Official Federal Forms > Federal Aviation Administration (FAA)
Authorized Release Certificate Airworthiness Approval Tag FAA 8130-3 - Official Federal Forms
| Authorized Release Certificate Airworthiness Approval Tag Form. This is a national form and can be used in Federal Aviation Administration (FAA) . |
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1. Approving National Aviation Authority/Country: FAA/United States 2. 3. Form Tracking Number: AUTHORIZED RELEASE CERTIFICATE FAA Form 81303, AIRWORTHINESS APPROVAL TAG 5. Work Order/Contract/Invoice Number: 8. Part Number: 9. Eligibility: * 10. Quantity: 11. Serial/Batch Number: 12. Status/Work: 4. Organization Name and Address: 6. Item: 7. Description: 13. Remarks: 14. Certifies the items identified above were manufactured in conformity to: 19. 14 CFR 43.9 Return to Service Other regulation specified in Block 13 Approved design data and are in a condition for safe operation. Non-approved design data specified in Block 13. Certifies that unless otherwise specified in Block 13, the work identified in Block 12 and described in Block 13 was accomplished in accordance with Title 14, Code of Federal Regulations, part 43 and in respect to that work, the items are approved for return to service. 20. Authorized Signature: 21. Approval/Certificate No.: 15. Authorized Signature: 16. Approval/Authorization No.: 17. Name (Typed or Printed): 18. Date (m/d/y): 22. Name (Typed or Printed): 23. Date (m/d/y): User/Installer Responsibilities It is important to understand that the existence of this document alone does not automatically constitute authority to install the part/component/assembly. Where the user/installer performs work in accordance with the national regulations of an airworthiness authority different than the airworthiness authority of the country specified in Block 1, it is essential that the user/installer ensures that his/her airworthiness authority accepts parts/components/assemblies from the airworthiness authority of the country specified in Block 1. Statements in Blocks 14 and 19 do not constitute installation certification. In all cases, aircraft maintenance records must contain an installation certification issued in accordance with the national regulations by the user/installer before the aircraft may be flown. FAA Form 81303 (10-10) *Installer must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005 American LegalNet, Inc. www.FormsWorkFlow.com
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