Form Approved
OMB No. 2120-0593
Expiration Date: 04/30/2024
PREAPPLICATION STATEMENT OF INTENT
US Department of Transportation
Federal Aviation Administration
Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a
collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 2120-0593. Public reporting for this collection of information is estimated to be approximately 96 hours per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are mandatory per 14 CFR Part 119. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden should be directed to the FAA at: 800 Independence Ave
SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110.
Section 1A. To Be Completed By All Applicants
1. Name and mailing address of company 2. Address of principal base where operations will be conducted
(do not use post office box)
3. Proposed Start-up date 4. Requested three-letter company identifier in order of preference
1. 2. 3.
Company Email Address Doing Business As (DBA)
5. Management Personnel
Name (Last, first, middle) Title Telephone (including area code) and
Email Address
Section 1B. To Be Completed By Air Operators
6. Proposed type of operation (check as many as applicable)
Air Carrier Certificate Part 121 Passengers and Cargo Single Pilot Operator
Operating Certificate Part 125 Cargo Only Single Pilot-in-Command Operator
Part 133 Scheduled Operations Basic Part 135 Operator
Part 135 Nonscheduled Operations
Section 1C. To Be Completed By Air Agencies
7. Proposed type of agency and rating(s)
Part 145 Repair Station Part 147 Maintenance Technical School
Domestic Airframe
Foreign New Renew Powerplant
Satellite Both
Airframe Instrument
Powerplant Accessory
Propeller Specialized Service
Radio Any other purpose for which the FAA finds the applicant's request if appropriate
Section 1D. To Be Completed By Air Operators
8. Aircraft Data 9. Geographic area of Intended operations
Numbers and types of aircraft (Include Registration if available) Number of passenger seats or
(by make, model, and series) cargo payload capacity
FAA Form 8400-6 (05-17) Supersedes Previous Edition Page 1 Electronic Version
Section 1E. To Be Completed By All Applicants
10. Additional information that provides a better understanding of the proposed operation or business (attach additional sheets, if necessary)
11. The statements and information contained on this form denote an intent to apply for FAA certification.
Signature Date Name and Title
Section 2. To Be Completed By FAA District Office
Received by (district office): Precertification Number
Date: Date Coordinated with AFS-620
Remarks
FAA Form 8400-6 (05-17) Supersedes Previous Edition Page 2 Electronic Version
