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 #001BLR Application for Certification of Authorization to Repair and/or Alter Boilers (PDF)

Form #002BLR Application for Certification of Authorization to 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 #010BLR Variance Request (PDF)

Form #013BLR Boiler Installation Report (PDF)

Form #015BLR Temporary Boiler Operating Permit (PDF)

Form #017BLR Accident Report (PDF)

Form #021BLR Boiler Extension Request (PDF)

Form #023BLR Report of Repair (PDF)

Form #024BLR Report of Alteration (PDF)

Form #025BLR Supplementary Sheet For State Certificate of Authorization Holders ONLY (PDF)

Form #026BLR Supplemental Report (PDF)

Form #027BLR Liquid Pressure Test Report (PDF)

Request to Executive Director for Expired License Renewal (PDF)

Form AP-152 Texas Application for Payee Identification Number (PDF)

Occupational License Application Claiming to Have No Social Security Number (PDF)

Form 002 LIC Criminal History Questionnaire (PDF)

Criminal History Evaluation Letter

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF)

TDLR Complaint Sign (PDF)