OST Form 4507 OST Form 4507 - Air Taxi Operator Registration

Approved by OMB
OMB No. 2105-0565
Expires: 6/30/2019

PAPER WORK REDUCTION ACT OF 1995
This information is collected to determine whether air taxi operations meet the Department’s criteria for an operating authorization under
14 CFR Part 298. We estimate that it will take 30-60 minutes to complete. The use of this form is mandatory. Under the Paperwork Reduction
Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The OMB Control Number for
this collection is 2105-0565. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to:
U.S. Department of Transportation, Office of Aviation Analysis (X-56), 1200 New Jersey Avenue, SE, Washington, DC, 20590.

FOR USE BY DOT ONLY
U.S. Department of
Transportation
Office of the Secretary
of Transportation

AIR TAXI OPERATOR REGISTRATION
AND AMENDMENTS UNDER
PART 298 OF THE REGULATIONS OF
THE DEPARTMENT OF TRANSPORTATION

Where to file: Submit this form, in duplicate, along with a Certificate of Insurance (OST Form 6410)
evidencing required liability insurance coverage for the aircraft listed in Block 6 of this registration, to:
Federal Aviation Administration (FAA)
Air Transportation Division, AFS-200, Room 831
800 Independence Avenue, S.W., Washington, D.C. 20591
Exception: For air taxis located in the State of Alaska, submit this form and the OST Form 6410 to the
Federal Aviation Administration (FAA), Alaskan Region Headquarters, AAL-231, 222 West 7th Avenue,
Box 14, Anchorage, Alaska 99513.

Effective date of registration/amendments

Fees: The fee for the initial registration of an air taxi is $8. There is no filing fee for amendments to
registrations previously filed.
1a. Name (and DBA, if applicable) and Mailing Address of the Registering Carrier:

3a. Federal Aviation Administration certificate number:
3b. Address of local FAA office:

1b. Telephone No. ____________________________ Fax No. ________________________________
1c. Email: __________________________________________________________________________
2a. Address of principal place of business (if different from above):

3c. FAA Telephone No.:

3d. FAA Principal Operations Inspector:

2b. Telephone No. ___________________________ Fax No. ________________________________
4. This filing is the carrier's:
Initial Registration

Amendment to reflect changes since previous filing (Complete item 9)

If initial registration, give proposed date of commencement of operations: ____________________________________________
5. Type of service the carrier intends to perform upon commencement of operations, or, for amendments, service the carrier is currently performing
(check all that apply:
Passenger

Seasonal

Air ambulance

Mail under a U.S. Postal Service contract

Cargo

Other (Please specify)** _________________________________________________

** For example, if the carrier performs other services such as fire fighting operations for the U.S. Forest Service, it should be indicated here.
Companies proposing or operating passenger services of five (5) or more round trips per week on at least one route between two or more
points pursuant to published flight schedules which specify the times, days of the week, and places between which such flights are
performed may not conduct such operations under this registration. Instead, such companies must be found “fit, willing, and able” to
provide such services as a commuter air carrier. See 14 CFR 298, Subpart E.
OST Form 4507 (Rev. 3-2013)

7. Is the registering carrier a U.S. citizen?

6. Aircraft which the carrier proposes to operate in air taxi service or, for amendments,
aircraft currently operated:
Aircraft Make and Model

Passenger Seats
Installed*

FAA Registration Number

1. _______________________________

____________________________________

________________

2. _______________________________

____________________________________

________________

3. _______________________________

____________________________________

________________

4. _______________________________

____________________________________

________________

5. _______________________________

____________________________________

________________

(Add additional sheets if necessary)
* This does not include seats occupied by the pilot or co-pilot unless the latter is available for
passenger use.

YES

NO

Note: An air taxi or commuter registered under Part 298 must be a citizen
of the United States. 49 USC 40102(a)(15) defines a U.S. citizen as (a)
an individual who is a U.S. citizen: (b) a partnership of which each
member is a U.S. citizen; or (c) a corporation or association organized
under the laws of the United States or a state, the District of Columbia, or
a territory or possession of the United States, of which the president and
at least two-thirds of the board of directors and other managing officers
are citizens of the United States, which is under the actual control of
citizens of the United States, and in which at least 75 percent of the
voting interest is owned or controlled by persons that are citizens of the
United States.

8. If this is an amendment, has the carrier carried
passengers in foreign air transportation, that is,
between any point in the United States and any point
outside thereof, during the past 12
months:
YES
NO

9. REPORT CHANGES OR AMENDMENTS TO INFORMATION PREVIOULSLY FILED WITHIN 30 DAYS OF THE EFFECTIVE DATE:
a. Change in Carrier's Name and/or Address (Please specify):
Former Name and Address:

Current Name and Address:

b. Description of Any Other Changes or Amendments (Including additions or deletions of aircraft, change in type of operations, registration numbers, etc.):

10. Certification

I certify that the information contained in this application is complete and accurate to the best of my knowledge. The
carrier subscribes to the IATA Intercarrier Agreement; the IATA Agreement on Measures to Implement the IATA
Intercarrier Agreement, and the ATA Agreement on Provisions Implementing the IATA Intercarrier Agreement to be
Included in Conditions of Carriage and Tariffs (see OST Form 4523-A), and in accordance with those Agreements agrees
under Article 22(1) of the Warsaw Convention or the Warsaw Convention as amended by the Hague Protocol that the
liability limits for passenger injury or death in international transportation as defined in the Convention are waived in their
entirety.
Signature: ______________________________________________________
(See note)
Date: _________________________________________________________

Name: _________________________________________________________
(Please type)

Place: ________________________________________________________
(City and State)

Title: __________________________________________________________

Note: This registration must be signed by a responsible officer, such as the President, Vice President, Secretary or Treasurer, or partner or owner
of the carrier.

TO ENSURE PROPER PROCESSING OF THIS REGISTRATION, PLEASE COMPLETE THIS FORM IN ITS ENTIRETY.