Reduced Vertical Separation Minimum New Applications

COVER SHEET
OMB Control Number: 2120-0679
Expiration Date: 11/30/2024
Paperwork Reduction Act Burden 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 currently valid OMB Control
Number. The OMB Control Number for this information collection is 2120-0679. Public reporting for this collection of
information is estimated to be approximately 6.8 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
All responses to this collection of information are required to obtain RVSM authorization per 14 CFR 91.706; no assurance of
confidentiality is provided. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation
Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524

Reduced Vertical Separation Minimum (RVSM)
Information Sheet for New
Part 91 RVSM Letter of Authorization
NOTE: FAA Advisory Circular 91-85 ( ), Authorization of Aircraft and Operators for Flight in Reduced
Vertical Separation Minimum (RVSM) Airspace contains information on airworthiness, continuing
airworthiness, and operations programs for Reduced Vertical Separation Minimum (RVSM) operations.
The AC is not mandatory and does not constitute a regulation. It describes an acceptable means, but not
the only means, for authorization of aircraft and operators to conduct flight in airspace or on routes where
RVSM is applied.
Attached is an information sheet package that was developed to assist operators in organizing
information required to show compliance for a part 91 Reduced Vertical Separation Minimum (RVSM)
Letter of Authorization (LOA).
The package consists of three parts:
1. An Information Sheet to organize RVSM information
2. Attachment A – an instruction guide
3. Attachment B – the RVSM Authorization Decision Matrix from FAA AC 91-85B
The information sheet in this package was developed to support the streamlined process recommended
by the Performance Based Operations Aviation Rulemaking Committee (PARC) RVSM LOA Process
Enhancement Team (composed of FAA & industry representatives). The information sheet is based upon
the RVSM Authorization Decision Matrix from the AC 91-85B, Appendix F.
Not all boxes may be required to be filled out. Read fully Attachments A and B. Pre-coordination with
the responsible Safety Office is strongly encouraged.
NOTE: This package consolidates required items from various FAA and ICAO documents to aid
personnel in determining compliance with part 91, Appendix G. The package itself does not constitute
regulatory guidance.

Form 2120-0679

COVER SHEET
i

Information Sheet for Part 91 RVSM Letter of Authorization (LOA)
OMB Control Number: 2120-0679
Expiration Date: 11/30/2024
Paperwork Reduction Act Burden 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 currently valid OMB Control Number. The OMB Control Number for this information collection is
2120-0679. Public reporting for this collection of information is estimated to be approximately 6.8 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
All responses to this collection of information are required to obtain RVSM authorization per 14 CFR 91.706; no assurance of confidentiality is
provided. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524

Section 1 – Identifying Information
1a. Determine
responsible Flight
Standards Safety
Office

Name:
Address:
City:

State:

1b. Operator Name

The operator name:

1.c.

N/A
Registration
Number

1d. Aircraft M/M-S
– (S)

Manufacturer/Model

Aircraft Seating

Number of Passenger Seats:

1e. Aircraft Base
of Operations

Airport Code:

1f. RVSM Point of
Contact

Serial
Number

Zip Code:

Mode S Code

Number of Crew Seats:

Airport Address:
City:

State:

Name:

Zip Code:

Title:

Email:

Phone:

1g. The aircraft identified is equipped to meet all requirements for operations in RVSM airspace. This is shown by
original design or alteration records that document compliance with 14 CFR Part 91, Appendix G. The Aircraft Flight
Manual (AFM) and Flight Manual Supplements and supporting Manufacturer’s Operating Guides required by those
documents are available to the flight crew. The aircraft, records, and documents are available for FAA inspection.
NOTE: Operators should be fully cognizant with RVSM requirements, including status of all required maintenance.
Prior to conducting operations in RVSM designated airspace it is necessary that the aircraft meet all applicable
RVSM airworthiness requirements.
Responsible
Person

Name:

Title:

Email:

Phone:

1
Form 2120-0679

Information Sheet for Part 91 RVSM Letter of Authorization (LOA)

Section 2 – RVSM Information - Complete this section for administrative changes to an
existing authorization, See RVSM Matrix, Group I, Attachment B to this document
Amend an existing LOA (Authorization Group I):
Change in Primary Business Address only
Change in Responsible Person and/or RVSM Point of Contact
Change in Aircraft Registration Number only (note: not a different aircraft)
2a. Explanation
for LOA

Removal of an aircraft from an existing RVSM authorization with multiple aircraft
Additional information:

2b. Information
on existing
Authorization

LOA
three
letter
code

Current LOA Designation Number

Fixed

CHDO ID

J

2c. RVSM
Operational Policy
and Procedures

(check):

The RVSM operational policy and procedures previously accepted by the FAA
have been thoroughly reviewed, and they continue to meet all requirements for
RVSM operations and conform to the applicant’s additional operational
requirements.

(check):

There have been no changes to previously trained/qualified flight crew
personnel and each pilot has an adequate knowledge of RVSM requirements,
policies, and procedures.

(check):

The RVSM height-keeping performance for the operator’s fleet of aircraft has
been reviewed. The operator’s aircraft fleet meets the minimum monitoring
requirements.

2d. Crew Training

2e. RVSM Height
Monitoring

2
Form 2120-0679

Section 3 – RVSM Information - New authorization based on one or more existing approved
RVSM elements or a completely new authorization , See RVSM Matrix - Group II or Group III,
Attachment B to this document
LOA based on one or more existing approved RVSM authorization element(s)
(Authorization Group II)
OR
3a. Explanation
for LOA

New LOA (Authorization Group III)
Additional information:

3b. Existing
Authorization

LOA
three
letter
code

Previous LOA Designation Number (if applicable)

(if applicable)

Fixed

CHDO ID

J
(check one):

The RVSM operational policy and procedures previously accepted by the
FAA have been thoroughly reviewed, and they continue to meet all
requirements for RVSM operations and conform to the applicant’s
additional operational requirements.

3c. RVSM
Operational Policy
and Procedures

OR
New or revised operating procedures are included with this application.
(check one):

There have been no changes to previously trained/qualified flight crew
personnel and each pilot has an adequate knowledge of RVSM
requirements, policies, and procedures.

3d. Crew Training

OR
Completed by:

Date of Completion:

Copies of Training certificate (s) or other records attached.

3e. Area(s) of
Operation where
Operator Initially
intends to start
RVSM Operations

Domestic U.S. Only
World Wide
Other: (specify)

3
Form 2120-0679

3f. Minimum
Equipment List
(MEL)
3g. RVSM
Airworthiness
Date

(If applicable) or

N/A

FAA MMEL Revision:

Date:

Date:

TCDS/SB/STC used for RVSM Compliance: (see inst.sheet):

3h. Reserved
3i. TCAS II (if
equipped)
Manufacturer

Note: TCAS is not required for RVSM operations. However, if TCAS II is installed it must
comply with TSO C-119b Version 7 or later. Check Airspace Requirements for TCAS
requirement.
Model/Part Number

Version of Software installed

Date of last monitoring:
RVSM Height Monitoring is Complete
3j. RVSM Height
Monitoring

OR
Intend to complete within 6-months of
authorization, if not previously monitored

Number of flight hours since last monitoring
(if monitoring date exceeds 2-years):
Check here if operator’s aircraft fleet
meets group monitoring requirements.

Record of completed height monitoring attached (including fleet requirements).

4
Form 2120-0679

ATTACHMENT A
Instruction Guide RVSM Letter of Authorization (LOA) Information Sheet
Table of contents
A.

Overview

B.

Instructions in accordance with the RVSM Decision Matrix

C.

Explanation for individual items on the Information Sheet

A. Overview
1. Review the RVSM Decision Matrix. This document provides guidance on the three
authorization groups I, II or III that assist operators and inspectors in determining the most
efficient review process for the authorization application. FAA AC 91-85B, Authorization for
Aircraft and Operators for Flight in Reduced Vertical Separation Minimum (RVSM) Airspace,
Figure 4-1. (The RVSM Matrix is provided in Attachment B for convenience)
NOTE: Guidance has been created in order to allow for the most efficient processing of a RVSM
authorization request without sacrificing operational safety. A safety inspector may rely on this
guidance in issuing new or amended RVSM authorizations. Each Inspector retains the authority
to conduct as much review and research with respect to any proposed RVSM-Compliant Aircraft,
or RVSM-operational requirements as is warranted in order to ensure safety and regulatory
compliance requirements have been met. Operators are required to ensure that all RVSM
documentation is current even if not required to submit it for authorization.
2. Make initial contact with the FAA office to service your request, collect the required
documentation in support of your request, and contact the FAA office for further
submission instructions.
NOTE: It is the operator's responsibility to ensure that documentation satisfies the requirements
for authorization. A statement by the operator detailing any changes made to previously approved
programs will assist the inspector in determining the level of review necessary for approval. The
operator should submit final and complete documents. It would be inappropriate for an operator to
submit documentation containing specific information for a different operator.

B. Instructions in accordance with the RVSM Decision Matrix
Section 1 – Identifying Information – This section supports all applications, complete this
section with Section 2 or Section 3 as appropriate.
Section 2 – Complete this section for administrative changes to an existing authorization
in accordance with the RVSM Decision Matrix Group I.
Section 3 – Complete this section for a new authorization based on one or more existing
approved RVSM elements or a completely new authorization, RVSM Decision
Matrix Group II or III.

A-1
REV 02202024

ATTACHMENT A
Instruction Guide RVSM Letter of Authorization (LOA) Information Sheet
C. Guidance for Individual Items of the Information Sheet:

Section 1 - Always complete this Section with Section 2 or Section 3 as appropriate.
1a. Information Sheet
or letter requesting
Service.
Responsible Aviation
Safety Office
Information

Contact Information for the responsible FAA Safety Office that will issue the
authorization. Determine the appropriate office for submission and complete
as required.
Note: The Flight Standards office with a service area covering the operator’s
principal base of operations is responsible for issuance and oversight of all
part 91 LOAs for the operator.
The address of the part 91 operator’s principal base of operations must be the
physical address where the operator conducts business or resides. This is a
physical location where the FAA can contact the operator. It may not be a post
office box. While the principal base of operations may coincide with the place
where the aircraft is located, this is not always the case.
Domestic Principal Base of Operations. Operators should request LOA
issuance from the Flight Standards District Office (FSDO) with a service area
that encompasses the operator’s principal base of operations.
International Principal Base of Operations. If an operator provides an address
for its principal base of operations that is not in the United States, the operator
must file an applications with the International Field Office (IFO) with
geographic responsibility.

1b. Operator’s Name

Clearly state the name of the operator. This should be the same for all Part
91 Authorizations assigned to the operator.

1c. N/A

1d. Aircraft
Manufacturer, Model,
Registration and Serial
Number

Supply the requested information for applicable aircraft copied from the
aircraft’s Standard Airworthiness Certificate. Supply the Mode S Code from
the Registration Certificate.
*All Applicants should provide a copy of the aircraft registration and
airworthiness certificate for each aircraft.
Note: If dealing with multiple aircraft attach a separate list as needed.

Aircraft Seating
1e. Aircraft Base of
Operations

Provide aircraft seating information. This is not an RVSM requirement but
needed for the authorization template in WebOPSS.
Submit the requested information for the Aircraft’s Base of Operations.

A-2
REV 02202024

ATTACHMENT A
Instruction Guide RVSM Letter of Authorization (LOA) Information Sheet
Ref:
1f. RVSM Point of
Contact Information

1g. RVSM
Responsible Person’s
information

o
Ref:

AC 91-85B paragraph 5.8.1.1
Be prepared to provide information for the designated responsible
person and RVSM point of contact
AC 91-85B paragraph 5.7, 5.7.2

RVSM Responsible Person – the Operator or the Operator’s legal authority to
sign the LOA. This person must be a U.S. citizen, or a person who holds a
U.S. pilot certificate and who accepts responsibility for complying with the
stated regulations.
o

Full name

o

Contact telephone number(s), identify mobile, office, etc.

o

Email address

o

Provide signature

Ref:

AC 91-85B paragraph 5.7, 5.7.1

Section 2. - RVSM Information - Complete this section for administrative changes to an existing
authorization.
2a. Explanation for
Request

Identify the reason for a change to an existing LOA.

Ref:
2b. Information on
existing authorization

AC 91-85B paragraph 5.3, APP F

Provide the current LOA designation number. That code can be found on the
bottom right footer on the existing LOA.
Include a copy of the current LOA.
Ref:

2c. RVSM
Operational Policy and
Procedures
2d. Crew Training

Review the operator’s operational policies and procedures that were
previously accepted by the FAA. Ensure no changes are required.
Ref:

AC 91-85B chapter 3, paragraph 5.5.2, APP B, C, D

Identify there have been no changes to the crew or crew training previously
accepted by the FAA.
Ref:

2e. RVSM Height
Monitoring

AC 91-85B paragraph 5.6, 5.7

AC 91-85B paragraph 5.5.2

Ensure the Operator’s aircraft or fleet of aircraft meet the RVSM minimum
monitoring requirements for height-keeping performance. The MMR charts
can be found on the FAA’s RVSM Documentation Webpage in the section
titled “Monitoring Requirements and Procedures”. Note: If the operator’s
aircraft is equipped with a qualified ADS-B Out system, this methodology may
be used to determine the aircraft’s height-keeping performance to support
RVSM minimum monitoring requirements even if operating under an LOA.
Ref:

AC 91-85B paragraph 5.8.6.3, APP E

A-3
REV 02202024

ATTACHMENT A
Instruction Guide RVSM Letter of Authorization (LOA) Information Sheet
Section 3. Complete this section for a new authorization or an authorization based an existing RVSM
element.
3a. Explanation for
Request

Identify if this is a request based on an existing RVSM Element, either an
existing RVSM compliant aircraft or RVSM knowledgeable pilots.

Ref:
3b.Information on
existing authorization

AC 91-85B paragraph 5.4, APP F

If applicable, and a previously existing RVSM LOA exists enter the information
here, otherwise leave blank.
Include a copy of the current LOA, if applicable.

3c. RVSM
Operational Policy and
Procedures

Identify if the operator will use operational policy and procedures previously
accepted by the FAA;
or
new or revised operational policy and procedures are included in the
application (If so attach copy).
Ref:

AC 91-85B chapter 3, paragraph 5.5.2, APP B, C, D
FAA Aeronautical Information Manual (AIM), Chapter 4, Section 6

3d. Crew Training

Identify if there have been changes to the crew or crew training or if the
operator will use training evidence previously accepted by the FAA.

Provide 14 CFR part 142 training center certificates (further evaluation not
required); or

Certificates documenting completion of a course of instruction on RVSM
Policy and Procedures; and/or an Operator’s in house training program.

Note: The FAA, at its discretion, may evaluate a training course prior to
accepting a training certificate.

Ref:
3e. Area(s) of
Operation where
Operator initially
intends to start RVSM
Operations

AC 91-85B paragraph 5.5.2

If starting RVSM operations in a new area of operation, specify here.

A-4
REV 02202024

ATTACHMENT A
Instruction Guide RVSM Letter of Authorization (LOA) Information Sheet
3f. Minimum
Equipment List (MEL)

If operating under a MEL supply copies of applicable data.

Ref:
3g. RVSM
Airworthiness Date

AC 91-85B paragraph 5.8.6.1

List the compliance date when the aircraft became RVSM compliant.
If the aircraft was manufactured RVSM compliant the date of the Airworthiness
Certificate is usually the compliancy date.
If the aircraft was made RVSM compliant though a STC, Service Bulletin or a
Service Letter, the RVSM compliant date will be found in the maintenance log
book. Include copies of the maintenance record return to service entry and
FAA form 337s if applicable.

3.h Reserved
3i. TCAS II

List information requested if TCAS equipped.

If you have TCAS II installed, verify that it has version 7 software, or later.
Identify the processor part number, model and software version.

Ref:
3j. RVSM Height
Monitoring

FAA AC 91-85B, Appendix B.3.1.5

Submit evidence of RVSM height monitoring or a plan for monitoring as
required.
-

Monitoring via ADS-B Out (If properly equipped).

Note: Operators may utilize ADS_B altitude-keeping performance
monitoring even if operating with a specific authorization when
properly equipped.
-

-

Copy of entry of successful height monitoring by an approved ground
based system (e.g., US AGHME from the North American RVSM
Approvals Data Base or a European HMU); or
Report of a successful monitoring supplied by an FAA approved GPSbased provider; or
Evidence provided by another ICAO sponsored RMA such as
Eurocontrol.
If the aircraft meets monitoring requirements through an Operator’s
fleet group monitoring requirements submit evidence of all relevant
height monitoring.
RVSM Minimum Monitoring Requirements Chart, FAA RVSM
Documentation webpage – Height Monitoring Section

A-5
REV 02202024

ATTACHMENT B
RVSM Decision Matrix from Appendix F, AC 91-85B
RVSM DECISION MATRIX
AUTHORIZATION GROUP I:
RVSM AUTHORIZATION AMENDMENTS

•

The following changes are considered to be administrative in nature only.

•

This Group only applies in circumstances where a previously authorized RVSM operator and each of the previously
accepted RVSM Authorization Elements are remaining the same.

I.

A. Examples of Requested Action/Nature of Change

1. Change in the primary business address of an RVSM-Compliant Aircraft and/or RVSM authorization
holder.

2. Change in an existing RVSM operator’s designated Responsible Person (or RVSM-Authorized Representative or
RVSM-Point of Contact (POC)).

3. Change in the registration markings of an RVSM-Compliant Aircraft being operated by an existing RVSM
authorization holder.

4. Removal of wording describing use of an RVSM-Approved Maintenance Program for operators
otherwise not having a requirement for an approved maintenance program.

5. Removal of an RVSM-Compliant Aircraft from an existing RVSM authorization that has multiple RVSMCompliant Aircraft listed.
I.

B. Applicable Steps and Information Required From RVSM Authorization Holder

1. Prior to making a request for service for an authorization amendment, each existing authorization holder
should make a positive determination as to which portions of the previously accepted RVSM Authorization
Elements the authorization holder is requesting to change.

2. That authorization holder should then submit a written request to the appropriate Flight Standards
office that:

a. States which of the applicable administrative changes are occurring;
b. Further affirmatively states that none of the previously accepted RVSM Authorization Elements that
formed the basis for the initial issuance of the affected RVSM authorization have changed or are changing;
and

c. Requests the issuance of an amendment to the existing RVSM authorization that acknowledges
the administrative change being made.

3. If the nature of the requested amendment is to change the primary business address or the base of operation
from one service area to another, he or she must notify, in writing, the losing (previously responsible) FAA
office of the new physical location and mailing address within 30 calendar-days following relocation. The losing
office must request that the Web-based Operations Safety System (WebOPSS) Help Desk move the operator’s
database to the appropriate receiving FAA office. The losing office must also notify the receiving office of the
change. The receiving office should then update and reissue the operator’s A001 template to reflect the new
address, and the receiving office becomes the appropriate Flight Standards office for processing new letters of
authorization (LOA) for that operator.
4. The authorization holder should also provide such further information as requested by the FAA to efficiently
process the request.

B-1
REV 02202024

ATTACHMENT B
I.

C. Applicable Procedures to Be Followed by the Appropriate Flight Standards Office

1. Review the request and supporting documentation received from the RVSM authorization applicant to
determine if it appears that an amended RVSM authorization is warranted.

2. Reissue the amended RVSM authorization that is identical to the initial RVSM authorization in all respects
other than reflecting the new amended information.

3. If the nature of the requested amendment is to change the primary business address or base of operation
from one service area to another, see the additional applicable guidance in FAA Order 8900.1, Volume 3,
Chapter 2, Section 2, Responsibility for Part 91 Letters of Authorization (LOA).

4. If an existing RVSM authorization holder has made a written affirmation that none of the underlying previously
accepted RVSM Authorization Elements have changed or will change, and there is no other information
provided to the FAA raising any questions or concerns with respect to the ongoing validity or applicability of
those RVSM Authorization Elements, then, subject to paragraph 5.3.4 of this AC, the appropriate Flight
Standards office should issue the requested amendment without further inspections being required.

AUTHORIZATION GROUP II:
RVSM AUTHORIZATION BASED ON ONE OR MORE EXISTING APPROVED RVSM AUTHORIZATION ELEMENTS

•

The following RVSM authorizations are new authorizations.

•

This Group will normally apply to a new or proposed RVSM operator that is seeking the issuance of an RVSM
authorization for an aircraft that is already an RVSM-Compliant Aircraft and/or previously accepted RVSMKnowledgeable Pilots requirements with respect to its operations of that specific aircraft.

II.

A. Examples of Requested Action/Nature of Change

1. There is a change in the legal status or identity of the business entity that is the Approved RVSM operator,
but the Responsible Person, RVSM-Authorized Representative, and/or RVSM-POC and each of the
Approved RVSM Authorization Elements are remaining the same.

a. One example of this situation may occur where an operator is converted from
an S corporation to a limited liability company under applicable state law, but no other changes are
occurring.

b. Another example may occur where the ownership and operation of an aircraft is transferred from one
company to a legal affiliate, but there are no other changes occurring.

2. A new proposed RVSM operator will be using an existing RVSM-Compliant Aircraft and/or previously accepted
RVSM-Knowledgeable Pilots requirements. Examples of this type of situation may include:

a. An operator takes delivery of a newly manufactured aircraft that is type-certified as RVSMcompliant.

b. An Approved RVSM Aircraft is being operated under an RVSM authorization issued to a Title 14 of the Code
of Federal Regulations (14 CFR) part 135 air carrier, and the underlying owner or a separate lessee will
occasionally use that specific aircraft and/or the same RVSM-Knowledgeable Pilots requirements.

c. A group of underlying owners or lessees use an RVSM-Compliant Aircraft, each maintaining their own
operational control of that aircraft pursuant to a dry lease and/or the same RVSM-Knowledgeable
Pilots requirements.

3. An existing or newly proposed Approved RVSM operator seeks an RVSM authorization and will be utilizing one
or more existing Approved RVSM Authorization Elements.

a. An example may be where an existing RVSM operator seeks to add a new proposed RVSM-Compliant
Aircraft to an existing RVSM authorization where that operator will continue to use previously accepted
RVSM-Knowledgeable Pilots requirements.

B-2
REV 02202024

ATTACHMENT B

II.

B. Applicable Steps and Information Required From RVSM Authorization Applicant

1. Make a positive determination that the existing or newly proposed RVSM operator is seeking an RVSM
authorization that will utilize at least one previously Approved RVSM Authorization Element (i.e., an existing
RVSM-Compliant Aircraft and/or
RVSM-Knowledgeable Pilots requirements).

2. Submit a written request to the appropriate Flight Standards office that:
a. Provides complete documentation of an RVSM compliance program, including written information
evidencing that the specific aircraft meets the requirements of an
RVSM-Compliant Aircraft;

b. Further specifically states that previously accepted RVSM-Knowledgeable Pilots requirements will be used
with respect to the operation of the proposed Approved RVSM Aircraft in RVSM airspace, as applicable;

c. Provides such additional information as necessary to evidence compliance with new or different
RVSM-Knowledgeable Pilots requirements (or to be able to gain such approvals); and

d. Asks for the issuance of an RVSM authorization that applies to the operation of the aircraft by that
proposed RVSM operator.

3. Provide such further information requested by the FAA to efficiently process the request.
II.

C. Applicable Procedures to Be Followed by the Appropriate Flight Standards Office

1. Review the request and supporting documentation received from the RVSM authorization applicant to
determine if it appears that the requested RVSM authorization is warranted.

2. To the extent the RVSM applicant has provided written documentation evidencing that the operator will be
using a previously accepted RVSM Authorization Element, and accept that RVSM Authorization Element as a
valid basis for the issuance of the new RVSM authorization, and to the extent the applicant has presented a
proposed RVSM Authorization Element that has not been previously reviewed and accepted, conduct such
additional review and research with respect to that RVSM Authorization Element only as is required to issue the
new RVSM authorization.

3. If an RVSM applicant has made a written affirmation that one or more of the underlying previously accepted
RVSM Authorization Elements have not changed or will not change, there is no other information provided to
the FAA raising any questions or concerns with respect to the ongoing validity or applicability of those RVSM
Authorization Elements, and the applicant has otherwise presented sufficient evidence of compliance with the
requirements of the remaining RVSM Authorization Elements, then, subject to paragraph 5.3.4, the appropriate
Flight Standards office should issue the requested amendment without further inspections being required.

B-3
REV 02202024

ATTACHMENT B

AUTHORIZATION GROUP III:
RVSM AUTHORIZATION NOT BASED ONONE OR MORE EXISTING RVSM AUTHORIZATION ELEMENTS

In the event a proposed new or existing approved RVSM operator seeks the issuance of an RVSM authorization that will not
be based on any existing RVSM Authorization Element, then neither Authorization Group I nor II above will apply. The
proposed approved RVSM operator should submit sufficient evidence to show his or her ability to comply with each of the
RVSM Authorization Elements, and the appropriate Flight Standards office should process the request as a new and unique
request by reviewing all of the materials provided by the applicant to ensure that each of the RVSM Authorization Elements
have been met.

B-4
REV 02202024