New York Wing - Request for Aircraft Maintenance Authorization

 Date                                Aircraft                     Group



    CAP Point of Contact: Name                 Phone


          Email                                                                                            Other

Nature of Maintenance Request

Proposed Vender


Location                        Phone Number

Hourly Shop Rate                         Estimated # of Labor Hours

Estimated Total Labor Cost

FBO Parts Cost

     Part Description                                Part Number                                     FBO Part Cost


Parts Shipping Addressp>





Approved: ________________________________     Date: ______________________

                 Signature - NYW Maintenance Offier    


Approved: _________________________________   Date: ______________________

                Signature - NYW Vice Commander


NYW Work Order# ________________________________


Follow-up: NYW Form 90 and Original Invoice Recieved (Date): _____________________________




Return to NYW main page