Forms

Note: The new funding framework approved by the Government that came into effect 01 Nov 2012 provided for progressive fee increases over three years. The last of these changes takes effect 01 Jul 2014 with the standard hourly rate charge (for all chargeable services) increasing from $244 per hour to $284 per hour, including GST.

To order the following logbooks, call free 0800 GET RULES (0800 438 785), or order online, www.vertia.co.nz, or email info@vertia.co.nz.

Prices include GST.

For postage and handling, obtain a quote when you place your order.

Pilot Logbook

CAA 1373 – Pilot Logbook (Rev 1) $37.52

Aircraft Logbooks

The Aircraft Logbooks have been revised. The Engine and Propeller logbooks are essentially the same, but there are changes to the Aircraft and Airworthiness Directives Logbooks.
See New Aircraft Logbooks.

CAA 2101 – Aircraft Logbook $20.24
CAA 2110 – Propeller Logbook $20.24
CAA 2158 – Engine Logbook $23.61

CAA 1464 – Aircraft Airworthiness Directives, Aircraft Modifications, Engine and Propeller Installations Logbook

– Initial pack and tabs (this is now in loose-leaf format)

– Extra pads of Sections in Airworthiness Directives Logbook (price each)

Aircraft / Engine / Propellor Airworthiness Directives Logbook Page
You can download this form, save it, print it, and complete it by hand or electronically.

Further information

 


$31.49

$17.83

Aircraft Logbook Ring Binder (designed to hold all the logbooks together) $44.02

Technical Log

CA006 – Aircraft Technical Log (pack of 10)

(If only requiring the Tech Log, please order from info@caa.govt.nz)

Free
CAA400 – Maintenance Record Sheet and Separator Card

(Please order from info@caa.govt.nz)

Free

Forms

The following forms are available free – just print them off, fill them out and send them in by fax or post.

Adobe Acrobat 'pdf' Forms:

  • If you have any difficulties printing a form, first ensure that you have the latest version of Adobe Acrobat installed.
  • You can download this for free from www.adobe.com (complementary copies on CD-ROM are also available with many computer magazines).
  • If you still experience printing problems, consult this link to the Adobe web site: www.adobe.com/support/techdocs/150d6.htm

Microsoft Word Forms:

  • These forms have fields that can be completed online or off line. They can be saved before, or after, completion. They can be printed in the usual way.
  • If you do not have Microsoft Word, a free Microsoft Word Reader can be downloaded from www.microsoft.com.

Fit and Proper Person Process

All applications for individual aviation documents, and for senior persons for organisations are required to use the 24FPP form below. Use this link for more information on the FPP Process.

24FPP     24FPP

Note: Aircraft owners should use the  24047/02 Fit and Proper Person form for initial registration or change of possession of an aircraft.

Address for Service Information every aviation document holder should read
Miscellaneous
CA010 Volcanic Activity Report
CAA115 Passenger Levy Return 
CAA116 International Passenger Levy Return
CAA600 Application for Replacement Licence
CAA601 Application for exchange to new format Licence
CAA602
CAA602
Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
CAA800
CAA800
Laser Beam Exposure Questionnaire
CAA810 NPRM Submission Form
24FPP
24FPP
Fit and Proper Person Questionnaire
24FPPDEC
24FPPDEC
Fit and Proper Person Declaration
23008 Flight Evaluation Schedule For GPS IFR Approval
24011/01
24011/01
Petition to Raise a Regulatory Issue
24011/02
24011/02
Petition for an Exemption
Fillable MS Word version
ICAO Pilot Form Wake Vortex Reporting Form for Pilots
ICAO ANSP Form Wake Vortex Reporting Form for Air Navigation Service Providers
Health and Safety
CAA-HSU-01
CAA-HSU-01
Notifiable Occupational Disease - Info on this form
Part 12 Accidents, Incidents, and Statistics
Report Occurrences Online - this is the easiest option
CA005 Occurrence Report (can be sent by email to: ca005@caa.govt.nz)
CA005B Bird Incident Notification (can be sent by email to: ca005@caa.govt.nz)
CA005D Defect Report (can be sent by email to: ca005@caa.govt.nz)
CA005 Occurrence Report
CA005B Bird Incident Notification
CA005D Defect Report
CAA605a Aircraft Operations Statistics – Large and Medium Aeroplanes – Form effective from 1 Oct 05
Submit Agricultural and Aircraft Statistics: stats@caa.govt.nz
CAA605b Aircraft Operations Statistics – Aeroplanes, Helicopters and Balloons
Fillable MS Word form - submit to: stats@caa.govt.nz
CAA800
CAA800
Laser Beam Exposure Questionnaire

The Microsoft Word versions of the forms above can be completed in the following ways:

  1. Print the form and complete by hand, or
  2. Complete the form online, save it* then attach it to an email, or print and post it, or
  3. Save the form to your computer*, then complete it offline, attach it to an email, or print and post it.
  • * In MS Internet Explorer, right click and chose "Save target as". This will vary with other browsers.
  • You are advised to save a copy for your records, whichever method you use.
Part 19 Transition Rules
24019/01 Certificate of Approval for Supply
24019/02
24019/02
Part 19F Matrix
24019/03 Application for Test Pilot Approval – Amateur-Built
24019/04 Application for Test Pilot Approval – Experimental Flying
24019/05
24019/05
Exposition Amendment Summary Sheet for a Supply Organisation under Civil Aviation Rules, Part 19, Subpart F
2129
2129
Aircraft Radio Station Approval
Part 21 Certification of Products and Parts
24021/01 Issue or Change to a Type Certificate
24021/02 Issue or Amendment of a Type Acceptance Certificate
24021/05
24021/05
Issue of Standard/Restricted Airworthiness Certificate
24021/06
24021/06
Application for a Special Category Airworthiness Certificate
24021/07
24021/07
Issue of a Special Flight Permit
24021/08 Application for a Change to a Type Certificate
24021/09 Issue of a Supplemental Type Certificate
24021/10
24021/10
Issue of an Export certificate of Airworthiness
24021/11 Application for Deviation from Specification
24021/12 Technical Standard Order Authorisation
24021/13 Parts Manufacturing Approval Authorisation
24021/14 Light Sport Aircraft Statement of Compliance
Both fillable:
CAA337
CAA337
Design Change - Application for approval of Technical Data (Part 21), and Conformity Certificate - Major Modification, Major Repair (Part 43)
See also Advisory Circular AC43-9
CAA2115 Eligibility Statement Amateur-Built Aircraft
2171 Agreement to Supply Manufacturer's Data
2188 Notice of Intention to Construct an Amateur-Built Aircraft
CAA8100-1
CAA8100-1
Conformity Inspection Record
CAA8130-9
CAA8130-9
Statement of Conformity
Part 39 Airworthiness Directives
24039/01
24039/01
Application for Alternate means of Compliance
Part 43 General Maintenance Rules
Form 1 Parts Documentation - CAA Form One - Authorised Release Certificate
See AC00-5
Form 2 Parts Documentation - CAA Form Two - New Zealand Domestic Part Label
See AC43-3
CA006 Technical Log

This is available in printed form at no charge (see top of page)

2102
2102
Aircraft Weight & Balance Report
2173
Form Guidance
2173
Weight & Balance Data
Both fillable:
CAA337
CAA337
Design Change - Application for approval of Technical Data (Part 21), and Conformity Certificate - Major Modification, Major Repair (Part 43)
See also Advisory Circular AC43-9
Part 47 Aircraft Registration and Marking
Privacy Statement Relating to Aircraft Registration Forms
24047/01 Registration of Aircraft
24047/02
24047/02
Fit and Proper Person Questionnaire – Aircraft Registration

24047/03
24047/03A
Change of Possession - a guide for existing and new owners
Change of Possession of Aircraft
(for use when the person relinquishing possession is not available)
24047/04 Identifiable Paint Scheme and Marking
24047/05 Deregistration of Aircraft
24047/05A Deregistration of Aircraft (for use when the person relinquishing registration is not available)
24047/08
24047/08
Operator Statement Details
The Part 47 forms below relate to the Cape Town Convention:
24047/09
24047/09
Submission of an Irrevocable De-Registration and Export Request Authorisation - Section 109 of the Civil Aviation Act 1990
24047/09A
24047/09A
Irrevocable De-Registration and Export Request Authorisation - Section 109 of the Civil Aviation Act 1990
24047/10
24047/10
Removal Request - Irrevocable De-Registration and Export Request Authorisation - Section 111 of the Civil Aviation Act 1990

Part 61 Pilot Licences and Ratings

Miscellaneous

CAA600 Application for Replacement Licence
CAA601 Application for exchange to new format Licence
24061/04 Amendment to a pilot licence
CAA602
CAA602
Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
24061/03 Application for Flight Test Conducted by CAA (fillable MS Word version)

Licence Applications

24061/01 Issue of Flight Crew Licence or Prime Rating
24061/01-RPL
RPL Guidance
24061/04-RPL
Application for Issue of Recreational Pilot Licence - (RPL) Aeroplane

Application for Amendment to Recreational Pilot Licence - (RPL) Aeroplane
24061/09 Application for licence recognition under the Trans Tasman Recognition Act (for Australian professional pilots only)
24061/02 Application for Issue of New Zealand Flight Crew Licence – Overseas Licence Holders Only
24061/18 Application for Issue of a Validation Permit for Pilots Only Wishing to Undertake Short Term Private VFR Operations in New Zealand
24061/19 Application for Issue of a Validation Permit (Foreign CPL and ATPL Only)

Flight Test Report / Competency Demonstration Reports

24061/05 Airline Transport Pilot Licence Aeroplane - Flight Test Report
24061/06 Airline Transport Pilot Licence Helicopter - Flight Test Report
24061/07 Instrument Rating - Aeroplane/Helicopter Competency Demonstration Report Form
24061/13 Single Pilot Certificated Aeroplane Competency Demonstration Record
24061/16 Flight Test Report:
Flight Instructor Rating Competency Demonstration – Aeroplane
24061/17 Flight Test Report:
Flight Instructor Rating Competency Demonstration – Helicopter
24061/25 Record of Competency Demonstration for Issue or Continued Competency for the Aerobatic Rating - Aeroplane
24061/26 Flight Test Report
Private Pilot Issue Flight Test - Helicopter
24061/121 Flight Test Report:
Airline Flight Examiner Rating Competency Demonstration – Part 121
24061/125 Flight Test Report:
Airline Flight Examiner Rating Competency Demonstration – Part 125
24061/135 Flight Test Report:
Airline Flight Examiner Rating Competency Demonstration – Part 135
24061/20 Flight Test Report:
GA Flight Examiner Rating Competency Demonstration – (A) or (H)
24061/21 Demonstration of Competency - Type Rating - Helicopter
24061/22 Flight Test Report
Private Pilot Issue Flight Test - Aeroplane

BFR

24061/11 Record of BFR – Demonstration of Continued Competency for RPL or PPL(A)
24061/12 Record of BFR – Demonstration of Continued Competency for PPL(H)
24061/14 Record of BFR – Demonstration of Continued Competency for CPL(A)
24061/15 Record of BFR – Demonstration of Continued Competency for CPL(H)
24061/23 Record of BFR – Demonstration of Continued Competency for CPL (Balloon)

Part 65 Air Traffic Service Personnel Licences and Ratings
CAA600 Application for Replacement Licence / Aviation Document
CAA601 Application for exchange to new format Licence
CAA602
CAA602
Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
24065/01 Issue of Air Traffic Service Licence
24065/02 Exchange of an Air Traffic Service Licence
24065/03 Amendment to an Air Traffic Service Licence
24065/04 Test Form ATS Examiner Rating
24065/05 Application for ATS Examiner Test
Part 66 Aircraft Maintenance Personnel Licensing
CAA600 Application for Replacement Licence / Aviation Document
CAA601 Application for exchange to new format Licence
CAA602
CAA602
Application for Licence Verification
CAA603 Application for Licence Verification of Occurrence(s)
24066/01 Aircraft Maintenance Engineer Licence and/or Category
24066/02 Aircraft Maintenance Engineer Licence-Rating
24066/03 Aircraft Maintenance Engineer – Maintenance Approval
24066/04 Recognition of Foreign AME Licence
24066/05 Application to Exchange to a NZ Part 66 Licence
24066/08 Trans Tasman Mutual Recognition Act
Review of Airworthiness
24066/06 Review of Airworthiness - Aeroplane Check List Report (fillable)
24066/07
24066/07
Review of Airworthiness Check List Report - Rotorcraft
24066/09
24066/09
Review of Airworthiness Check List Report - Special Category
24066/12
24066/12
Review of Airworthiness Check List Report - Hot Air Balloon
Certificate of Inspection Authorisation
24066/10 Application for Inspection Authorisation Certificate - Initial Issue or Renewal
24066/11 Application for Inspection Authorisation - Initial or Renewal Course
Part 67 Medical Standards and Certification
Required for Medical Certification 
24067-001 Application for Medical Certificate
Online Payment for Medical Certification
Frequently Asked Questions
24067-002 Medical Examination Report
24067-003 Medical Assessment Report
24067-004 General Direction Submission Form
Forms providing or requesting supporting information
24067-211 Special Eye Report  (including advice on completion of the form)
24067-106 Consent Declaration and request regarding medical information
24067-202 Electrocardiograph Request
24067-203 Audiometry Report  (including advice on completion of the form)
24067-204 In Flight Hearing Assessment Report
24067-213 Respiratory Examination Report
24067-214 Blood Pressure Examination Report
24067-215 Headache Investigation Report
24067-217 Aging Pilot Report
24067-300 Accredited Medical Conclusion – Request for Identification of Experts
Forms dealing with existing certificates
24067-401
24067-401
Suspension of Certificate
24067-402 
24067-402
Restriction of Certificate
24067-403  Withdrawal of Conditions, Restrictions and Endorsements
24067-404
24067-404
Cancellation of Suspension of Certificate
24067-405
24067-405
Extension of Suspension of Certificate
24067-406
24067-406
Extension of Restriction of Certificate
24067-407 Application for Replacement of a Medical Certificate
Forms for Medical Examiners
24067-502 Fit and Proper Person Questionnaire Medical Examiner Designation
Part 71 Designation and Classification of Airspace
24071/01
24071/01
Application for designated airspace or reporting point
Part 77 Objects and Activities Affecting Navigable Airspace
24077/01A
24077/01A
24077/01B
24077/01B
24077/01C
24077/01C
Notice of Proposal to Construct or Alter a Structure - CAR Part 77

Notice of Proposal to use a Light or Laser - CAR Part 77

Notice of Proposal to use Pyrotechnics or Weapons - CAR Part 77
Part 91 General Operating and Flight Rules
CA006 Technical Log

This is available in printed form at no charge (see top of page)

24091/01
24091/01
Approval or revision of a Minimum Equipment List (MEL)
For more information, see Minimum Equipment Lists
24091/02
24091/02
Application for Approval or Amendment of a Maintenance Programme
24091/03
24091/03
Application for Aviation Event Authorisation
24091/05 Application for Callsign
24091/06
24091/06
Application for a Temporary Extension to an Approved Maintenance Programme
24091/07 Operational Approvals Application (fillable)
24091/08
24091/08
Application for GPS IFR Operational Approval Under CAR Part 19
24091/09
24091/09
Application for Electronic Flight Bag Use Operational Approval
MS Word version is a fillable form
CAA800
CAA800
Laser Beam Exposure Questionnaire
Part 95 Instrument Flight Procedures – Registration
24095/01
24095/01
Application for registration of an Instrument Flight Procedure under CAR Part 95
Part 103 Microlight Aircraft – Certification and Operating Rules
24103/01 Application for Issue or Amendment of a Microlight Aircraft Flight Permit
24103/02 Class 2 Microlight Survey Form
Part 108 Air Operator Security Programme
24108/02
24108/02
Part 108 Rule Compliance Matrix
Fillable MS Word version
Part 109 Regulated Air Cargo Agent - Certification
24FPP
24FPP
Fit and Proper Person Questionnaire
24FPPDEC
24FPPDEC
Fit and Proper Person Declaration
24109/01
24109/01
Application for Issue, Renewal, or Amendment of a Regulated Air Cargo Agent Certificate under Civil Aviation Rule Part 109
24109/02
24109/02
Part 109 Rule Compliance Matrix
Part 115 Adventure Aviation - Certification and Operations (fillable)
24115/01 Application for Issue or Renewal of an Adventure Aviation Operator Certificate under Civil Aviation Rules, Part 115
24115/01A Part 115 - Request for unique identification of unregistered aircraft (parachute - hang glider - paraglider)
24115/01B Change of Possession of Part 115 Unregistered Aircraft with
Unique Identification (parachute; hang glider; paraglider)
24115/02 Part 115 Rule Compliance Matrix - Common Requirements
24115/02I Part 115 Rule Compliance Matrix - Hot Air Balloon Operations
24115/02J Part 115 Rule Compliance Matrix - Parachute Drop Aircraft Operations
24115/02K Part 115 Rule Compliance Matrix - Tandem Parachute Operations
24115/02L Part 115 Rule Compliance Matrix - Glider Operations
24115/02M Part 115 Rule Compliance Matrix - Hang Glider and Paraglider Operations
24115/02O Part 115 Rule Compliance Matrix - Special Aircraft Operations
24115/02P Part 115 Rule Compliance Matrix - Microlight Aircraft Operations
24115/08 Exposition Amendment Summary Sheet for an Adventure Aviation Operator under Civil Aviation Rules, Part 115
24115/10 Application for Amendment of an Adventure Aviation Operator Certificate under Civil Aviation Rules, Part 115
Part 119 Air Operator - Certification
24119/01
24119/01
Issue, renewal, or amendment of an Air Operator Certificate
24119/02 Nomination for the Person Responsible for Air Transport Operations
24119/03 Nomination for the Person Responsible for Crew Training
24119/04

Nomination for Person Responsible for Control and Scheduling of Maintenance

24119/06 Internal Quality Assurance
24119/07
24119/07
Nomination for Senior Person
24119/11
24119/11
Application for Accreditation of a New or Modified Aeroplane Flight Simulator for Approved Uses
24119/12
24119/12
Exposition Amendment Summary Sheet for an Air Operator under Civil Aviation Rule Part 119
24108/02
24108/02
Part 108 Rule Compliance Matrix
Part 121 Air Operations – Large Aeroplanes
24119/08
24119/08
Part 119/121 Compliance Matrix - Operations
24119/08M
24119/08M
Part 119/121/125 Compliance Matrix - Maintenance
Part 125 Air Operations – Medium Aeroplanes
24119/09
24119/09
Part 119/125 Compliance Matrix - Operations
24119/08M
24119/08M
Part 119/121/125 Compliance Matrix - Maintenance
Part 129 Foreign Air Transport Operator – Certification
Advice for Applicants - Application for a Part 129 Foreign Air Operator Certificate (FAOC)
24129/01A Application for CAR Part 129 FAOC - Addendum - Explanatory Notes for Drafting an Exposition
24129/01 Application for Issue, Renewal or Amendment of a Part 129 Certificate
24129/02
24129/02
Compliance Matrix
24108/02
24108/02
Part 108 Rule Compliance Matrix
Part 135 Air Operations – Helicopters and Small Aeroplanes
Airline AOC
24119/10
24119/10
Part 119/135 Compliance Matrix - Operations
Fillable MS Word version
24119/10M
24119/10M
Part 119/135 Compliance Matrix - Maintenance
Fillable MS Word version
General Aviation AOC
24135/01
24135/01
Compliance Matrix - Aeroplane VFR - Air Operator Certificate
Fillable MS Word version
24135/02
24135/02
Compliance Matrix - Aeroplane IFR -Air Operator Certificate
Fillable MS Word version
24135/03
24135/03
Compliance Matrix - Helicopters VFR - GA Air Operator Certificate
Fillable MS Word version
24135/04
24135/04
Compliance Matrix - Helicopter IFR - Air Operator Certificate
Fillable MS Word version
24135/05
24135/05
Compliance Matrix - Maintenance - General Aviation Air Operator Certificate
Fillable MS Word version
24135/06 Compliance Matrix - Internal Training and Competency
24135/07 Compliance Matrix - External Training and Competency
24135/08
24135/08
Compliance Matrix - Dangerous Goods - Carriage under Rule 92.1
24135/09
24135/09
Compliance Matrix - Dangerous Goods - Carriage under Rule 92.11
Part 137 Agricultural Aircraft Operations
24137/01
24137/01
Issue, renewal or amendment of an Agricultural Aircraft Operator Certificate
(Form can be completed online using Microsoft Word)
24137/02 Nomination of Agricultural Chief Pilot
24137/03
24137/03
Agricultural Operations Statistics
(Form can be completed online using Microsoft Word)
24137/04 Record of Annual Competency Check Aeroplane
24137/05 Record of Annual Competency Check Helicopter
Part 139 Aerodromes – Certification, Operation and Use
24139/01 Aerodrome Operating Certificate
24139/02 Application for amendment of an Aerodrome Operating Certificate under CAR Part 139
24139/03 Application for the amendment of an aerodrome ATS status
24139/04
24139/04
Part 139 Rule Compliance Matrix
Fillable MS Word version
Part 140 Aviation Security Services Organisations – Certification
24140/01 Issue or renewal of an Aviation Security Service Certificate
24140/02
24140/02
Part 140 Rule Compliance Matrix
Fillable MS Word version
Part 141 Aviation Training Organisations – Certification
24141/01 Issue, Renewal, or Amendment of an Aviation Training Organisation Certificate
24141/02
24141/02
Part 141 Matrix
24141/03
24141/03
Part 141 Exposition Amendment Summary Sheet for an Aviation Training Organisation
Part 145 Aircraft Maintenance Organisations – Certification
24145/01 Maintenance Organisation Certificate
24145/02
24145/02
Part 145 Matrix
24145/03
24145/03
Exposition Amendment Summary Sheet for an Aircraft Maintenance Organisation under Civil Aviation Rules, Part 145
Part 146 Aircraft Design Organisations – Certification
24146/01 Aircraft Design Organisation Certificate
24146/02
24146/02
Compliance Matrix
Part 148 Aircraft Manufacturing Organisations – Certification
24148/01 Aircraft Manufacturing Organisation Certificate
24148/02
24148/02
Compliance Matrix
Part 149 Aviation Recreation Organisations – Certification
24149/01 Aviation Recreation Organisation Certificate
24149/02 Request for Vector Subscription for Part 149 Pilot / Parachutist Certificate Holders
24149/03
24149/03
Compliance Matrix
Part 157 Notice of Construction, Alteration, Activation, and Deactivation of Aerodromes
24157/01 Notice of Aerodrome/Heliport Proposal
Part 171 Aeronautical Telecommunication Service Organisations – Certification
24171/01
24171/01
Telecommunication Services Certificate
24171/02 Application for Identification Code or Call sign
24171/03
24171/03
Compliance Matrix
Part 172 Air Traffic Service Organisations – Certification
24172/01 Air Traffic Service Certificate
24172/02
24172/02
Compliance Matrix
24172/03
24172/03
Application for a Trial Under Civil Aviation Rule 172.155
Part 173 Instrument Flight Procedure Service Organisation – Certification and Operation
24173/01
24173/01
Application for issue or renewal of an Instrument Flight Procedure Service Certificate under CAR Part 173
24173/02
24173/02
Compliance Matrix
Part 174 Aviation Meteorological Service Organisations – Certification
24174/01
24174/01
Meteorological Service Organisation Certificate
24174/02
24174/02
Compliance Matrix
Part 175 Aeronautical Information Service Organisations – Certification
24175/01 Aeronautical Information Service Certificate
24175/02
24175/02
Compliance Matrix