FAA-8130-1 Application for Export Certificate of Airworthiness

Form Approved

OMB NO. 2120-0018
04/30/2015

Export Certificate No.
U.S. Department
of Transportation
Federal Aviation
Administration

Application for Export
Certificate of Airworthiness

INSTRUCTIONS - This application is to be submitted to an authorized FAA representative (one copy) when the product(s) to be exported is
(are) presented for inspection. Use Part I for Class I products and Part 11 for Class II. For complete aircraft execute items 1 through 11, as
applicable. For engines and propellers, omit item 5A. Part III is for FAA use only
Part I - Application for Export Certificate of Airworthiness (Complete items 1-11)
1. Application is made for an export certificate of airworthiness to cover the product(s) described below which is (are):
USED (Aircraft)
NEWLY OVERHAULED
NEW
2. Name and address of exporter

3. Name and address of foreign purchaser

4. Country of destination

5. Description of product(s)
Type
(a)

Make and Model
(b)

Identification
No.

Serial Nos.
(c)

FAA T.C.
or Spec. No.
(d)

Operating time (Hours)
(e)

Since
Overhaul

Total

A. AIRCRAFT

B. ENGINES

C. PROPELLERS

6. Does the product comply with all applicable Federal Aviation Regulations, Airworthiness Directives, and other FAA requirements?
NO (Explain in ''Remarks'')
YES
7. Have applicable special requirements of the importing country been complied with?
NO (Explain in ''Remarks'')
YES
8. Date title passed or is expected to pass to foreign purchaser:
9. For overseas shipment, preservation and packaging methods used to protect product(s) against corrosion and damage (List Spec. No. or Title):
Effective duration of above methods:
10. Remarks

11. EXPORTER'S CERTIFICATION - The undersigned certifies that the above statements are true and that the product(s) described herein is (are)
airworthy and in condition for safe operation except as may be noted under item 10 ''Remarks'' above.
Signature of applicant or authorized representative

FAA Form 8130-1 (4-03) Supersedes Previous Edition

Title

Date

NSN: 0052-00-024-9005

Part II - Application for Approval of Aeronautical Parts (Complete items 12-20)
12. Name and address of exporter

13. Name and address of foreign purchaser

15. Parts are eligible for installation on
16. The parts are (Check One)

14. Country of destination

Make and model Class I product

NEW

FAA Spec. No. or T.C

NEWLY OVERHAULED
Invoice/packing sheet No.

17. The parts are described (Check One)
Below by name, part number and quantity

On the attached invoice or packing sheet,
by name, part number and quantity

Name
(a)

Quantity
(c)

Part number
(b)

18. Have applicable special requirements of the importing country been complies with?

NO (Explain in item 10 ''Remarks')

YES

19. Preservation and packaging methods used to protect parts against corrosion and damage (List Spec. No. or Title):
Effective duration of above methods:
20. Exporter's Certification - I certify that the foregoing statements are true and that the parts described herein are airworthy, conform to FAA
approved design data, are in condition for safe operation except as may be noted in item 1 0 ''Remarks''
Signature of applicant or authorized representative

Title

Date

Part III - Approval (FOR FAA USE ONLY)
21. It is considered that the product(s) described in Part I or Part II is (are) airworthy
and conform(s) to pertinent requirements except as noted in Item 10. (Check One)
Signature

(Check one)

Part I
Number

DMIR

DAR

Part II

Date

DOA

22. Give quantity of approval tags, FAA Form 8130-3, issued for the parts described in Part II.

ODAR

FAA Inspector

Quantity

23. EXPORT FILE SPOT-CHECKED BY:
FAA Supervising Inspector

FAA Form 8130-1 (4-03) Supersedes Previous Edition

D.O. No.

• U.S. Government Printing Office: 1996 - 405-552/45303

Date

NSN: 0052-00-024-9005

APPLICATION FOR EXPORT

U.S. Department
of Transportation
Federal Aviation
Administration

CERTIFICATE OF AIRWORTHINESS
Supplemental Information and Instruction

Privacy Act Statement
Information on FAA Form 8130-1, Application for Export Certificate of Airworthiness is solicited under the authority of 49 U.S.C. 44103 as
implemented by 14 CFR Part 21. The purpose of this information is to evaluate an applicant's application for an export airworthiness
approval for a Class I or Class 11 product. Submission of this data is mandatory and will become part of the Privacy Act system of records
DOT/FAA 801, Aircraft Registration System. Incomplete submission may result in delay or denial of your request. Information maintained in
the Privacy Act system of records is routinely used to (1) provide aircraft owners and operators information about potential mechanical
defects or unsafe conditions of their aircraft in the form of airworthiness directives, (2) locate specific individuals or aircraft for accident
investigation, violation, or safety related requirements, (3) prepare an Aircraft Registry in magnetic tape and microfiche form as required by
ICAO agreement, containing information on aircraft owners by name, address, United States Registration Number, and type of aircraft, and
(4) DOT Prefatory Statement of General Routine Uses.

Paperwork Reduction Act Statement:
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid
OMB Control Number. The OMB Control Number for this information collection is 2120-0018. Public reporting for this collection of information is
estimated to be approximately 12 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of
information. All responses to this collection of information are required to obtain or retain benefits under the authority of 49 U.S.C. 44702 as
implemented by 14 CFR Part 21. The information is protected under the provisions of the Privacy Act and the Privacy Act system of records DOT/
FAA-801, Aircraft Registration System.
Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave.
SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110.

Tear off this cover sheet before submitting this form.

FAA Form 8130-1 (4-03) Supersedes Previous Edition

NSN: 0052-00-024-9005