+---------------+-----------+-----+---+------------+---+---+----------------+
| U.S.          |           |     |   |            |   |   | DATE           |
| DEPARTMENT OF |           |     |   |            |   |   |                |
| T             |           |     |   |            |   |   |                |
| RANSPORTATION |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
| FEDERAL       |           |     |   |            |   |   |                |
| AVIATION      |           |     |   |            |   |   |                |
| A             |           |     |   |            |   |   |                |
| DMINISTRATION |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
| **STATEMENT   |           |     |   |            |   |   |                |
| OF COMPLIANCE |           |     |   |            |   |   |                |
| WITH THE      |           |     |   |            |   |   |                |
| FEDERAL       |           |     |   |            |   |   |                |
| AVIATION      |           |     |   |            |   |   |                |
| REGULATIONS** |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| **AIRCRAFT OR |           |     |   |            |   |   |                |
| AIRCRAFT      |           |     |   |            |   |   |                |
| COMPONENT     |           |     |   |            |   |   |                |
| IDE           |           |     |   |            |   |   |                |
| NTIFICATION** |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| MAKE          | MODEL NO. | T   |   |            | N |   |                |
|               |           | YPE |   |            | A |   |                |
|               |           | *(  |   |            | M |   |                |
|               |           | Air |   |            | E |   |                |
|               |           | pla |   |            | O |   |                |
|               |           | ne, |   |            | F |   |                |
|               |           | Rad |   |            | A |   |                |
|               |           | io, |   |            | P |   |                |
|               |           | He  |   |            | P |   |                |
|               |           | lic |   |            | L |   |                |
|               |           | opt |   |            | I |   |                |
|               |           | er, |   |            | C |   |                |
|               |           | etc |   |            | A |   |                |
|               |           | .)* |   |            | N |   |                |
|               |           |     |   |            | T |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| **LIST OF     |           |     |   |            |   |   |                |
| DATA**        |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| I             | TITLE     |     |   |            |   |   |                |
| DENTIFICATION |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
|               | ###       |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               | \-\       |     |   |            |   |   |                |
|               | -\-\--The |     |   |            |   |   |                |
|               | ins       |     |   |            |   |   |                |
|               | tructions |     |   |            |   |   |                |
|               | for using |     |   |            |   |   |                |
|               | this      |     |   |            |   |   |                |
|               | e         |     |   |            |   |   |                |
|               | lectronic |     |   |            |   |   |                |
|               | format    |     |   |            |   |   |                |
|               | version   |     |   |            |   |   |                |
|               | are given |     |   |            |   |   |                |
|               | on Page   |     |   |            |   |   |                |
|               | 2. Use    |     |   |            |   |   |                |
|               | the       |     |   |            |   |   |                |
|               | scrollbar |     |   |            |   |   |                |
|               | on the    |     |   |            |   |   |                |
|               | right     |     |   |            |   |   |                |
|               | side of   |     |   |            |   |   |                |
|               | your      |     |   |            |   |   |                |
|               | screen to |     |   |            |   |   |                |
|               | go to     |     |   |            |   |   |                |
|               | page 2.   |     |   |            |   |   |                |
|               | When you  |     |   |            |   |   |                |
|               | are ready |     |   |            |   |   |                |
|               | to enter  |     |   |            |   |   |                |
|               | your      |     |   |            |   |   |                |
|               | in        |     |   |            |   |   |                |
|               | formation |     |   |            |   |   |                |
|               | in this   |     |   |            |   |   |                |
|               | section,  |     |   |            |   |   |                |
|               | \"Tripl   |     |   |            |   |   |                |
|               | e-Click\" |     |   |            |   |   |                |
|               | anywhere  |     |   |            |   |   |                |
|               | in this   |     |   |            |   |   |                |
|               | paragraph |     |   |            |   |   |                |
|               | and start |     |   |            |   |   |                |
|               | typing.   |     |   |            |   |   |                |
|               | This will |     |   |            |   |   |                |
|               | highlight |     |   |            |   |   |                |
|               | this      |     |   |            |   |   |                |
|               | paragraph |     |   |            |   |   |                |
|               | and       |     |   |            |   |   |                |
|               | replace   |     |   |            |   |   |                |
|               | it with   |     |   |            |   |   |                |
|               | your      |     |   |            |   |   |                |
|               | entry.    |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| PURPOSE OF    |           |     |   |            |   |   |                |
| DATA          |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| APPLICABLE    |           |     |   |            |   |   |                |
| REQUIREMENTS  |           |     |   |            |   |   |                |
| (List         |           |     |   |            |   |   |                |
| specific      |           |     |   |            |   |   |                |
| sections)     |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| > **          |           |     |   |            |   |   |                |
| CERTIFICATION |           |     |   |            |   |   |                |
| > -** Under   |           |     |   |            |   |   |                |
| > authority   |           |     |   |            |   |   |                |
| > vested by   |           |     |   |            |   |   |                |
| > direction   |           |     |   |            |   |   |                |
| > of the      |           |     |   |            |   |   |                |
| >             |           |     |   |            |   |   |                |
| Administrator |           |     |   |            |   |   |                |
| > and in      |           |     |   |            |   |   |                |
| > accordance  |           |     |   |            |   |   |                |
| > with        |           |     |   |            |   |   |                |
| > conditions  |           |     |   |            |   |   |                |
| > and         |           |     |   |            |   |   |                |
| > limitations |           |     |   |            |   |   |                |
| > of          |           |     |   |            |   |   |                |
| > appointment |           |     |   |            |   |   |                |
| > under Part  |           |     |   |            |   |   |                |
| > 183 of the  |           |     |   |            |   |   |                |
| > Federal     |           |     |   |            |   |   |                |
| > Aviation    |           |     |   |            |   |   |                |
| >             |           |     |   |            |   |   |                |
|  Regulations, |           |     |   |            |   |   |                |
| > data listed |           |     |   |            |   |   |                |
| > above and   |           |     |   |            |   |   |                |
| > on attached |           |     |   |            |   |   |                |
| > sheets      |           |     |   |            |   |   |                |
| > numbered    |           |     |   |            |   |   |                |
| > [**     **  |           |     |   |            |   |   |                |
| ]{.underline} |           |     |   |            |   |   |                |
| > have been   |           |     |   |            |   |   |                |
| > examined in |           |     |   |            |   |   |                |
| > accordance  |           |     |   |            |   |   |                |
| > with        |           |     |   |            |   |   |                |
| > established |           |     |   |            |   |   |                |
| > procedures  |           |     |   |            |   |   |                |
| > and found   |           |     |   |            |   |   |                |
| > to comply   |           |     |   |            |   |   |                |
| > with        |           |     |   |            |   |   |                |
| > applicable  |           |     |   |            |   |   |                |
| >             |           |     |   |            |   |   |                |
|  requirements |           |     |   |            |   |   |                |
| > of the      |           |     |   |            |   |   |                |
| > Federal     |           |     |   |            |   |   |                |
| > Aviation    |           |     |   |            |   |   |                |
| >             |           |     |   |            |   |   |                |
|  Regulations. |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
| **Recommend   |           |     |   |            |   |   |                |
| approval of   |           |     |   |            |   |   |                |
| these data**  |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
| I (We)        |           |     |   |            |   |   |                |
| Therefore     |           |     |   |            |   |   |                |
| **Approve     |           |     |   |            |   |   |                |
| these data**  |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| SIGNATURE(S)  |           |     | D |            |   | C |                |
| OF DESIGNATED |           |     | E |            |   | L |                |
| ENGINEERING   |           |     | S |            |   | A |                |
| REPR          |           |     | I |            |   | S |                |
| ESENTATIVE(S) |           |     | G |            |   | S |                |
|               |           |     | N |            |   | I |                |
|               |           |     | A |            |   | F |                |
|               |           |     | T |            |   | I |                |
|               |           |     | I |            |   | C |                |
|               |           |     | O |            |   | A |                |
|               |           |     | N |            |   | T |                |
|               |           |     | N |            |   | I |                |
|               |           |     | U |            |   | O |                |
|               |           |     | M |            |   | N |                |
|               |           |     | B |            |   | ( |                |
|               |           |     | E |            |   | S |                |
|               |           |     | R |            |   | ) |                |
|               |           |     | S |            |   |   |                |
|               |           |     | ( |            |   |   |                |
|               |           |     | S |            |   |   |                |
|               |           |     | ) |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
|               |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+
| **FAA Form    |           |     |   |            |   |   |                |
| 8110-3**      |           |     |   |            |   |   |                |
| (11-70)       |           |     |   |            |   |   |                |
| SUPERSEDES    |           |     |   |            |   |   |                |
| PREVIOUS      |           |     |   |            |   |   |                |
| EDITION       |           |     |   |            |   |   |                |
| ELECTRONIC    |           |     |   |            |   |   |                |
| FORMAT (7-00) |           |     |   |            |   |   |                |
+---------------+-----------+-----+---+------------+---+---+----------------+

**INSTRUCTIONS**

**FOR COMPLETING THIS ELECTRONIC FORMAT VERSION OF FAA FORM 8110-3**

**Refer to Order 8110.37 for examples of completed FAA Form 8110-3**

**CONCEPTS:**

1\. All lines are locked in place on the form to prevent the form from
elongating to the next page.

2\. Gray boxes show where entries may start in each data entry section.
[Data entry fields are unlimited]{.underline}. If you type more than the
field can hold, the extra typing will "hide" behind the data field(s)
located below your desired entry section and when you print the
completed document, both the "visible" text and "hidden" text will print
in the same space. (Be careful!)

3\. All entries you make will have a gray background on the screen but
will print with a white background.

**DATA ENTRY TECHNIQUES:**

1\. Use the "Tab" key, "Shift-Tab" keys, or "mouse" to select the
section where you want to enter information.

2\. Use the "Space" bar or "Enter" key to move around within a data
entry section.

3\. Use the "Space" bar to enter or remove an "X" from the "Recommend
approval" or "Approve" box.

4\. Since the form is protected to prevent the lines from moving, most
entries are limited to "Arial" 10 point characters.

5\. Use your toolbar to turn-off the "end of paragraph" marker. This
makes your entries easier to see.

5\. The underline key may be used to draw a horizontal line where you
stop entering data.

**EDITING TECHNIQUES:**

1\. Use your mouse to "highlight" the area you want to change, or

2\. "Single-Click" to mark a text insertion [point]{.underline}, or

3\. "Double-Click" on a [word]{.underline} to highlight and replace a
word, or

4\. "Triple-Click" on a [paragraph]{.underline} to highlight and replace
an entry from the beginning of that paragraph to the end of the
paragraph.

**CAUTIONS:**

1\. Before you start "filling-in" the FAA Form 8110-3 on the internet,
you may want to save it as a blank master file on your personal
computer. You can then use your master file to complete and save your
individual files by using "File Save As".

2\. When you print, you may want to always chose "Print Current Page" or
"Print Page 1" to prevent printing this instructions page with each copy
of your completed FAA Form 8110-3.

3\. If your printer does not print your completed 8110-3 on only one
page, call me at the phone number listed below.

**COMMENTS OR CORRECTIONS:**

Contact Ray Brown at (405) 954-6915 or by e-mail at ray.brown@faa.gov