8900.1 CHG 688
NOTE: Advisory Circular (AC) 20-27, Certification and Operation of Amateur-Built Aircraft, notes that amateur builders have adopted the practice of calling upon a person having expertise with aircraft construction techniques, such as Experimental Aircraft Association (EAA) technical counselors, to inspect components and conduct other inspections as necessary. This practice has been highly successful in ensuring construction integrity. Therefore, FAA ASIs may use EAA technical counselors as resources in verifying the builder’s expertise.
• Destroyed, or
NOTE: However, if the aircraft is sold, the repairman may elect to retain the certificate in order to perform condition inspections on the aircraft for the new owner. Forward surrendered certificates, with a brief statement of reasons for surrender, to:
FAA Mike Monroney Aeronautical Center
Airmen Certification Branch, AFB-720
P.O. Box 25082
Oklahoma City, OK 73125
NOTE: The certificate holder cannot transfer the § 65.104 certificate to the new owner.
• AC 20-27, Certification and Operation of Amateur-Built Aircraft.
• AC 65-23, Certification of a Repairman (Experimental Aircraft Builders).
• FAA Order 8130.2, Airworthiness Certification of Aircraft.
• FAA Form 8610-2, Airman Certificate and/or Rating Application.
• FAA Form 8060-4, Temporary Airman Certificate.
• Volume 14, Chapter 1, Section 3, Figure 14-1-3B, Sample Written Notification to an Airman Applicant.
NOTE: See Figure 5-257, Instructions for Completing FAA Form 8610-2, Airman Certificate and/or Rating Application (Experimental Aircraft Builder), for specific instructions.
NOTE: The ASI’s approval date (using the eight-digit (MM/DD/YYYY) format) must be the same date as shown on the Temporary Airman Certificate.
NOTE: If the FAA Form 8610-2 is on a two-page application form (duplex printing was not used), ensure the Experimental Aircraft Builder’s name, certificate number (pending), and date of birth (using the eight-digit (MM/DD/YYYY) format) is annotated on the second page.
Figure 5-256. Sample FAA Form 8060-4, Temporary Airman Certificate (Experimental Aircraft Builder)
Figure 5-257. Instructions for Completing FAA Form 8610-2, Airman Certificate and/or Rating Application (Experimental Aircraft Builder)
NOTE: The applicant can omit Block II.
Block I Applicant Information:
Block A. Name: First, Middle, Last Applicant must enter his/her legal name.
Block B. Social Security Number (SSN) The FAA no longer uses SSNs; however, Block B cannot be left blank. Enter “DO NOT USE” in this block.
Block C. DOB Applicant must enter his/her date of birth using the eight-digit (MM/DD/YYYY) format.
Block D. Height Applicant must enter his/her height in inches.
Block E. Weight Applicant must enter his/her weight in pounds.
Block F. Hair Applicant must spell out his/her hair color. Acceptable colors are bald, brown, black, blond, gray, white, and red.
Block G. Eyes Applicant must spell out his/her eye color. Acceptable colors are brown, black, blue, hazel, gray, and green.
Block H. Sex Enter M for male or F for female.
Block I. Nationality (Citizenship) The applicant enters the country in which he/she maintains citizenship. If dual citizenship, enter one on the application and the certificate will show the other as a limitation on the certificate (e.g., “Dual citizenship includes Canada.”).
Block J. Place of Birth The applicant enters the city and state if born in the United States. If the city is unknown, enter the county and state. If the applicant was born outside the United States, enter the name of the city and country, or province and country. If the applicant was not born in a city and country or a province and country, enter that information in the “REMARKS” block.
Block K. Permanent Mailing Address The applicant enters the number and street, city, state, and ZIP Code.
NOTE: A post office address is not acceptable for the purpose of applying for an Airman Certificate, unless the applicant resides on a rural route, a boat, or in some other manner that requires the use of a post office box, rural route, or a personal mailbox for an address. If the applicant uses a post office box, rural route, personal mailbox, or business address as the preferred mailing address, the applicant must furnish a map or written directions to his/her residence or furnish the actual residence address.
NOTE: These directions are not required for Army Post Office (APO)/Fleet Post Office (FPO)/Diplomatic Post Office (DPO) type addresses.
Block L. Have you ever had an Airman Certificate suspended or revoked? The applicant must check either the YES box or the NO box. (Check YES only if it was a 14 CFR part 65, § 65.104 certificate. Refer to § 65.11.)
Block M. Do you now or have you ever held an FAA Airman Certificate? The applicant must check either the YES box or the NO box. If YES, specify the type of certificate held.
Block N. Have you ever been convicted for violation of any Federal or state statutes pertaining to narcotic drugs, marijuana, and depressant or stimulant drugs or substances? The applicant must check either the YES box or the NO box. If YES, the applicant must give the “DATE OF FINAL CONVICTION” using the eight-digit (MM/DD/YYYY) format. For part 65 subpart D, E, or F certificates, alcohol charges do not apply. Refer to § 65.12.
Block II Certificate or Rating Applied for on Basis of:
This block is not required for a Repairman Certificate (Experimental Aircraft Builder).
Block III Record of Experience:
The applicant annotates the “MAKE,” “MODEL,” “SERIAL NO.,” and the “CERTIFICATION DATE OF AIRCRAFT” (using the eight-digit (MM/DD/YYYY) format) under “TYPE WORK PERFORMED” box.
NOTE: This block must match exactly what is shown on FAA Form 8060-4 in Item XII or risk return from AFB-720.
Block IV Applicant’s Certification:
Block A. Signature The applicant signs FAA Form 8610-2 as he/she normally signs his/her name. For verification purposes, the ASI will require the applicant to provide identification showing a photograph (e.g., a current driver’s license, current military identification, current passport, etc.). Record the name and number of the document used for verification in the “REMARKS” block on the reverse side of the form and expiration date using the eight-digit (MM/DD/YYYY) format, if applicable.
Block B. Date The applicant must enter the date (using the eight-digit (MM/DD/YYYY) format) when the FAA Form 8610-2 was signed.
NOTE: If the applicant uses a driver’s license as the verification method, the “REMARKS” block must include the state that issued the license and the expiration.
NOTE: The Airmen Certification Branch no longer requires that the applicant fill out the “Applicant’s Certification” block, Block A or B, on the reverse side of FAA Form 8610-2 for a Repairman Certificate unless the date of issue on the Temporary Airman Certificate and the applicant’s certification in Block IV are not the same date. If the dates differ, Blocks A and B must be completed to correspond with the issue date on the Temporary Airman Certificate.
NOTE: The Temporary Airman Certificate FAA Form 8060-4 provided to the applicant may be completed in dark ink and handwritten; however, the Temporary Airman Certificate provided to the Airmen Certification Branch must be typed.
Figure 5-258. Sample FAA Form 8610-2, Airman Certificate and/or Rating Application (Experimental Aircraft Builder)
Figure 5-258. Sample FAA Form 8610-2, Airman Certificate and/or Rating Application (Experimental Aircraft Builder) (Continued)
RESERVED. Paragraphs 5-1228 through 5-1245.