Boiler Safety

Boiler Forms

These forms are available for download in Adobe Acrobat .pdf format. Acrobat Reader is necessary to view .pdf files. If you need to obtain a copy of this program it is available as a free download for Windows or Macintosh operating systems.

Please note the following policy regarding the filing of forms which collect a person's individual information:

"An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Department) is entitled to the following from the Department:

(1) to be informed about the information that the Department collects about the individual, upon the request of the individual and subject to a few exceptions;

(2) to receive and review the information, under Sections 552.021 and 552.023 of the Texas Government Code; and

(3) to have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Government Code."

Accident Flyer (PDF)

Form BLR201N Application for Certification of Authorization to Repair Boilers, Alter Boilers, and/or Repair, Set and Seal Safety Appliances (PDF)

Form #003BLR Authorized Inspection Agency (AIA) Registration Form (PDF)

Form #004BLR Boiler Inspector Commission - Employer change Application (PDF)

Form #007All Complaint Form (PDF)

Form #008BLR Texas Commission Application (PDF)

Form BLR210N Variance Request (PDF)

Form BLR213N Boiler Installation Report and Temporary Operating Permit Application (PDF)

Form BLR217N Accident Report (PDF)

Form BLR221N Boiler Extension Request (PDF)

Form BLR221N Boiler Extension Request (Online)

Report of Repair: Use NBIC Form R-1 (PDF)