FAA Form 8610-2 Airman Certificate and/Or Rating Application

FAA form 8610-2 is a U.S. Department of Transportation - Federal Aviation Administration form also known as the "Airman Certificate And/or Rating Application". The latest edition of the form was released in February 1, 1985 and is available for digital filing.

Download a fillable PDF version of the FAA Form 8610-2 down below or find it on U.S. Department of Transportation - Federal Aviation Administration Forms website.

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U.S. Department of Transportation
SUPPLEMENTAL
TEAR OFF
Federal Aviation Administration
INFORMATION
BEFORE USE
AIRMAN CERTIFICATE AND/OR RATING APPLICATION - PRIVACY ACT
This supplements the form appearing below, Airman Certificate and/or Rating Application.
The information on the form is solicited under authority of Federal Aviation Regulations, Part 65.
Submission of all the data is mandatory except for Social Security Account Number which Is voluntary.
The purpose of this information is to establish eligibility for certification and/or airman rating.
The data will be used to identify and evaluate your qualifications and eligibility for the issuance of an airman
certificate and/or rating.
Certification cannot be completed unless the data is complete.
Disclosure of your Social Security Account Number is optional: Disclosure will facilitate maintenance of your
records which are maintained in alphabetical order and cross referenced with your SSAN and airman number to
provide prompt access. In the event of nondisclosure a unique number will be assigned to your file.
Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to
determine that the applicant meets the necessary qualifications as a Mechanic, Repairman, or Parachute Rigger. We estimate that it will take
approximately 20 minutes to complete the form. The information collection is required to obtain a benefit. The information collected becomes part of
the Privacy Act system of records DOT/FAA 847, Aviation Records on Individuals. Please not that an agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number
associated with this collection is 2120-0022.
FAA Form 8610-2
Electronic Version (Adobe)
(2-85)
U.S. Department of Transportation
SUPPLEMENTAL
TEAR OFF
Federal Aviation Administration
INFORMATION
BEFORE USE
AIRMAN CERTIFICATE AND/OR RATING APPLICATION - PRIVACY ACT
This supplements the form appearing below, Airman Certificate and/or Rating Application.
The information on the form is solicited under authority of Federal Aviation Regulations, Part 65.
Submission of all the data is mandatory except for Social Security Account Number which Is voluntary.
The purpose of this information is to establish eligibility for certification and/or airman rating.
The data will be used to identify and evaluate your qualifications and eligibility for the issuance of an airman
certificate and/or rating.
Certification cannot be completed unless the data is complete.
Disclosure of your Social Security Account Number is optional: Disclosure will facilitate maintenance of your
records which are maintained in alphabetical order and cross referenced with your SSAN and airman number to
provide prompt access. In the event of nondisclosure a unique number will be assigned to your file.
Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to
determine that the applicant meets the necessary qualifications as a Mechanic, Repairman, or Parachute Rigger. We estimate that it will take
approximately 20 minutes to complete the form. The information collection is required to obtain a benefit. The information collected becomes part of
the Privacy Act system of records DOT/FAA 847, Aviation Records on Individuals. Please not that an agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number
associated with this collection is 2120-0022.
FAA Form 8610-2
Electronic Version (Adobe)
(2-85)
TYPE OR PRINT ALL ENTRIES IN INK
Form Approved OMB. No. 2120-0022
U.S. Department of Transportation
Federal Aviation Administration
AIRMAN CERTIFICATE AND/OR RATING APPLICATION
MECHANIC
REPAIRMAN
PARACHUTE RIGGER
AIRFRAME
SENIOR
MASTER
POWERPLANT
SEAT
CHEST
(Specify Rating)
'
BACK
LAP
APPLICATION FOR:
ORIGINAL ISSUANCE
ADDED RATING
A. NAME (First, Middle, Last)
K. PERMANENT MAILING ADDRESS
B. SOCIAL SECURITY NO.
C. DOB (Mo., Day., Yr.)
D. HEIGHT
E. WEIGHT
NUMBER AND STREET, P.O. BOX, ETC.
IN.
F. HAIR
G. EYES
H. SEX
I. NATIONALITY (Citizenship)
CITY
J. PLACE OF BIRTH
STATE
ZIP CODE
L. HAVE YOU EVER HAD AN AIRMAN CERTIFICATE SUSPENDED OR REVOKED?
M. DO YOU NOW OR HAVE YOU EVER HELD AN FAA AIRMAN
CERTIFICATE?
NO
NO
YES
SPECIFY TYPE:
YES (If "Yes," explain on an attached sheet keying to appropriate item number).
N. HAVE YOU EVER BEEN CONVICTED FOR VIOLATION OF ANY FEDERAL OR STATE STATUTES
DATE OF FINAL CONVICTION
PERTAINING TO NARCOTIC DRUGS, MARIJUANA, AND DEPRESSANT OR STIMULANT
NO
YES
DRUGS OR SUBSTANCES? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. MILITARY
C. LETTER OF RECOMMENDATION FOR
A. CIVIL
EXPERIENCE
EXPERIENCE
REPAIRMAN (Attach copy)
(1) NAME AND LOCATION OF SCHOOL
D. GRADUATE
OF APPROVED
(2) SCHOOL NO.
(3) CURRICULUM FROM WHICH GRADUATED
(4) DATE
COURSE
E. STUDENT HAS MADE SATISFACTORY PROGRESS
(1) SCHOOL NAME
NO.
(2) SCHOOL OFFICIAL'S SIGNATURE
AND IS RECOMMENDED TO TAKE THE ORAL/
PRACTICAL TEST (FAR 65.80)
(1) DATE AUTH.
(2) DATE AUTH. EXPIRES (3) FAA INSPECTOR SIGNATURE
(4) FAA DIST OFC.
F. SPECIAL AUTHORIZATION TO TAKE
MECHANIC'S ORAL/PRACTICAL TEST
(FAR 65.80)
(1) SERVICE
(2) RANK OR PAY LEVEL
(3) MILITARY SPECIALITY CODE
A. MILITARY
COMPETANCE
OBTAINED IN
B. APPLICANT'S OTHER THAN FAA CERTIFICATED SCHOOL GRADUATES. LIST EXPERIENCE RELATING TO CERTIFICATE AND RATING APPLIED FOR.
(Continue on separate sheet, if more space is needed).
DATES-MONTH AND YEAR
EMPLOYER AND LOCATION
TYPE WORK PERFORMED
FROM
TO
FOR
PACKED AS A -
SEAT
CHEST
BACK
LAP
MASTER
C. PARACHUTE RIGGER APPLICANTS:
SENIOR
MILITARY
RATING
INDICATE BY TYPE HOW MANY
ONLY
RIGGER
RIGGER
PARACHUTES PACKED
I CERTIFY THAT THE STATEMENTS BY ME ON THIS APPLICATION ARE TRUE
IV. APPLICANT'S
A. SIGNATURE
B. DATE
CERTIFICATION
DATE
INSPECTOR'S SIGNATURE
FAA DISTRICT OFFICE
I FIND THIS APPLICANT MEETS THE EXPER-
V.
IENCE REQUIREMENTS OF FAR 65 AND IS
ELIGIBLE TO TAKE THE REQUIRED TESTS.
FOR FAA USE ONLY
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LIMITATIONS
Electronic Version (Adobe)
FAA Form 8610-2
(2-85) SUPERSEDES PREVIOUS EDITION
Results of Oral and Practical Tests
MECHANIC
PARACHUTE RIGGER
I. GENERAL - Airframe and powerplant
SEAT
PASS
FAIL
EXPIRATION
ORAL TEST
PASS
FAIL
DATE:
BACK
PASS
FAIL
QUES.
NO.
CHEST
PASS
FAIL
EXPIRATION
PRACTICAL TEST
PASS
FAIL
LAP
PASS
FAIL
DATE:
PROJ.
NO.
PASS
FAIL
REMARKS
II. AIRFRAME STRUCTURES
EXPIRATION
ORAL TEST
PASS
FAIL
DATE:
QUES.
NO.
EXPIRATION
PRACTICAL TEST
PASS
FAIL
DATE:
PROJ.
NO.
III. AIRFRAME SYSTEMS AND COMPONENTS
EXPIRATION
ORAL TEST
PASS
FAIL
DATE:
QUES.
NO.
EXPIRATION
PRACTICAL TEST
PASS
FAIL
DATE:
PROJ.
NO.
IV. POWERPLANT THEORY AND MAINTENANCE
EXPIRATION
ORAL TEST
PASS
FAIL
DATE:
QUES.
NO.
EXPIRATION
PRACTICAL TEST
PASS
FAIL
DATE:
PROJ.
NO.
V. POWERPLANT SYSTEMS AND COMPONENTS
EXPIRATION
ORAL TEST
PASS
FAIL
DATE:
QUES.
NO.
EXPIRATION
PRACTICAL TEST
PASS
FAIL
DATE:
PROJ.
NO.
DESIGNATED EXAMINER'S REPORT
I have personally tested this applicant in accordance with pertinent procedures and standards, and
APPROVED (Temporary Certificate Issued)
APPROVED (Temporary Certificate NOT Issued)
I HAVE INDICATED
DISAPPROVED
FAR 65.80 - ORAL/PRACTICAL PASSED
THE RESULT AS:
REPORT OF WRITTEN TEST
SUPERSEDED CERTIFICATE
LETTER
ATTACH-
MENTS:
FAA FORM 8610-2
TEMPORARY CERTIFICATE
SEAL SYMBOL CARD
DATE TEST COMPLETED
EXAMINER'S SIGNATURE
DESIGNATION NO.
APPLICANT'S CERTIFICATION
APPLICANT'S CERTIFICATION
THIS BLOCK MUST BE COMPLETED BY THE APPLICANT AT THE TIME OF ISSUANCE OF TEMPORARY CERTIFICATE (FAA FORM 8060-4)
NO
Yes If "Yes," explain on an attached sheet.
A. HAVE YOU EVER HAD AN AIRMAN CERTIFICATE SUSPENDED OR REVOKED? . . . . . . . . . . . . . . .
DATE OF FINAL CONVICTION
B. HAVE YOU EVER BEEN CONVICTED FOR VIOLATION OF ANY FEDERAL OR STATES STATUTES
PERTAINING TO NARCOTIC DRUGS, MARIJUANA, DEPRESSANT OR STIMULANT
NO
YES
DRUGS OR SUBSTANCES? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I CERTIFY THAT THE STATEMENTS BY ME ARE TRUE.
B. DATE
A. SIGNATURE
FAA INSPECTOR'S REPORT
I HAVE -
WITH THE INDICATED RESULT -
PARACHUTE SEAL
EXAMINED THIS APPLICANT'S PAPERS.
APPROVED
SYMBOL ASSIGNED
ANSWER SHEET GRADED
PERSONALLY TESTED THIS APPLICANT IN
DISAPPROVED
(Military Competency)
ACCORDANCE WITH PERTINENT PROCEDURES
AND STANDARDS.
DATE
INSPECTOR'S SIGNATURE
FAA DISTRICT OFFICE
Electronic Version (Adobe)

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