Department of Civil Aviation
INFORMATION RELATED TO A RENEWAL FOR A SPECIAL OPERATOR'S CERTIFICATE (SUA)
ISSUED IN ACCORDANCE WITH AN(OT)O 2013 ARTICLE 73
Approved Operator’s Renewal Statement
(To be completed by the Owner or CEO of applying Company)
1. Name and mailing address of company (include business name if different from company name)
2. Management and Key Staff Personnel
Name (Surname)
Title
Telephone & address if different
(First Name/s)
from company (include country
code)
Aviation Qualifications (include
details of pilot and radio licences
held)
Operations
Manager
Pilot
Pilot
Ground
Supervisor
3. Type of operation (Check as many as applicable)
Personal and Property surveillance.
Photography.
Law Enforcement Operations.
Recreational Use.
Other. Describe:
4. The statement and information contained on this form denotes intent to apply for a Bermuda Department of Civil
Aviation (BDCA) Special Operator’s Certificate (SUA) Renewal.
Signature
Date (day/month/year)
Name and Title
Supporting Documentation:
1.
2.
The following documentation in support of the above renewal is to
be submitted to the DCA.
Operations Manual or Procedures Handbook (if amended)
Certificate of Insurance
DCA Form 9203 (11/15)
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