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 October 2017

Form #001BLR Application for Certification of Authorization to Repair and/or Alter Boilers (160 kb PDF) revised October 2017

Form #002BLR Application for Certification of Authorization to Repair, Set and Seal Safety Appliances (155 kb PDF) revised October 2017

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 (162 kb PDF) revised October 2017

Form #013BLR Boiler Installation Report (186 kb PDF) revised November 2017

Form #015BLR Temporary Boiler Operating Permit (160 kb PDF) revised October 2017

Form #017BLR Accident Report (175 kb PDF) revised October 2017

Form #021BLR Boiler Extension Request (161 kb PDF) revised October 2017

Form #023BLR Report of Repair (157 kb PDF) revised October 2017

Form #024BLR Report of Alteration (145 kb PDF) revised October 2017

Form #025BLR Supplementary Sheet For State Certificate of Authorization Holders ONLY (122 kb PDF) revised October 2017

Form #026BLR Supplemental Report (122 kb PDF) revised October 2017

Form #027BLR Liquid Pressure Test Report (126 kb PDF) revised October 2017

Request to Executive Director for Expired License Renewal Form (33 kb PDF)

Form AP-152 Texas Application for Payee Identification Number (51 kb download from the Texas Comptroller's Office, will open in a new window)

Form 002 LIC Criminal History Questionnaire (69 kb PDF)

Criminal History Evaluation Letter

Military Service Member, Military Veteran, or Military Spouse Supplemental Application (24 kb PDF) - see Military Spouse Frequently Asked Questions

TDLR Complaint Sign (105 kb PDF)