Faa Form 8610-1 Mechanic'S Application For Inspection Authorization-Privacy Act Page 3

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INSTRUCTIONS FOR FAA FORM 8610-1
Mechanic’s Application for Inspection Authorization
Block 1 and 2: Your name and certificate number as shown on your FAA Mechanic’s
Certificate.
Block 3 thru 9: Self explanatory.
Block 10, Basis for Renewal: Enter the number of individual alterations, repairs, or
inspections performed for each activity during the
respective year/renewal period.
Calendar year example of Year/Renewal Periods:
First Year = April 1, 2009 to March 31st, 2010 (Even Year)
Second Renewal = April 1, 2010 to March 31st, 2011 (Odd Year)
When required to enter a date, enter all dates for this block and all other blocks in
eight digit format (MM/DD/YYYY) except block 11.
Block 11, Aircraft Maintenance Activity During Last 2 Years:
For the “Dates”: Make entries in descending order (MM/YYYY) format.
For the “Description of Activity”: Identify work performed. Do not include titles or positions.

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