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 (104 kb PDF) revised May 2018

Form #001BLR Application for Certification of Authorization to Repair and/or Alter Boilers (330 kb PDF) revised May 2018

Form #002BLR Application for Certification of Authorization to Repair, Set and Seal Safety Appliances (293 kb PDF) revised May 2018

Form #003BLR Authorized Inspection Agency (AIA) Registration Form (545 kb PDF) revised March 2017

Form #004BLR Boiler Inspector Commission - Employer change Application (493 kb PDF) revised August 2017

Form #007All Complaint Form (97 kb PDF)

Form #008BLR Texas Commission Application (517 kb PDF) revised March 2017

Form #010BLR Variance Request (272 kb PDF) revised May 2018

Form #013BLR Boiler Installation Report (196 kb PDF) revised May 2018

Form #015BLR Temporary Boiler Operating Permit (178 kb PDF) revised May 2018

Form #017BLR Accident Report (257 kb PDF) revised May 2018

Form #021BLR Boiler Extension Request (154kb PDF) revised May 2018