Boiler Safety

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
Submit Boiler Installation Report and/or Temporary Operating Permit Application Online	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