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 |
Equipment
| 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. |
BLR221N |
| 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 |
LIC002 |
| Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) | MIL-LIC-001 |
| TDLR Complaint Sign (PDF) | LIC009 |