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Aviation Safety Action Program
Memorandum of Understanding - Version 3.2.0, Jan 29, 2026
Note: All fields on the MOU form are required.
1.
Corporation or Eligible Entity Name
2.
FAA Air Designator
3.
Applicable FAR Part
4.
Number of Aircraft
5.
Employee Group Type
6.
Number of Employees
7.
Employees represented by Labor Association
8.
Name of Employee Labor Association (signature page)
9.
Name of Employee Labor Association Representative (signature page)
10.
Title of Labor Association Representative (signature page)
For Signature?
Action
select
Part 91
Part 91K
Part 119
Part 121
Part 121/135
Part 125
Part 133
Part 135
Part 137
Part 141
Part 142
Part 145
Part 147
select
PILOT
MAINTENANCE
FLIGHT ATTENDANT
DISPATCH
GROUND
C-ASAP-ALL
OTHER
select
Yes
No
+
11.
Name of Corporate Signatory (signature page)
12.
Corporate Position Title (signature page)
13.
Facilitator
select
Yes
No
14.
Name of Facilitator (signature page)
15.
Name of Facilitator Representative (signature page)
16.
Title of Facilitator Representative (signature page)
17.
Name of FAA Manager (signature page)
18.
Title of FAA Manager (signature page)
MOU Template - Version 3.2.0, Jan 29, 2026