AppendixAppendix
Appendix VApplication Form — EASA Form 19
1.This Appendix contains an example of the form used for applying for the aircraft maintenance licence referred to in Annex III (Part-66).
2.The competent authority of the Member State may modify the EASA Form 19 only to include additional information necessary to support the case where the national requirements permit or require the aircraft maintenance licence issued in accordance with Annex III (Part-66) to be used outside the requirements of this Regulation.
| APPLICATION FOR INITIAL/AMENDMENT/RENEWAL OF PART-66 AIRCRAFT MAINTENANCE LICENCE (AML) | EASA FORM 19 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APPLICANT’S DETAILS: Name: ……………………………………………………………………………………………………………………………………………………… Address: …………………………………………………………………………………………………………………………………………………… Tel: ……………………………………………………………………….. E-mail: ……………………………………………………………………. Nationality: …………………………………………………………... Date and Place of Birth: …………………………………………. | ||||||||||||
| PART-66 AML DETAILS (if applicable): Licence No: …………………………………………………………………. Date of Issue: ……………………………………………………. | ||||||||||||
| EMPLOYER’S DETAILS: Name: ……………………………………………………………………………………………………………………………………………………… Address: …………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………. Maintenance Organisation Approval Reference: ……………………………………………………………………………………… Tel: …………………………………………………………………………….. Fax: …………………………………………………………………… | ||||||||||||
| APPLICATION FOR: (Tick relevant boxes) | ||||||||||||
| Initial AML | Amendment of AML | Renewal of AML | ||||||||||
| (Sub)categories Aeroplane Turbine Aeroplane Piston Helicopter Turbine Helicopter Piston | A | B1 | B2 | B2L | B3 | C | L (see below) | |||||
| Avionics | See system ratings below | |||||||||||
| Piston engine non-pressurised aeroplanes of MTOM of 2t and below | ||||||||||||
| Complex motor-powered aircraft | ||||||||||||
| Aircraft other than complex motor-powered aircraft | ||||||||||||
| System ratings for B2L licence: 1. autoflight 2. instruments 3. com/nav 4. surveillance 5. airframe systems | ||||||||||||
| L-licence subcategories: L1C: Composite sailplanes L1: Sailplanes L2C: Composite powered sailplanes and composite ELA1 aeroplanes L2: Powered sailplanes and ELA1 aeroplanes L3H: Hot-air balloons L3G: Gas balloons L4H: Gas balloons L4H: Hot-air airships L4G: ELA2 gas airships L5: Gas airship other than ELA2 | ||||||||||||
| Type endorsements/Rating endorsement/Limitation removal (if applicable): ……………………………………………………………………………………………………………………………………………………………………. | ||||||||||||
| I wish to apply for initial/amendment of/renewal of Part-66 AML, as indicated, and confirm that the information contained in this form was correct at the time of application. I herewith confirm that: 1. I am not holding any Part-66 AML issued in another Member State; 2. I have not applied for any Part-66 AML in another Member State; and 3. I never had a Part-66 AML issued in another Member State which was revoked or suspended in any other Member State. I also understand that any incorrect information could disqualify me from holding a Part-66 AML. Signed: …………………………………………………………………. Name: ………………………………………………………………………. Date: …………………………………………………………………………………………………………………………………………………………. | ||||||||||||
| I wish to claim the following credits (if applicable): ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. Experience credits for Part-147 training ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. Examination credits for equivalent exam certificates ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………………………………………………………. Please enclose all relevant certificates | ||||||||||||
| Recommendation (if applicable): It is hereby certified that the applicant has met the relevant Part-66 maintenance knowledge and experience requirements and it is recommended that the competent authority grants or endorses the Part-66 AML. Signed: .............................................................. Name: .................................................................................. Position: ........................................................... Date: .................................................................................... | ||||||||||||
EASA Form 19 Issue 5
APPENDIX · Appendix V — Regulation (EU) No 1321/2014 · Regulation (EU) 2021/700 · Continuing Airworthiness Easy Access Rules · EAR revision 2 Sep 2025