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Boiler Forms

Individuals and Agencies

Document Name Publication Number
Application for Certification of Authorization to Repair Boilers, Alter Boilers, and/or Repair, Set and Seal Safety Appliances (PDF) BLR201N
Authorized Inspection Agency (AIA) Registration Form (PDF) BLR-LIC-003-E
Boiler Inspector Commission Application (PDF) BLR-LIC-008-E
Boiler Inspector Commission - Employer change Application (PDF) BLR-LIC-004-E


Document Name Publication Number
Variance Request (PDF) BLR210N
Boiler Installation Report and Temporary Operating Permit Application (PDF) BLR213N
Boiler Accident Report (PDF) BLR217N

Boiler Extension Request (PDF)

You may also submit a boiler extension request online.

Report of Repair (PDF) NBIC Form R-1
Report of Alteration NBIC Form R-2
Supplementary Report NBIC Form R-4
Supplemental Report (PDF) BLR226N
Liquid Pressure Test Report (PDF) BLR227N

Misc. Forms

Document Name Publication Number
TDLR Complaint Form (PDF) 007All
Boiler Accident Flyer (PDF) None
Request to Executive Director for Expired License Renewal (PDF) LIC003
Texas Application for Payee Identification Number (PDF) AP-152
Occupational License Application Claiming to Have No Social Security Number (PDF) GC001

Criminal History Questionnaire (PDF)

Also see the Criminal History Evaluation Letter

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) MIL-LIC-001
TDLR Complaint Sign (PDF) LIC009