NSP Form T012 Letter of Compliance Additional FSTD Qualifications or M

Flight Simulation Device Initial and Continuing Qualification and Use

NSP Form T012 2022

OMB: 2120-0680

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Letter of Compliance

Additional FSTD Qualifications or Modifications

Sample/Template

(Date)

National Simulator Program Manager

FAA National Simulator Program, AFS-205

P.O. Box 20636

Atlanta, GA 30320

RE: Additional FSTD Qualifications or Modifications

In accordance with §60.16(a)(1), (Sponsor Name) confirms the correct operation of FAA ID (FAA ID #); (FSTD Mfg. Name); (Aircraft Type); Level (4/5/6/A/B/C/D) Flight Simulation Training Device (FSTD) following the modification of (List affected system(s)). The Training Program Approval Authority (TPAA) and the NSP were notified of the FSTD modification on (mm-dd-yyyy) in accordance with §60.23.

The following statements are provided:

  • We have completed testing of the FSTD and certify that it meets all requirements of 14 CFR Part 60 to include other applicable qualification basis if any.

  • Appropriate hardware and software configuration control procedures have been established.

  • Our Pilot(s), (List Name(s)), who are qualified on (List Aircraft Type) aircraft have subjectively evaluated the FSTD to include those areas not previously qualified and have found that it conforms to the (Sponsor Name) (Aircraft Type) cockpit configuration and that the simulated systems and subsystems function equivalently to those in the aircraft.

  • The above named pilot(s) have also assessed the performance and the flying qualities of the FSTD and find that it represents the respective aircraft.

  • Any additional qualification(s) being requested has been highlighted on the Preliminary Statement of Qualification/FSTD Configuration List enclosed (NSP Form T001A).

  • Any exceptions to the statements above including documented discrepancies or other considerations concerning FSTD status or condition are attached along with expected correction or completion dates.

Sincerely,

(Sponsor Management Representative)

cc:

(Sponsor TPAA)

OMB Control Number 2120-0680: Expiration Date 11/30/2025 1 of 1 NSP Form T012 11/30/2022

Completion of this letter is voluntary. You are not required to respond or use this template unless it displays a currently valid OMB control number.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSample Letter of Compliance
SubjectAdditional Qualifications or Modifications
Authorandrew.seliga@faa.gov
File Modified0000-00-00
File Created2023-08-30

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