Get Faa 8130-3 2001

1. Approving National Aviation Authority/Country FAA/United States 3. Form Tracking Number AUTHORIZED RELEASE CERTIFICATE FAA Form 8130 3 AIRWORTHINESS APPROVAL TAG 4. 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. Organization Name and Address 6. Item Description 5. Work Order/Contract/Invoice Number Part Number Eligibility Quantity Serial/Batch Number Status/Work 13. Remarks 14. Certifies the items identified above were manufactured in conformity to 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 and described in Block 13 was accomplished in accordance with Title 14 Code of Federal Regulations part 43 and in respect to that work the items are approved for return to service. Approved design data and are in a condition for safe operation* Non-approved design data specified in Block 13. 15. Authorized Signature 16. Approval/Authorization No* 21. Approval/Certificate No* 17. Name Typed or Printed 18. 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. Organization Name and Address 6. Item Description 5. Work Order/Contract/Invoice Number Part Number Eligibility Quantity Serial/Batch Number Status/Work 13. Remarks 14. Certifies the items identified above were manufactured in conformity to 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 and described in Block 13 was accomplished in accordance with Title 14 Code of Federal Regulations part 43 and in respect to that work the items are approved for return to service. Remarks 14. Certifies the items identified above were manufactured in conformity to 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 and described in Block 13 was accomplished in accordance with Title 14 Code of Federal Regulations part 43 and in respect to that work the items are approved for return to service. Approved design data and are in a condition for safe operation* Non-approved design data specified in Block 13. .