Application for Trafik- og Byggestyrelsen (Danish Transport and
Construction Agency) Approval of Flight Conditions for
a "Part 21 Permit to Fly"
EASA Form 18
TBST-CFL-168
Similar to EASA form 37
Use this '7$-form only when safety of design is notinvolved
Applicant
Name
Street
No.
City
Postal code
Contact Person
(if applicable)
Telephone
Fax
E-mail
Applicability/Description
Applicability
(Aircraft manufacturer/type)
Serial Number
Nationality and Registration marks
OY-
Permit to Fly
Requested duration for the
Permit to Fly
Purpose
From
(Maximum 12 months)
Until
Unlimited (Only in combination with Purpose, item 15)
1. Development
2. Showing compliance with
regulations or certification
specifications
3. Design organisations or
production organisations crew training
4. Production flight testing of
new production aircraft
11. Flying the aircraft to a
location where maintenance or
airworthiness review are to be
performed, or to a place of storage
12. Flying an aircraft at a
weight in excess of its maximum
certificated takeoff weight for flight
beyond the normal range over
water, or over land areas where
adequate landing facilities or
appropriate fuel is not available
5. Flying aircraft under
production between production
facilities
13. Record breaking, air racing
or similar competition
6. Flying the aircraft for
customer acceptance
14. Flying aircraft meeting the
applicable airworthiness requirements
before conformity to the environmental
requirements is shown
7. Delivering or exporting the
aircraft
8. Flying the aircraft to Authority
acceptance
9. Market survey, including
customer’s crew training
10. Exhibition and airshow
Trafik- og Byggestyrelsen | Edvard Thomsens Vej 14 | 2300 København S |
www.tbst.dk | Tlf: +45 7221 8800 | [email protected]
15. For non-commercial flying
activity on individual non-complex
aircraft or types for which the Agency
agrees that a certificate of
airworthiness or restricted certificate of
airworthiness is not appropriate
Side 1
TBST-CFL-168 | 07/15
IMPORTANT!
Description of the nonCompliance with the applicable
airworthiness requirements
To be filled only by the Danish Transport and Construction Agency
Statement of technical satisfaction
The certification team is satisfied that the applicant has shown that the aircraft is capable of
safe flight under the conditions or restrictions necessary for safe operation of the aircraft
in accordance with the hereby approved flight conditions.
Notes/Remarks/Restrictions:
Applicant’s declaration
I confirm that the information contained herein is correct and complete.
Date
Name
Signature
This application should be sent by e-mail or regular mail to:
Trafik- og Byggestyrelsen
Danish Transport and Construction Agency
Edvard Thomsens Vej 14
DK 2300 Copenhagen S
Phone: +45 72218800
E-mail: [email protected]
DO NOT FORGET TO SIGN THE APPLICATION FORM
Trafik- og Byggestyrelsen | Edvard Thomsens Vej 14 | 2300 København S |
www.tbst.dk | Tlf: +45 7221 8800 | [email protected]
Side 2
TBST-CFL-168 | 07/15
EASA Form 18b - TS-CFL-168
FLIGHT CONDITIONS FOR A PERMIT TO FLY – APPROVAL FORM
1. Applicant
2. Approval form nr.
Issue:
3. Aircraft manufacturer/type
4. Serial number(s)
5. Aircraft configuration
The above aircraft for which a Permit to Fly is defined in
6. Justifications
7. Conditions/Restrictions
The above aircraft must be used with the following conditions or restrictions:
8. Statement
The flight conditions have been established and justified including any condition or restriction necessary for safe
operation of the aircraft, including:
a. the conditions or restrictions put on itineraries or airspace, or both, required for the flight(s);
b. the conditions and restrictions put on the flight crew to fly the aircraft;
c. the restrictions regarding carriage of persons other than flight crew;
d. the operating limitations, specific procedures or technical conditions to be met;
e. the specific flight test programme (if applicable);
f. the specific continuing airworthiness arrangements including maintenance instructions and regime under which
they will be performed.
g. the method used for the control of the aircraft configuration, in order to remain within the established conditions.
The aircraft has no features and characteristics making it unsafe for the intended operation under the
identified conditions and restrictions.
9. Approved under [ORGANISATION APPROVAL NUMBER] If applicable
10. Date of issue
11. Name and signature
12. Danish Transport and Construction Agency approval reference and date
SUBMIT
Trafik- og Byggestyrelsen | Edvard Thomsens Vej 14 | 2300 København S |
www.tbst.dk | Tlf: +45 7221 8800 | [email protected]
Side 3
TBST-CFL-168 | 07/15