Form 8110-12 APPLICATION FOR TYPE CERTIFICATE, PRODUCTION CERTIFICATE

OMB CONTROL NUMBER: 2120-0018
Expiration Date:October 31, 2026

INFORMATION FOR APPLICANT
Instructions for Completion of FAA FORM 8110-12 Application for Type Certificate,
Amended Type Certificate, Production Certificate, Supplemental Type Certificate, or
Amended Supplemental Type Certificate
FAA Form 8110-12 is used for application for a Type Certificate (TC), Amended TC, Production Certificate (PC), Supplemental
Type Certificate (STC), or Amended STC. Application for a TC and a PC may be made at the same time if desired. Only the
appropriate blocks, as follows, need to be filled out for each type of certificate.
• Blocks 1, 2, 3, 4, 5, 6, and 8 for a TC or Amended TC;
• Blocks 1, 2, 3, 5, and 8 for a PC;
• Blocks 1, 2, 3, 4, 7, and 8 for an STC or Amended STC.
1. Block 1. Enter the name of the party, corporation or organization to whom the TC, Amended TC, PC, STC, or Amended
STC will be issued. The name will appear on the certificate exactly as it is entered here.
NOTE: The TC holder can either apply to amend the original TC or apply for an STC. If a person is not the TC holder, that
person must apply for an STC (Refer to 14 CFR 21.113). Also, only STC holders can apply to amend their own STC.
2. Block 2. Check appropriate block.
3. Block 3. Check appropriate block
4. Block 4. Enter the address of the party, corporation or organization to whom the TC, Amended TC, PC, STC, or Amended
STC will be issued.
NOTE: A post office box will not be accepted.
5. Block 5. Complete this block if application is for a TC or Amended TC. Leave blank if application is for a PC, STC, or
Amended STC. For Amended TC, give TC number at time of application.
6. Block 6. Complete parts a, b, c, d., and e. of this block if application is for a PC. Give PC number if
application is for an amendment to a PC. Leave blank if application is for an original PC. Give TC/STC number if known at
time of application, otherwise leave blank. Refer to 14 CFR §§ 21.45 and 21.119.
NOTE: A PC is normally not required for production of parts for an STC, they are usually manufactured under a PMA.
7. Block 7. Complete this block if application is for an STC or Amended STC. For Amended STC, give STC number at time
of application. For One-only STCs, also complete Block 7.f.
8. Block 8. Obtain the signature of the certifying official. The certifying official must be the holder or the person duly authorized
to sign for the holder, company, or corporation.

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 2120-0018. Public reporting for this collection of information is estimated to
be approximately 12 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, completing and reviewing the
collection of information. All responses to this collection of information are required to obtain or retain
benefits per 14 CFR Part 21. 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

REMOVE THIS INSTRUCTION PAGE BEFORE SUBMITTING THIS FORM

FAA 8110-12 (09/24) SUPERSEDES PREVIOUS EDITION

i

OMB CONTROL NUMBER: 2120-0018
Expiration Date:October 31, 2026

APPLICATION FOR TYPE CERTIFICATE,
PRODUCTION CERTIFICATE, OR
SUPPLEMENTAL TYPE CERTIFICATE

1. Name Of Applicant

2. Application made for :

3. Product Involved:

__ Type Certificate

__ Production Certificate

__ Aircraft

__ Supplemental Type Certificate

__ Amended Type Certificate

__ Engine

__ Amended Supplemental Type Certificate
4. Address

__ Propeller

City

State

Zip Code

5. TYPE CERTIFICATE (Complete item 5a) or AMENDED TYPE CERTIFICATE (Complete items 5a, 5b and 5c)
a.

Model designation(s) (All models listed are to be completely described in the required technical data, including drawings representing the design,
material, specifications, construction, and performance of the aircraft, aircraft engine, propeller which is the subject of this application.)

b.

Description of modification

c.

Existing Type Certificate No.

6. PRODUCTION CERTIFICATE (Complete items 6a-e below. Submit with this form, in manual form, one copy of quality control data or changes thereto
covering new products, as required by applicable CFR.)
a. Factory address (if different from above)

b. Application is for

d. P.C. No.

__New production certificate
__Additions to Existing Production Certificate
(Give P.C. No.) ___________

e. T.C./S.T.C. No.

c. Applicant is holder of or a licensee under a Type Certificate or a Supplemental Type Certificate
(Attach evidence of licensing agreement and give certificate number)
7. SUPPLEMENTAL TYPE CERTIFICATE (complete 7a, b, d-f) or AMENDED SUPPLEMENTAL TYPE CERTIFICATE (Complete items 7a-f below)
a. Make(s) and model designation(s) of product(s) to be modified
b. Description of modification

c. Existing Supplemental Type Certificate No (if applicable).
d. Will data be available for sale or release to other persons?
__ Yes
f. One-Only STC?

__ Yes

e. Will parts be manufactured for sale? (Ref. 14 CFR 21.303)

__ No
__ No,

__ Yes
If Yes, will type design be sufficient for reproducibility?

__ No
__ Yes

__ No

8. CERTIFICATION – I certify that the above statements are true.
Signature of certifying official

FAA 8110-12 (09/24) SUPERSEDES PREVIOUS EDITION

Title

Date

Page 1 of 1