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Easa Form 19: Federal Office of Civil Aviation FOCA

This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

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348 views3 pages

Easa Form 19: Federal Office of Civil Aviation FOCA

This document is an application form for an initial, amendment, or renewal of a Part-66 Aircraft Maintenance Licence from the Federal Office of Civil Aviation in Switzerland. The form requests information such as the applicant's personal details, current licence details if applicable, employer details, the types of categories and endorsements being applied for, credits being claimed, and a signature confirming the accuracy of the information provided. It also contains recommendations from maintenance organizations, instructions on where to send the completed form, and notes on penalties for providing false information.

Uploaded by

vpro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Federal Department of the Environment,

Transport, Energy and Communications DETEC


Federal Office of Civil Aviation FOCA
Safety Division - Aircraft

APPLICATION FOR INITIAL / AMENDMENT / RENEWAL OF EASA FORM 19


PART-66 AIRCRAFT MAINTENANCE LICENCE (AML)

APPLICANTS DETAILS:

Gender: Female  Male 

Surname: First Name:

Full address:

Phone: E-mail:

Nationality: Date and Place of Birth:

Part-66 AML DETAILS (if applicable):


Licence No: State and Date of first Issue:

EMPLOYERS DETAILS:
Name:

Address:

Maintenance Organisation Approval Reference:

Phone: Fax: E-mail:

Application for: (Tick (√) the relevant box(es))


Initial AML 
Amendment of AML:
Extension of Categories 
Endorsement of Types Rating(s) 
Removal of limitation(s) 
Renewal of AML 
Conversion 
License Duplicat 
(Please fill in the Form „Lost or stolen Part-66 Aircraft Maintenance Licence”)
Change of Address 

341.101 FOCA EASA Form-19


Rev. 13_09.08.2019 Page 1 of 3
AML Categories: A B1 B2 B2L B3 C L
Aeroplane Turbine
Aeroplane Piston
Helicopter Turbine
Helicopter Piston
Avionics see system ratings below
Piston engine non-pressurised aeroplanes of MTOM of 2t and below
Complex motor-powered aircraft
Aircraft other than complex motor-powered aircraft

System ratings for B2L licence:


1. Autoflight
2. instruments
3. com/nav
4. surveillance
5. airframe systems

L-licence subcategories:
L1C: Composite sailplanes
L1: Sailplanes
L2C: Composite powered sailplanes and composite ELA1 aeroplanes
L2: Powered sailplanes and ELA1 aeroplanes
L3H: Hot-air balloons
L3G: Gas balloons
L4H: Hot-air airships
L4G: ELA2 gas airships
L5: Gas airship other than ELA2

Type endorsement / Rating endorsement / Limitation removal (if applicable):

I wish to claim the following credits (if applicable):

Experience credit for Part-147 training:

Examination credit for equivalent exam certificates:

Please enclose all relevant copies of certificates.

341.01 FOCA EASA Form 19


Rev. 13_09.08.2019 Page 2 of 3
I wish to apply for Initial / amendment / renewal of Part 66 AML as indicated and confirm that the
information contained in this form was correct at the time of application.
I herewith confirm that:
1. I am not holding any Part 66 AML issued in another Member State,
2. I have not applied for any Part 66 AML in another Member State and
3. I never had a Part 66 AML issued in another Member State, which was revoked or
suspended in any other Member State.

I also understand that any incorrect information could disqualify me from holding
a Part 66 AML.

Name: Place and Date:

Signature:

Recommendation (if applicable): It is hereby certified that the applicant has met the relevant
maintenance knowledge and experience requirements of Part-66 and it is recommended that the
competent authority grants or endorse the Part-66 AML.

Name:

Position:

Company:

Maintenance Organisation Approval Reference:

Place and Date:

Signature:

Note: It is an offence to make, with intent to deceive, any false representation for the purpose of
producing the grant, issue, renewal or extension of any license. Any person so doing renders him-
self liable on conviction to a fine or to imprisonment (Penal Code of Swiss Federal Administration,
SR 313.0, Art. 15).

Note: The applicant to an Aircraft Maintenance Licence shall submit his/her current original aircraft
maintenance licence to the competent authority together with the EASA Form 19.

Please send this application duly completed together with the relevant documents to:

Federal Office of Civil Aviation FOCA


Safety Division – Aircraft
Technical Organisations Bern STOB
3003 Bern
Switzerland

EASA Form 19 Issue 5

341.01 FOCA EASA Form 19


Rev. 13_09.08.2019 Page 3 of 3

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