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 #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)