Forms & Templates

Forms

FORMS Description
 
·         CA010 Volcanic Activity Report
·         CAA600 Application for Replacement License
·         CAA601 Application for Exchange to new format License
·         CAA602 Application for Licence Verification
·         CAA603 Application for License Verification of Occurrence(s)
·         CAA800 Laser Beam Exposure Questionnaire
·         CAA810 NPRM Submission Form
·         24FPP Fit and Proper Questionnaire
·         24FPPDEC Fit and Proper Declaration
·         23008 Flight Evaluation Schedule for GPS IFR Approval
·         24011/01 Petition to raise a Regulatory Issue
·         24011/02 Petition for an Exemption
·         ICAO Pilot Form Wake Vortex Reporting Form for Pilots
·         ICAO ANSP Form Wake Vortex Reporting Form for Air Navigation Service Providers
·         CA005 Occurrence Report
·         CA005B Bird Incident Notification
·         CA005D Defect Report
·         CA005AG Occurrence Report – Helicopter and Agriculture Aviation
·         CAASection 13A Emergency Flight Notification and Report
·         CAA605A Aircraft Operations Statistic – Large and Medium Aeroplanes
·         CAA605B Aircraft Operations Statistics – Aeroplanes, Helicopters and Balloons
·         24137/03 Agricultural Operations Statistics
·         CAA800 Laser Beam Exposure Questionnaire
24019/01 Certificate of Approval for Supply
24019/02 Part19F Matrix
24019/03 Application for Test Pilot Approval – Amateur-Built
24019/04 Application for Test Pilot Approval – Experimental Flying
24019/05 Exposition Amendment Summary Sheet
2129 Aircraft Radio Station Approval
24021/01 Issue or Change to a Type Certificate
24021/02 Issue or Amendment of a Type Acceptance Certificate
24021/05 Issue of Standard/Restricted Airworthiness Certificate
24021/06 Application for a Special Category Airworthiness Certificate
24021/07 Issue of a Special Flight Permit
24021/08 Application for a Change to a Type Certificate
24021/09 Issue of a Supplement Type Certificate
24021/10 Issue of an Export certificate of Airworthiness
20421/11 Application for Deviation from Specification
24021/12 Technical Standard Order Authorisation
24021/13 Parts Manufacturing Approval Authorisation
24021/14 Light Sport Aircraft Statement of Compliance
CAA337 Design Change – Application for approval of Technical Data(Part 21), and Conformity Certificate – Major Modification, Major Repair(Part 43)
CAA2115 Eligibility Statement Amateur – Build Aircraft
2171 Agreement to Supply Manufacturer’s Data
CAA8100-1 Conformity Inspection Report
CAA8110-3 Statement of Compliance with Airworthiness Requirements
CAA8130-9 Statement of Conformity
CAA8120-10 Request for Conformity
24039/01 Application for Alternate means of Compliance
CA006 Technical Log
2102 Aircraft Weight & Balance Report
2173 Weight and Balance Data
CAA337 Design Change – Application for Approval of Technical Data (Part21) and Conformity Certificate – Major Modification, Major Repair(Part 43)
CAA043-01 Modification Record
24047/01 Registration of Aircraft
24047/02 Fit and Proper Questionnaire – Aircraft Registration
24047/03 Notice of Change of Possession of Aircraft
24047/04 Identifiable Paint Scheme and Marking
24047/05 Deregistration of Aircraft
24047/05A Deregistration of Aircraft(for use when the person relinquishing registration is not available)
24047/08 Operator Statement Details
24047/09 Submission of an Irrevocable De-Registration and Export Request Authorisation
24047/09A Irrevocable De-Registration and Export Request Authorisation
24047/10 Removal Request – Irrevocable De-Registration and Export Request Authorisation
24047/13 Application for Deferral of Participation Levy
Miscellaneous
·         CAA600 Application for Replacement License
·         CAA601 Application for Exchange to new format Licence
·         24061/04 Application for Amendment to a Pilot Licence
·         CAA602 Application for License Verification
·         CAA603 Application for License Verification of Occurrence(s)
·         24061/03 Application for Flight Test Conducted by CAD
Licence Application
·         24061/01 Application for Issue of Flight Crew License or Prime Rating
·         24061/01-RPL Application for Issue or Recreational Pilot License
·         24061/09 Application for licence recognition under the Trans Tasman Recognition Act (for Australian professional pilots only)
·         24061/02 Application for Issue of Flight Crew licence – Overseas Licence Holders Only
·         24061/18 Application for Issue of a Validation Permit for Pilots only wishing to Undertake Short Term Private VFR Operations
·         24061/19 Application for Issue of a Validation Permit (Foreign CPL and ATPL Only)
Agricultural Ratings
·         24137/04 Issue of Agricultural Rating Aeroplane or Annual Continued Competency Demonstration
·         24137/05 Issue of Agricultural Rating Helicopter or Annual Continued Competency Demonstration
Flight Test Report/ Competency Demonstration Reports
·         24061/05 Airline Transport Pilot Licence Aeroplane – Flight Test Report
·         24061/06 Airline Transport Pilot Licence Helicopter – Flight Test Report
·         24061/07 Instrument Rating – Aeroplane/Helicopter Competency Demonstration Report Form
·         24061/13 Single Pilot Certificated Aeroplane Competency Demonstration Record
·         24061/16 Flight Test Report: Flight Instructor Rating Competency Demonstration – Aeroplane
·         24061/17 Flight Test Report: Flight Instructor Rating Competency Demonstration – Helicopter
·         24061/25 Record of Competency Demonstration for Issue or Continued Competency for the Aerobatic Rating – Aeroplane
·         24061/26 Flight Test Report: Private Pilot Issue Flight Test – Helicopter
·         24061/121 Flight Test Report: Airline Flight Examiner Rating Competency Demonstration – Part 121
·         24061/125 Flight Test Report: Airline Flight Examiner Rating Competency Demonstration – Part 125
·         24061/135 Flight Test Report: Airline Flight Examiner Rating Competency Demonstration – Part 135
·         24061/20 Flight Test Report: GA Flight Examiner Rating Competency Demonstration – (A) or (H)
·         24061/21 Demonstration of Competency – Type Rating – Helicopter
·         24061/22 Flight Test Report: Private Pilot Issue Flight Test – Aeroplane
·         24061/30 Flight Test Report: Agricultural Flight Examiner Competency Demonstration (A) or (H)
BFR
·         24061/11 Record of BFR – Demonstration of Continued Competency for RPL or PPL(A)
·         24061/12 Record of BFR – Demonstration of Continued Competency for RPL or PPL(H)
·         24061/14 Record of BFR – Demonstration of Continued Competency for CPL(A)
·         24061/15 Record of BFR – Demonstration of Continued Competency for CPL(H)
·         24061/23 Record of BFR – Demonstration of Continued Competency for CPL(Balloon)
CAA600 Application for Replacement Licence / Aviation Document
CAA601 Application for exchange to new format Licence
CAA602 Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
20465/01 Issue of Air Traffic Service Licence
24065/02 Exchange of an Air Traffic Service Licence
24065/03 Amendment to an Air Traffic Service Licence
24065/04 Test Form ATS Examiner Rating
24065/05 Application for ATS Examiner Test
CAA600 Application for Replacement Licence / Aviation Document
CAA601 Application for exchange to new format Licence
CAA602 Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
24066/01 Aircraft Maintenance Engineer Licence and/or Category
24066/02 Aircraft Maintenance Engineer Licence-Rating
24066/03 Aircraft Maintenance Engineer – Maintenance Approval
24066/04 Recognition of Foreign AME Licence
24066/05 Application to Exchange to a CAD Part 66 Licence
20466/08 Trans Tasman Mutual Recognition Act
Review of Airworthiness
·         24066/06 Review of Airworthiness Aeroplane Check List Report (including Special Category)
·         24066/07 Review of Airworthiness Helicopter Check List Report (including Special Category)
·         24066/12 Review of Airworthiness Check List Report – Hot Air Balloon
Certificate of Inspection Authorisation
·         24066/10 Application for Inspection Authorisation Certificate – Initial Issue or Renewal
·         24066/11 Application for Inspection Authorisation – Initial or Renewal Course
Required for Medical Certification
·         24067-001 Application for a Medical Certificate
·         24067-002 Medical Examination Report
·         24067-003 Medical Assessment Report
·         24067-004 General Direction Submission Form
Forms providing or requesting supporting information
·         24067-211 Special Eye Report  (including advice on completion of the form)
·         24067-106 Consent Declaration and request regarding medical information
·         24067-202 Electrocardiograph Request
·         24067-203 Audiometry Report  (including advice on completion of the form)
·         24067-204 In Flight Hearing Assessment Report
·         24067-213 Respiratory Examination Report
·         24067-214 Blood Pressure Examination Report
·         24067-215 Headache Investigation Report
·         24067-217 Aging Pilot Report
·         24067-300 Accredited Medical Conclusion – Request for Identification of Experts
Forms dealing with existing certificates
·         24067-401 Suspension of Certificate
·         24067-402 Restriction of Certificate
·         24067-403 Withdrawal of Conditions, Restrictions and Endorsements
·         24067-404 Cancellation of Suspension of Certificate
·         24067-405 Extension of Suspension of Certificate
·         24067-406 Extension of Restriction of Certificate
·         24067-407 for Replacement of a Medical Certificate
Forms for Medical Examiners
·         24067-502 Fit and Proper Person Questionnaire Medical Examiner Designation
24071/01 Application for designated airspace or reporting point
24077/01A Notice of Proposal to Construct or Alter a Structure – TCAR Part 77
24077/01B Notice of Proposal to use a Light or Laser – TCAR Part 77
24077/01C Notice of Proposal to use Pyrotechnics or Weapons – TCAR Part 77
CA006 Technical Log
24091/01 Approval or revision of a Minimum Equipment List (MEL)
24091/02 Application for Approval or Amendment of a Maintenance Programme
24091/03 Application for Aviation Event Authorisation
24091/05 Application for Callsign
24091/06 Application for a Temporary Extension to an Approved Maintenance Programme
24091/07 Operational Approvals Application
24091/08 Application for GPS IFR Operational Approval Under CAR Part 19
24091/09 Application for Electronic Flight Bag Use Operational Approval
CAA091-10 Part 91 PBN Approval Request for FIR
CAA800 Laser Beam Exposure Questionnaire
24095/01 Application for registration of an Instrument Flight Procedure under CAR Part 95
24102/01 Application for issue or renewal of a Remotely Piloted Aircraft Operator Certificate
24102/02 Application for Amendment of an Unmanned Aircraft Operator Certificate
24101/02

24102/03

Part 101 Rule Compliance Matrix

Part 102 Rule Compliance Matrix

Applicants for a certificate under Part 102 should also complete relevant parts of the Part 101 Compliance Matrix.

24103/01 Application for Issue or Amendment of a Microlight Aircraft Flight Permit
24103/02 Class 2 Microlight Survey Form
24FPP Fit and Proper Person Questionnaire
24FPPDEC Fit and Proper Person Declaration
24109/01 Application for Issue, Renewal, or Amendment of a Regulated Air Cargo Agent Certificate under Civil Aviation Rule Part 109
24109/02 Part 109 Rule Compliance Matrix
24109/03 Part 109 Exposition Amendment Summary Sheet
24100/01 Application for approval of SMS Implementation Plan
24100/02 Safety Management System Evaluation Tool
24100/03 Application for amendment of SMS Implementation Plan
24115/01 Application for Issue or Renewal of an Adventure Aviation Operator Certificate under Civil Aviation Rules, Part 115
24115/01A Part 115 – Request for unique identification of unregistered aircraft (parachute – hang glider – paraglider)
24115/01B Change of Possession of Part 115 Unregistered Aircraft with

Unique Identification (parachute; hang glider; paraglider)

24115/01C Part 115 Removal Request (parachute, hang glider, paraglider)
24115/02 Part 115 Compliance Matrix – Common Requirements
24115/02I Part 115 Rule Compliance Matrix – Hot Air Balloon Operations
24115/02J Part 115 Rule Compliance Matrix – Parachute Drop Aircraft Operations
24115/02K Part 115 Rule Compliance Matrix – Tandem Parachute Operations
24115/02L Part 115 Rule Compliance Matrix – Glider Operations
24115/02M Part 115 Rule Compliance Matrix – Hang Glider and Paraglider Operations
24115/02O Part 115 Rule Compliance Matrix – Special Aircraft Operations
24115/02P Part 115 Rule Compliance Matrix – Microlight Aircraft Operations
224115/08 Exposition Amendment Summary Sheet for an Adventure Aviation Operator under Civil Aviation Rules, Part 115
24115/10 Application for Amendment of an Adventure Aviation Operator Certificate under Civil Aviation Rules, Part 115
24119/01 Issue, renewal, or amendment of an Air Operator Certificate
24119/11 Application for Accreditation of a New or Modified Aeroplane Flight Simulator for Approved Uses
24119/12 Exposition Amendment Summary Sheet for an Air Operator under Civil Aviation Rule Part 119
24108/02 Part 108 Rule Compliance Matrix
24119/08 Part 119/121 Compliance Matrix – Operations
24119/08M Part 119/121/125 Compliance Matrix – Maintenance
24119/09 Part 119/125 Compliance Matrix – Operations
24119/08M Part 119/121/125 Compliance Matrix – Maintenance
24129/01A Application for CAR Part 129 FAOC – Addendum – Explanatory Notes for Drafting an Exposition
24129/01 Application for Issue, Renewal or Amendment of a Part 129 Certificate
24129/02 Compliance Matrix
24108/02 Part 108 Rule Compliance Matrix