Forms
| Note: The forms below
have been amended to reflect the fees, charges, and
levies effective 01 Nov 2012 where applicable. For more information see CAA Funding. |
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) | $33.73 |
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 | $18.40 |
| CAA 2110 – Propeller Logbook | $18.40 |
| CAA 2158 – Engine Logbook | $21.47 |
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 |
$28.62 $13.29 |
| Aircraft Logbook Ring Binder (designed to hold all the logbooks together) | $40.02 |
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.
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 for Rule Making |
|
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 | |
| 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:
|
|
| 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 |
| 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 |
| 337 337 |
Design Change |
| 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 |
| 337 337 |
Design Change |
| Part 47 Aircraft Registration and Marking | |
| 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 | |
| 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) |
| 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 |
| 24061/02 | Application for Issue of New Zealand Flight Crew Licence – Overseas Licence Holders Only |
| 24061/03 | Application for Flight Test Conducted by CAA (fillable MS Word version) |
| 24061/04 | Amendment to a pilot licence |
| 24061/05 | ATPL (A) Qualification assessment |
| 24061/06 | ATPL (H) Qualification assessment |
| 24061/07 | Instrument Rating – Demonstration of Continued Competency (A) or (H) |
| 24061/09 | Trans Tasman Mutual Recognition Act |
| 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) |
| 24061/13 | Single Pilot Certificated Aeroplane Competency Demonstration Record |
| 24061/14 | Record of BFR – Demonstration of Continued Competency for CPL(A) |
| 24061/15 | Record of BFR – Demonstration of Continued Competency for CPL(H) |
| 24061/16 | Flight Test Report: Flight Instructor Rating Competency Demonstration – Aeroplane |
| 24061/17 | Flight Test Report: Flight Instructor Rating Competency Demonstration – Helicopter |
| 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) |
| 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 Flight Test - Aeroplane |
| 24061/23 | Record of BFR – Demonstration of Continued Competency for CPL (Balloon) |
| 24061/25 | Record of Competency Demonstration for Issue or Continued Competency for the Aerobatic Rating - Aeroplane |
| 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 |
| 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 | |
| Note: Engineer application forms 24066/01 and 24066/02 are now split into four individual forms: | |
| Old 24066/01 24066/02 |
New 24066/01 and 24066/04 24066/02 and 24066/03 |
| 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 |
| 24066/06 Form Guidance 24066/06 |
Review of Airworthiness Check List Report - Aeroplane |
| 24066/07 Form Guidance 24066/07 |
Review of Airworthiness Check List Report - Rotorcraft |
| 24066/08 | Trans Tasman Mutual Recognition Act |
|
24066/09 24066/09 |
Review of Airworthiness Check List Report - Special Category |
| 24066/10 | Application for Inspection Authorisation Certificate - Initial Issue or Renewal |
| 24066/11 | Application for Inspection Authorisation - Initial or Renewal Course |
| 24066/12 24066/12 |
Review of Airworthiness Check List Report - Hot Air Balloon |
| 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 |
| 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) |
| 24067-213 | 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 |
| Part 77 Objects and Activities Affecting Navigable Airspace | |
| 24077/01 24077/01 |
Notice Of Proposal |
| 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 | |
| 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 | |
| 24115/01 24115/01 |
Application for Issue, Renewal, or Amendment of an Adventure Aviation Certificate under Civil Aviation Rules, Part 115 |
| 24115/01A 24115/01A |
Part 115 - Request for unique identification of unregistered aircraft (parachute - hang glider - paraglider) |
|
24115/02 24115/02 |
Part 115 Rule Compliance Matrix - Common Requirements |
|
24115/02I 24115/02I |
Part 115 Rule Compliance Matrix - Hot Air Balloon Operations |
|
24115/02J 24115/02J |
Part 115 Rule Compliance Matrix - Parachute Drop Aircraft Operations |
|
24115/02K 24115/02K |
Part 115 Rule Compliance Matrix - Tandem Parachute Operations |
|
24115/02L 24115/02L |
Part 115 Rule Compliance Matrix - Glider Operations |
|
24115/02M 24115/02M |
Part 115 Rule Compliance Matrix - Hang Glider and Paraglider Operations |
|
24115/02O 24115/02O |
Part 115 Rule Compliance Matrix - Special Aircraft Operations |
|
24115/02P 24115/02P |
Part 115 Rule Compliance Matrix - Microlight Aircraft Operations |
| 24115/03 24115/03 |
Nomination for the Person Responsible for Crew Member and Ground Crew Training and Competency Assessment |
| 24115/04 24115/04 |
Nomination for Person Responsible for Control and Scheduling of Maintenance |
| 24115/05 24115/05 |
Nomination for the Person Responsible for Adventure Aviation Operations including Flight & Descent Operations and Supporting Ground Operations |
| 24115/06 24115/06 |
Nomination for Person Responsible for an Organisational Management System |
| 24115/07 24115/07 |
Biographical Details of Senior Person Nominated by an Organisation Seeking Part 115 Certification |
| 24115/08 | Exposition Amendment Summary Sheet for an Adventure Aviation Operator 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 |
| 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 |
|
24119/10M 24119/10M |
Part 119/135 Compliance Matrix - Maintenance |
| General Aviation AOC | |
|
24135/01 24135/01 |
Compliance Matrix - Aeroplane VFR - Air Operator Certificate |
|
24135/02 24135/02 |
Compliance Matrix - Aeroplane IFR -Air Operator Certificate |
|
24135/03 24135/03 |
Compliance Matrix - Helicopters VFR - General Aviation Air Operator Certificate |
|
24135/04 24135/04 |
Compliance Matrix - Helicopter IFR - Air Operator Certificate |
|
24135/05 24135/05 |
Compliance Matrix - Maintenance - General Aviation Air Operator Certificate |
| 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 | Issue or renewal of an Agricultural Aircraft Operator Certificate |
| 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 |
| Part 145 Aircraft Maintenance Organisations – Certification | |
| 24145/01 | Maintenance Organisation Certificate |
| 24145/02 24145/02 |
Part 145 Matrix |
| 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 |