---
title: "ATCO.AR.F.005 Medical certificate — ANNEX II – PART ATCO.AR – REQUIREMENTS FOR COMPETENT AUTHORITIES, ATCO · Avioverse"
description: "The medical certificate shall conform to the following specifications:"
url: "https://avioverse.aero/regulations/easa/atco/part-atco-ar-requirements-for-competent/subpart-f/atco-ar-f-005"
---

# ATCO.AR.F.005 Medical certificate

ANNEX II – PART ATCO.AR – REQUIREMENTS FOR COMPETENT AUTHORITIES · Regulation (EU) 2015/340 · EAR revision 14 Jun 2024

IR Implementing rule

## ATCO.AR.F.005 Medical certificate

The medical certificate shall conform to the following specifications:

(a) Content:

(1) State in which the ATCO [licence](https://avioverse.aero/glossary/easa/licence) has been issued or applied for (I);

(2) Class of medical certificate (II);

(3) Certificate number commencing with the UN country code of the state in which the ATCO licence has been issued or applied for and followed by a code of numbers and/or letters in Arabic numerals and Latin script (III);

(4) Name of the holder (IV);

(5) Nationality of the holder (VI);

(6) Date of birth of the holder (XIV);

(7) Signature of the holder (VII);

(8) [Limitation](https://avioverse.aero/glossary/easa/limitation)(s) (XIII);

(9) Expiry date of the class 3 medical certificate (IX);

(10) Date of [examination](https://avioverse.aero/glossary/easa/examination);

(11) Date of last electrocardiogram;

(12) Date of last audiogram;

(13) Date of issue and signature of AME or medical assessor that issued the medical certificate (X);

(14) Seal or stamp.

(b) Material: The paper or other material used shall prevent or readily show any alterations or erasures. Any entries or deletions to the form shall be clearly authorised by the competent authority.

(c) Language: Medical certificates shall be written in the national language(s) and in English and in such a language that the competent authority deems appropriate.

(d) All dates on the medical certificate shall be written in a dd/mm/yyyy format.

IR · ATCO.AR.F.005 — Regulation (EU) 2015/340 · ATCO Easy Access Rules · EAR revision 14 Jun 2024

AMC Acceptable means of compliance

## AMC1 ATCO.AR.F.005 Medical certificate

STANDARD MEDICAL CERTIFICATE FORMAT

| Competent authority’s name and logo (English and any language(s) determined by the competent authority) EUROPEAN UNION (English only) Class 3 MEDICAL CERTIFICATE Pertaining to a Part ATCO [licence](https://avioverse.aero/glossary/easa/licence) (English and any language(s) determined by the competent authority) Issued in accordance with Part ATCO.MED This medical certificate complies with the ICAO Standards (English and any language(s) determined by the competent authority) | Requirements: ‘European Union’ to be deleted for non-EU Member States. The size of each page should be one eighth A4. English and any language(s) determined by the competent authority. |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |

| I Authority that issued or is to issue the ATCO licence: III Certificate number: IV Last and first name of holder: XIV Date of birth: (dd/mm/yyyy) VI Nationality: VII Signature of holder: | XIII Limitations: Code: Description: X Date of issue\*: Signature of issuing AME/medical assessor: XI Stamp: |
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------ |
| 2                                                                                                                                                                                           | 3                                                                                                            |

| IX Expiry date of this certificate:                                                |   | dd/mm/yyyy |
| ---------------------------------------------------------------------------------- | - | ---------- |
| [Examination](https://avioverse.aero/glossary/easa/examination) date: (dd/mm/yyyy) |   |            |
|                                                                                    |   |            |
|                                                                                    |   |            |
|                                                                                    |   |            |
|                                                                                    |   |            |
| 4                                                                                  |   |            |

\* Date of issue is the date when the certificate is issued and signed.

AMC · AMC1 ATCO.AR.F.005 — Regulation (EU) 2015/340 · ED Decision 2015/010/R · ATCO Easy Access Rules · EAR revision 14 Jun 2024

[All rules in SUBPART F – SPECIFIC REQUIREMENTS RELATING TO AERO-MEDICAL CERTIFICATION](https://avioverse.aero/regulations/easa/atco/part-atco-ar-requirements-for-competent/subpart-f)

Consolidated from the EASA Easy Access Rules (revision 14 Jun 2024, extracted 13 Oct 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.