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Authorized Release Certificate: Faa Form 8130-3, Airworthiness Approval Tag

The document is an FAA Form 8130-3, which serves as an authorized release certificate for airworthiness approval of aviation parts. It outlines the responsibilities of the user/installer, emphasizing that the document does not automatically authorize installation and that compliance with national regulations is necessary. Additionally, it requires proper certification in maintenance records before the aircraft can be flown.

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102 views1 page

Authorized Release Certificate: Faa Form 8130-3, Airworthiness Approval Tag

The document is an FAA Form 8130-3, which serves as an authorized release certificate for airworthiness approval of aviation parts. It outlines the responsibilities of the user/installer, emphasizing that the document does not automatically authorize installation and that compliance with national regulations is necessary. Additionally, it requires proper certification in maintenance records before the aircraft can be flown.

Uploaded by

yopiv44094
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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1. Approving National Aviation 2. 3.

Form Tracking Number:


Authority/Country:
FAA/United States
AUTHORIZED RELEASE CERTIFICATE
FAA Form 8130–3, AIRWORTHINESS APPROVAL TAG
4. Organization Name and Address: 5. Work Order/Contract/Invoice
Number:

6. Item: 7. Description: 8. Part Number: 9. Eligibility: * 10. Quantity: 11. Serial/Batch Number: 12. Status/Work:

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
Certifies that unless otherwise specified in Block 13, the work identified in Block 12
 Approved design data and are in a condition for safe operation. and described in Block 13 was accomplished in accordance with Title 14, Code of
 Non-approved design data specified in Block 13. Federal Regulations, part 43 and in respect to that work, the items are approved for
return to service.

15. Authorized Signature: 16. Approval/Authorization No.: 20. Authorized Signature: 21. Approval/Certificate 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 8130–3 (06-01) *Installer must cross-check eligibility with applicable technical data. NSN: 0052-00-012-9005

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