BCAA AW 259 Rev.3 12 Feb 2018
Application for the Variation of a Maintenance Programme
Aircraft Type: Registration:
Serial No:
Name: Signature:
Name of Organisation:
BCAA CAMO Approval No:
Date:
BCAA Approval:
Name:
Signature:
Official Use Only
Date:
E-Mail:
Variation Approval No:
A request is hereby made to vary the Maintenance Programme for the above aircraft as follows:
BCAA Maintenance Programme Ref:
1. Justification of the need for the variation.
2. Description of the task to be varied.
3. Appropriate figures for the extension.
Current Aircraft Flight Hours:
Current due date / Flight Hours of the task to be varied:
Time / Flight Hours requested:
New due date / Flight Hours of the task:
It is confirmed that all Airworthiness Directives (AD), Airworthiness Limitations (AWL) applicable to this
aircraft are in compliance and all Life Limited items are within their life limits. In addition no further items
will fall due during any requested variation to the Maintenance Programme Check time limits.
Name of Operator:
4. Attach all supporting documentation at the time of submission.
Task Interval:
