Form 8610-1 Mechanic's Application for Inspection Authorization (14

FAA Form 8610-1, Mechanic’s Application for Inspection Authorization (14 CFR Part 65),
Supplemental Information
The supplemental information for FAA Form 8610-1 includes the following:
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Paperwork Reduction Act Burden Statement
Privacy Act Statement
Pilots Bill of Rights Written Notification of Investigation
Instructions for Completing FAA Form 8610-1

Detach these supplemental information instruction parts before submitting the attached form.
An electronic, fillable, printable version of FAA Form 8610-1 is available at www.faa.gov.
When printing, print page 5, if you choose to print only the application form.
Integrated Airman Certification and Rating Application (IACRA) is a web-based certification/rating
application that guides the user through the FAA's airman application process. IACRA helps ensure
applicants meet regulatory and policy requirements through the use of extensive data validation. It
also uses electronic signatures to protect the information's integrity, eliminates paper forms, and
prints temporary certificates. IACRA can be accessed here: https//iacra.faa.gov.
 All applicants must establish an FAA Tracking Number (FTN) within the Integrated Airman
Certification and Rating Application (IACRA) system before taking any FAA airman
knowledge test.
 The FTN is an 8-digit unique and permanent number assigned to each FAA certificate holder.
This identification number will be printed on the applicant’s Airman Knowledge Test Report
(AKTR) in replacement of the Applicant ID number.
 To register for an FTN in IACRA, applicants will need to visit the IACRA website and follow
the instructions provided.
 If you have been issued an FAA airman certificate in the past, then you already have a FTN.
To find your FTN, you must enter your certificate number during the IACRA registration
process.

OMB CONTROL NUMBER: 2120-0022
EXPIRATION DATE: 12/31/2025
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 2120-0022. Public reporting for this collection of information
is estimated to be approximately 20 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information.
All responses to this collection of information are required to obtain or retain a benefit under
14 CFR part 65. 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

FAA Form 8610-1 (02-23) SUPERSEDES PREVIOUS EDITION
Detach this supplemental information before using the attached form
i

FAA Form 8610-1, Mechanic’s Application for Inspection Authorization (14 CFR Part 65),
Supplemental Information

PRIVACY ACT STATEMENT
Privacy Act Statement (5 U.S.C. § 552a(e)(3)):
Authority: The information collected on the FAA Form 8610-1 – Mechanic’s Application for Inspection Authorization (14
CFR Part 65), is in accordance with 49 U.S.C. §§ 106(g), 40113, 44702, 44703, 44709, 44710, 44711(a)(2) and 14 CFR Parts
65.
Purpose: The FAA Form 8610-1 collects the applicant’s name, mailing address, email address, phone number and mechanic
certificate number. The principal purpose for collecting the information is to identify and evaluate your qualifications and
eligibility for the issuance of a mechanic certificate inspection authorization.
Routine Uses: The information collected by FAA Form 8610-1 is shared in accordance with the Privacy Act system of
records notice (SORN) DOT/FAA 847 ‐ Aviation Records on Individuals (89 75 FR 48956 ‐ June 10, 2024)..
Disclosure: Submission of this data is voluntary. However, an incomplete submission may result in delay in a response
and/or an inability to issue a certificate and/or rating.

FAA Form 8610-1 (02-23) SUPERSEDES PREVIOUS EDITION
Detach this supplemental information before using the attached form
ii

FAA Form 8610-1, Mechanic’s Application for Inspection Authorization (14 CFR Part 65),
Supplemental Information

Your signature on FAA Form 8610-1 acknowledges that you received the Pilot’s Bill of Rights
Written Notification of Investigation at the time of your application.
PILOT’S BILL OF RIGHTS WRITTEN NOTIFICATION OF INVESTIGATION
The information you submit on the attached FAA form 8610-1, Mechanics Application For
Inspection Authorization (14 CFR Part 65), will be used by the Administrator of the Federal
Aviation Administration as part of the basis for issuing an airman certificate, rating, or
inspection authorization to you under Title 49, United States Code (U.S.C.) section 44703(a), if
the Administrator finds, after investigation, that you are qualified for, and physically able to
perform the duties related to the certificate, rating, or inspection authorization for which you
are applying. Therefore, in accordance with the Pilot’s Bill of Rights, the Administrator is
providing you with this written notification of investigation of your qualifications for an airman
certificate, rating, or inspection authorization:


The nature of the Administrator’s investigation, which is precipitated by your submission of
this application, is to determine whether you meet the qualifications for the airman
certificate, rating, or inspection authorization you are applying for under Title 14, Code of
Federal Regulations (CFR) part 65.



Any response to an inquiry by a representative of the Administrator by you in connection
with this investigation of your qualifications for an airman certificate, rating, or inspection
authorization may be used as evidence against you.



A copy of your airman application file for this date is available to you upon your written
request addressed to:
Federal Aviation Administration
Airman Certification Branch
P.O. Box 25082
Oklahoma City, OK 73125-0082
If you make a written request for your airman application file, please provide the
following information in your request:
 Full name
 Date of birth or airman certificate number
 Date of the application

FAA Form 8610-1 (02-23) SUPERSEDES PREVIOUS EDITION
Detach this supplemental information before using the attached form
iii

FAA Form 8610-1, Mechanic’s Application for Inspection Authorization (14 CFR Part 65),
Supplemental Information
Instructions for Completing FAA Form 8610-1
GENERAL INFORMATION

An electronic, fillable, printable version of FAA Form 8610-1 is available at www.faa.gov.

Make all entries using permanent dark blue or black ink, or a typewriter or printer. All signatures must be original, with the name printed or
typewritten below or beside the signature.

Unless otherwise specified, enter all dates using eight-digit numeric characters, MM/DD/YYYY (e.g., 03/29/2019).

Read all supplemental information provided with this form including the Paperwork Reduction Act Burden statement, the Privacy Act statement,
the Pilot’s Bill of Rights Written Notification of Investigation, and the Instructions for Completing FAA Form 8610-1. Remove and retain the
supplemental information before submitting the application.
IMPORTANT NOTE: The applicant’s signature on FAA Form 8610-1 confirms the applicant has received the Privacy Act statement and the Pilot’s Bill
of Rights Written Notification of Investigation at the time application was made.
Block 1. NAME. Enter your name as shown on your mechanic’s certificate. Use commas to separate names, i.e. Last, First, Middle.
Block 2. MECHANIC CERTIFICATE No. Enter your Mechanic Certificate number as shown on your mechanic’s certificate.
Block 3. MAILING ADDRESS. Enter your mailing address. A post office box is acceptable. If the address is outside of the U.S., include the Country.
Block 4. FIXED BASE OF OPERATIONS. Enter the address of your fixed base of operations at which you may be located in person during a normal work week.
Block 4a. TELEPHONE NUMBER. Enter your telephone number at which you can be contacted during a normal work week.
Block 4b. EMAIL ADDRESS. Enter your email address. If you do not have an email address or choose not to provide one, enter “NONE”. Providing this
information will assist the local FAA office in disseminating renewal and other information applicable to holders of an Inspection Authorization.
Blocks 5-9. Eligibility Questions. Answer these questions regarding your eligibility for Inspection Authorization. (reference § 65.91)
Block 8 – This question identifies the following situations:

Retest Applicants – An applicant must wait 90 days after failure of the IA written/knowledge test and return to a Flight Standards office for
a newly endorsed FAA Form 8610-1. The applicant is required to submit the applicable failed Airman Knowledge Test Report (AKTR) and new
endorsed FAA Form 8610-1 to the testing center prior to retesting.

IA Recent Issuance - Applicants applying for renewal within 90 days of Inspection Authorization issuance are renewed using the recent issuance
provisions of §65.93(b). In block 10, check “Recent Issuance” and enter the date your authorization was last issued.
Block 10. BASIS FOR RENEWAL – Complete only when renewing Inspection Authorization.
An Inspection Authorization expires on March 31 of each odd-numbered year. A renewal year/period is based on April 1 st of the first year through March
31st of the next year.
RECENT ISSUANCE – Check this block when you have been issued an Inspection Authorization in effect for:

Less than 90 days before the Inspection Authorization expiration date - Do not record any renewal activity in Block 10.

Less than 90 days before March 31st of a non-renewal year – Record your 2nd year renewal activity. Enter N/A in the 1st year activity blocks.
Renewal Activity - Reference § 65.93 for renewal activity requirements for each year.

Enter the number of annual inspections, repairs, alterations, or progressive inspections you have performed, if your renewal will be based on one
of these activities. You cannot use a mixture of activities as the basis for renewal within a renewal period because § 65.93(a) does not provide for
this. Each renewal year/period must be based on the required number of either: annual inspections, major repairs/alterations, or progressive
inspections specified in § 65.93.

The FAA will review evidence of renewal activity at the time of renewal, e.g. activity sheet, log(s), etc.

If renewal is based on attendance and completion of a refresher course, enter the FAA accepted course/seminar number, the course
location/provider, number of course hours, and the date of course completion. For technical training conducted by a manufacturer, enter the
course title, in place of the course/seminar number.

The FAA will review evidence of training course attendance at the time of renewal, e.g. certificate(s) of course completion.

If renewal is based on the passing of an oral test conducted by an FAA inspector, enter the date the test was passed.

The FAA will review evidence of oral test results at the time of renewal, e.g. FAA letter documenting oral test completion and results.
Block 11. AIRCRAFT MAINTENANCE ACTIVITY DURING THE LAST 2 YEARS. – Complete for renewal and initial application of Inspection Authorization.
Enter the aircraft maintenance activity showing you are actively engaged in maintaining aircraft certificated and maintained in accordance with Title 14
CFR. All applications (initial or renewal) must enter applicable information in these blocks. Attach additional sheets if necessary to record activity.
Date From. Enter your employment start date in a six-digit (MM/YYYY) numeric format.
Date To. Enter your employment end date in a six-digit (MM/YYYY) numeric format.
Facility Where Activity Performed. Enter the name of your employer and the city and state of your employment.
Description of Activity. Enter the type of work performed with the employer. Job and/or position titles are not a description of work performed.
Block 12. REMARKS. If needed, enter any additional information regarding your initial application or renewal in this block.
Block 13. APPLICANT’S CERTIFICATION. Sign your name. Enter the date you signed the application, in the MM/DD/YYYY format.
Block 14. RECORD OF ACTION. This block is for FAA use only.
IMPORTANT NOTE: Endorsements for Inspection Authorization written testing expire 30 days from the date the FAA issues the endorsement. If you do
not test within 30 days, you must again make application for testing at an FAA Flight Standards office.
FAA Form 8610-1 (02-23) SUPERSEDES PREVIOUS EDITION
Detach this supplemental information before using the attached form
iv

TYPE OR PRINT ALL ENTRIES IN DARK INK

OMB No. 2120-0022 Exp 12/31/2025

Mechanic’s Application for Inspection Authorization
(14 CFR Part 65)
1. NAME (Last, First, Middle)

2. MECHANIC
CERTIFICATE NO.

3. MAILING ADDRESS (Number/Street/PO Box, City, State, Zip Code) 4. FIXED BASE OF OPERATIONS

(Address at which you may be located in person during normal working week)

4a. TELEPHONE NUMBER (At which you may be
contacted during a normal working week)

4b. EMAIL ADDRESS (Enter email address or NONE)

5. Do you hold a currently effective mechanic certificate with both airframe and powerplant ratings, and have each of those ratings been
in effect for a total of at least 3 years? 65.91(c)(1)
6. Have you been actively engaged, for at least the 2-year period before the date of application, in maintaining certificated aircraft in
accordance with Title 14 CFR? §65.91(c)(2)
7. Do you have available to you the equipment, facilities, and inspection data necessary to properly inspect airframes, powerplants,
propellers, or any related part or appliance? §65.91(c)(4)

YES

NO

8. Have you attempted the Inspection Authorization written test within 90 days previous to making this application? §65.91
9. Have you met the minimum requirements for renewal of Inspection Authorization and documented your renewal basis in block 10.
(FOR RENEWAL ONLY)

10. BASIS FOR RENEWAL Refer to form instructions for activity recording requirements for renewal of Inspection Authorization.
☐ RECENT ISSUANCE. Enter Date of Issuance ______________________ Enter date only if the recent issuance requirements of §65.93(b) apply, refer to Block 10 Instructions.
Enter the # of each type of
activity per renewal period.

1ST

§65.93(a)(1)

ANNUAL
INSP.

§65.93(a)(2)

MAJOR
REPAIRS

MAJOR
ALTERS.

§65.93(a)(3)

§65.93(a)(4)

§65.93(a)(5)

PROG.
INSP.

REFRESHER COURSE

ORAL TEST

FAA Course/Seminar No., Location/Provider, Hours, Completion Date – Use separate sheet if needed.

Enter date tested
passed

Year Renewal Period

(Apr 1st odd – Mar 31st even)

2ND Year Renewal Period

(Apr 1st even – Mar 31st odd)

11. AIRCRAFT MAINTENANCE ACTIVITY DURING THE LAST 2 YEARS Continue activity on a separate sheet if needed.
DATES (MM/YYYY)

FACILITY WHERE ACTIVITY PERFORMED (Employer Name, City, State)

DESCRIPTION OF ACTIVITY (Describe work performed, not job titles)

FROM:
TO:

PRESENT

FROM:
TO:
FROM:
TO:
12. REMARKS.

13. APPLICANT’S CERTIFICATION. I certify that all statements and answers provided by me on this application form are complete and true to the best of my knowledge
and I agree that they are to be considered as part of the basis for issuance of any FAA certificate, rating or inspection authorization to me. I have received the Pilot’s
Bill of Rights Written Notification of Investigation that accompanies this form. I have also read and understand the Privacy Act statement that accompanies this form.
Applicant’s Signature
Date (MM/DD/YYYY)
14. RECORD OF ACTION
☐ ENDORSEMENT
(Expires in 30 Days)

FAA Signature (Print Name and Sign)

☐ ISSUANCE
☐ RENEWAL
☐ VOLUNTARY SURRENDER

FAA Signature (Print Name and Sign)

FAA Form 8610-1 (02-23) SUPERSEDES PREVIOUS EDITION

Date (MM/DD/YYYY)

FAA Office/Designation No.

Date (MM/DD/YYYY)

FAA Office/Designation No.

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