FAR 91 APPROVED AIRCRAFT INSPECTION PROGRAM SAMPLE
(Aircraft Owners Name) hereby notifies (Local FSDO Office) that it is using MORE Supplemental Type Certificate (STC) (SEXXXXXEN) as its Instructions for Continued Airworthiness for engines (XXXXX and XXXXX) as installed on (Make, Model, Serial Number of aircraft, with registration number NXXXXX). The airframe is maintained in accordance with the (Aircraft Model) maintenance manual.
___________________________________________
Name of person signing (printed)
___________________________________________
Signature
Date: ________________
NOTE: As a courtesy, MORE Company is providing this form for use to notify the Local Flight Standards District Office of the incorporation of the MORE STC on a particular engine to assist in complying with Federal Aviation Regulation 91.409. It is the owner/operator's responsibility to comply with all applicable National Aviation Authority regulations and this form has only been provided merely as a convenience.
To use this form, just print it out and fill
in the blanks below.
Cut along the line and mail form. This form is for use in the United States.
Other countries must comply with their local
requirements.
___________________________________________________________________________________________________________
FAR 91 APPROVED AIRCRAFT INSPECTION PROGRAM
_________________________________________ hereby notifies ______________________________________________ that it is using MORE Supplemental Type Certificate (STC) ___________________ as its Instructions for Continued Airworthiness for engines __________ and _________ as installed on ______________________________________________________________________________________________________. The airframe is maintained in accordance with the ______________________________ maintenance manual.
___________________________________________
Name of person signing (printed)
___________________________________________
Signature
Date: ________________