IRImplementing rule
MED.A.040Issuance, revalidation and renewal of medical certificates
(a)A medical certificate shall only be issued, revalidated or renewed once the required aero-medical examinations and assessments, as applicable, have been completed and the applicant has been assessed as fit.
(b)Initial issuance
(1)Class 1 medical certificates shall be issued by an AeMC.
(2)Class 2 medical certificates shall be issued by an AeMC or an AME.
(3)LAPL medical certificates shall be issued by an AeMC or an AME. They may also be issued by a GMP if so permitted under the national law of the Member State of the licensing authority to which the application for the medical certificate has been made.
(c)Revalidation and renewal
(1)Class 1 and class 2 medical certificates shall be revalidated and renewed by an AeMC or an AME. Specifically, class 1 medical certificates for applicants who have reached the age of 60 and are involved in single-pilot HEMS operations shall be revalidated and renewed primarily by an AeMC or, at the discretion of the competent authority, by an experienced AME designated by the competent authority.
(2)LAPL medical certificates shall be revalidated and renewed by an AeMC or an AME. They may also be revalidated or renewed by a GMP if so permitted under the national law of the Member State of the licensing authority to which the application for the medical certificate has been made.
(d)The AeMC, AME or GMP shall only issue, revalidate or renew a medical certificate if both of the following conditions have been met:
(1)the applicant has provided them with a complete medical history and, if required by the AeMC, AME or GMP, with results of medical examinations and tests conducted by the applicant’s physician or any medical specialists;
(2)the AeMC, AME or GMP has conducted the aero-medical assessment based on the medical examinations and tests as required for the relevant medical certificate to verify that the applicant complies with all the relevant requirements of this Annex (Part-MED).
(e)The AME, AeMC or, in the case of referral, the medical assessor of the licensing authority may require the applicant to undergo additional medical examinations and investigations when there is a clinical or epidemiological indication before the medical certificate is issued, revalidated or renewed.
(f)The medical assessor of the licensing authority may issue or reissue a medical certificate.
IR · MED.A.040 — Regulation (EU) No 1178/2011 · Regulation (EU) 2024/2076 · Aircrew Easy Access Rules · EAR revision 25 Nov 2025