under a TC and not a PC.
10.2.3 Aircraft That May Not Currently Meet Applicable Airworthiness Requirements But Is Capable of Safe Flight.
Mark this box for an aircraft that may not currently meet applicable airworthiness requirements but is capable of safe flight.
10.3 Item C.
10.3.1 Give Quantity of Certificates Required for Operating Needs.
Manufacturers in serial production can request more than one certificate per application submitted. Enter the quantity (in digits) of certificates needed for the operation. For example, entering “4” requests four certificates for use during production flight tests that can be transferred from one aircraft to another.
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AC 21–12D
10.3.2 Date of Application.
Enter the current date as the special flight permit application date in the month/day/year format (for example, “02/09/2025”).
10.3.3 Name and Title.
Enter (print or type) the full name and title. A full name usually includes first name, a middle initial, and last name. Titles may include owner, president, director, or authorized agent. “John E. Doe, Owner” and “John Doe, Director of Quality Assurance” are some examples of a full name and title. If application is completed by the owner’s agent, a notarized letter from the aircraft’s registered owner authorizing the agent to act on the owner’s behalf should be included (upload to AWC if necessary).
10.3.4 Signature.
The person whose name appears in the “Name and Title” data field should sign this data field. Paper Form 8130-6 user should ink sign. For AWC users, AWC provides for electronic signatures.
10.3.5 AWC Review and FAA Office Information.
When using AWC, prior to submitting your application to the FAA, review the application for completeness and accuracy. Once review of the application is complete, select the applicable FAA office. Refer to the FAA website to determine the applicable FAA office, Locate an Office.
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AC 21–12D CHAPTER 11. SECTION VII, SPECIAL FLIGHT PERMIT PURPOSES OTHER THAN
PRODUCTION FLIGHT TEST
11.1 Item A, Description of Aircraft.
Entries in this section should match the data recorded on the aircraft’s registration certificate and the aircraft’s ID plate as applicable.
11.1.1 Registered Owner.
Enter the name on the aircraft’s registration certificate.
11.1.2 Address.
Enter the owner’s address listed on the aircraft’s registration certificate.
11.1.3 Builder.
Enter the name of the manufacturer or builder as it appears on the aircraft’s ID plate.
11.1.4 Model.
Enter the model designation as shown on the aircraft’s ID plate.
11.1.5 Serial Number.
Enter the serial number as shown on the aircraft ID plate.
11.1.6 Registration Mark.
Enter the U.S. nationality designator letter “N” followed by the registration marks as shown on the aircraft registration certificate.
11.2 Item B, Description of Flight.
11.2.1 Customer Demonstration Flights.
Mark this data field if the special flight permit is for a customer demonstration flight.
11.2.2 From.
Enter the aircraft’s current location (for example, “Kansas City, Missouri”, or the airport identifier “MCI”).
11.2.3 To.
Enter the aircraft’s intended destination (for example, “Dallas, Texas”, or the airport identifier “DFW”).
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11.2.4 Via.
This data field should contain the name(s) of an airport or city at some intermediate point(s) in the flight. Entering “via” points provides a general direction of the flight route (refer to 14 CFR 21.199(a)(2)). For example, a flight from “Kansas City, Missouri” (or “MCI”), to “Dallas, Texas” (or “DFW”), may be flown via “Wichita, Kansas” (or “ICT”), and “Oklahoma City, Oklahoma” (or “OKC”). Leave this data field blank if there are no planned intermediate points.
11.2.5 Departure Date.
Enter the date the flight is planned using month/day/year format (for example, “02/09/2025”).
11.2.6 Duration.
The duration is the length of time needed for the special flight permit. The duration is not the same as the planned duration of the actual flight. Factors such as fueling stops, weather conditions, overnight stops, or any other reasonable condition should be given consideration when establishing the duration. The length of time needed for the aircraft to reach its intended destination should be given in whole number days or weeks (for example, “7 days” or “2 weeks”) (refer to 14 CFR 21.199, Issue of special flight permits).
11.3 Item C, Crew Required to Operate the Aircraft and Its Equipment.
In this section, mark the boxes of the crew required to operate the aircraft and its equipment. If additional crew members other than the ones listed in boxes are necessary, mark the “Other” box. Enter the additional required crew member’s function (for example, test engineer, avionics technician) in the space provided to the right of the “Other” box.
11.4 Item D, The Aircraft Does Not Meet the Applicable Airworthiness Requirements as Follows.
In the space provided, detail the conditions where the aircraft does not comply with the applicable airworthiness requirements. Keep in mind this is the basis for requesting a special flight permit and will need to be specific (refer to 14 CFR 21.199(a)(4)).
11.5 Item E, The Following Restrictions Are Considered Necessary for Safe Operation.
In the space provided, enter any restrictions considered necessary for safe operation of the aircraft (for example, reduced airspeed, operating weight, turbulence avoidance, crew limitations, or qualifications). The application will be reviewed, and additional conditions and/or limitations may be prescribed for safe operation (refer to 14 CFR 21.199(a)(5) and (6)).
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AC 21–12D
11.6 Item F, Certification.
If this section applies to the application, read the certification statement and verify that requirements have been met before completing this item. There are three blocks to complete:
11.6.1 Date of Application.
In this data field, enter the current date using month/day/year format (for example, “02/09/2025”).
11.6.2 Name and Title.
Enter (print or type) the full name and title. A full name usually includes first name, a middle initial, and last name. Following the full name, the data field requests the title of that person. Titles may include owner, president, director, or authorized agent. “John E.
Doe, Owner” or “John E. Doe, Director of Quality Assurance” are some examples of a full name and title. If application is completed by the owner’s agent, a notarized letter from the aircraft’s registered owner authorizing the agent to act on the owner’s behalf should be included (upload to AWC if necessary)
11.6.3 Signature.
The person whose name appears in the “Name and Title” data field should sign the data field. When using the paper version of FAA Form 8130-6 the user should ink sign. For AWC users, AWC provides for electronic signatures.
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