Professional Aviation Services

2152 Astoria Circle # 104
Herndon, VA 20170
Fax 703 657-0340

e-APIS INFORMATION - AFTER SELECTING DEPARTURE OR ARRIVAL NOTIFICATION AS APPROPRIATE, ALL FIELDS ON THIS FORM ARE MANDATORY FOR U.S. CUSTOMS CLEARANCE - ANY FIELDS LEFT BLANK CONSTITUTES DENIAL OF THE CLEARANCE
Customer Name
Primary Contact Name
Contact's e-mail
Contact's Business Phone Number
Contact's Cell Phone Number
Contact's Fax Number
Billing Address


Delivery Address


Name on A/C Registration
PERSON RESPONSIBLE FOR MAINTENANCE OPERATIONS
Name
Title
Business Phone Number
Cell Phone Number
Fax Number
E-Mail Address
Delivery Address


AIRCRAFT DETAILS
A/C Make and Model
A/C Year of Manufacture
A/C Registration Number
A/C Serial Number
A/C Base Color and Trim Color
MTOGW (lbs.)
Zero Fuel Weight (lbs.)
Basic Empty Weight BEW/BOW (lbs.)
Engine Type and Dash Number
Aircraft Base of Operations
Maximum Fuel in Pounds
RVSM	Yes No
MAINTENANCE DETAILS
Airworthiness Directive's (AD's) *Not* Complied With


Inspections Past Due


Inspections Due


DETAILS OF WORK TO BE PERFORMED:

RVSM CERTIFICATION INFORMATION
Was A/C Manufactured RVSM Compliant? Yes No if no,
RVSM Completed by:
Vendor or Maintenance Facility
Contact Name
Contact Cell Phone Number
Business Phone Number
Fax Number
Contact E-Mail Address
Facility Website or E-Mail Address
Mailing Address


Date Completed
Comments:

MAINTENANCE OF RVSM EQUIPMENT
Maintenance Facility
Contact Name
Contact Cell Phone Number
Business Phone Number
Fax Number
Contact E-Mail Address
Facility Website or E-Mail Address
Mailing Address


Certified Repair Station Number