Fillable BERMUDA FOREIGN OPERATOR PERMIT APPLICATION FORM (48 hours'

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BERMUDA FOREIGN OPERATOR PERMIT APPLICATION FORM (48 hours'

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1
BERMUDA FOREIGN OPERATOR PERMIT APPLICATION FORM (48 hours' notice required)
AIRCRAFT OPERATOR INFORMATION:
NAME OF
OPERATOR
ADDRESS
STATE OF
REGISTRATION
EMAIL
PHONE NO
TO:
TYPE OF PERMIT REQUIRED - OPTION:
PROPOSED DATES OF OPERATION: FROM:
ONLINE PAYMENT – PAYMENT REFERENCE #
(see Additional Information for payment instruction on page 3
and Note C below)
AIRCRAFT DETAILS - applicable to single visit flight permit option a) & Air Ambulance only (see Note B)
Registration
Mark
Aircraft type
Serial #
Aircraft MTOW
(Kgs)
Type of FDR
(see Note A)
No. of HF Radios
/ SATCOM
AIRCRAFT DETAILS - applicable to six month's unlimited visits option b), c) & Air Ambulance only
Registration
Mark
Serial #
Aircraft MTOW
(Kgs)
Type of FDR
(see Note A)
No. of HF Radios
/ SATCOM
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
CHANGE OF AIRCRAFT - applicable to option d) only
Note A: Flight Data Recorder is required unless State of Registry has filed an ICAO difference.
Note B: A single visit permit covers a round trip into or out of Bermuda (two legs) and may be separated by one or more days.
Note C: No refunds. Any such requests are handled on a case by case basis.
Form No.:
9135
Revised:
11 May 2021
Click here to select
01-Apr-2021
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Aircraft Off
Aircraft On
COPIES OF THE FOLLOWING DOCUMENTS MUST BE PROVIDED FOR ALL AIRCRAFT
➢ Certificate of Competency, Operating Licence, AOC or Carriers Certificate
➢ Ops Specs which detail approval to operate in RNP and RVSM Airspace (**only these items required**)
➢ Certificate of Registration
➢ Certificate of Airworthiness
➢ Noise Certificate
➢ Certificate of Insurance
I/We hereby confirm that:
1. the Operator is aware of and fully understands Article 105 of the Air Navigation (Overseas Teritories) Order
2013, or Order currently in effect, regarding Aerodrome Operating Minima and the requirements of OTAR
91.235 and 91.240.
2. the Operator is aware of and understands the requirement of OTAR 91.430 regarding commencement and
continuation of an approach (Approach Ban).
3. the aircraft is fitted with a 90-day capability FDR/CVR underwater locating device (if FDR/CVR fitted).
4. weapons or munitions of war are not being carried on the flight.
5. if dangerous goods are being carried on the flight, a copy of the State Registry's Approval is provided.
6. the operating flight crew are in conformity with the ICAO Annex 1 standard that neither have attained the age
of 65 years on the date of the intended flight. (A copy of each operating pilot's licence to be provided, showing
the date of birth, type rating, and valid medical certificate).
7. the insurance coverage complies with the BCAA Aircraft Insurance Requirements, published on www.bcaa.bm.
8. the required permit fee has been paid in full (utilizing the online payment process on www.bcaa.bm).
DECLARATION:
I/We declare these particulars true and undertake to carry out any provisions or conditions as may be required.
Any changes to the particulars as noted will be advised to the Bermuda Civil Aviation Authority and other relevant
agencies without delay.
Name
Position
Signature
Date
ADDITIONAL INFORMATION:
1. Any aircraft that is not registered in Bermuda, the United Kingdom, or any other U.K. Overseas Territories
that takes on or sets down passengers or cargo in Bermuda, if valuable consideration (payment) is given or
promised in respect of such carriage of persons or cargo, requires Governor's Permission.
This will apply to the following types of flights:
• FAR Part 135 Operations
• A.O.C. or Air Carrier Operations (non-scheduled and charter)
• FAR Part 91K (Fractional Operations)
• Air Ambulance Operations (required but no charge will be levied)
This will NOT apply to:
• FAR Part 91 Operations
• Private flights (e.g., EASA Part NCC)
• Humanitarian Flights
• Pre-approved Military Operations
• State Aircraft
• Overflights and Technical enroute landings (e.g., refueling)
2. With effect from 1
st
April 2021, the following charges will apply to the granting of Governor's Permission to
conduct Commercial Air Transport into and out of Bermuda. The following charges are in accordance with Part
4 of the Air Navigation (Fees for Certificates and Services) Regulations 2012.
a) For the granting of a single visit flight permit $500.00
b) For the granting of six month's (unlimited visits) for a single aircraft $2,000.00
c) For the granting of six month's (unlimited visits) for up to ten listed aircraft $5,000.00
d) For an amendment to the listed aircraft (per single addition or substitution) on an issued foreign operator
permit, $250.00
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3
➢ Click on the PAY ONLINE tab, choose FOREIGN OPERATOR PERMIT PAYMENTS and select the
appropriate payment option.
➢ Complete the mandatory field (*). The aircraft tail number must be recorded in the Registration
Mark field.
Method of Payment:
The payment must be made online at: www.bcaa.bm
3. When it is the proposed to lease aircraft for charters originating in Bermuda, correct details (name,
address, phone, email) of the lessor, together with a copy of the lease agreement, are required. All
Operations and Flight Manuals must be endorsed by the Bermuda Civil Aviation Authority to determine, for
legal purposes, the 'operator' of the aircraft.
NOTES:
• Applications should be submitted via E-mail to: ForeignOperatorPermit@bcaa.bm
• 48 hours’ notice is normally required for the issue of a Foreign Operator Permit
• Please refer to the Bermuda Aeronautical Publication (AIP) for information regarding the L F Wade
International Airport and Aerodrome facilities.
• Any requests for Permits at short notice must be discussed with the Issuing Officer and receive email
approval/confirmation prior to operations.
• Last-minute aircraft changes due to unforeseen circumstances are permitted, provided that all the
required aircraft documents (and licences of any flight crew changes) have been submitted to BCAA before
the flight is conducted.
• Operational date change for single flights is permitted within three (3) days of the initial proposed date
without the need to reapply for permission.
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BERMUDA FOREIGN OPERATOR PERMIT APPLICATION FORM (48 hours'

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Completed 21 July 2021

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