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Elevator Safety and Licensing Forms

Building Owners

Document Name Publication Number
Instructions-How to Obtain a Certificate of Compliance for Elevator/Escalator Equipment (PDF) ELE201N
Elevator or Escalator Delay or Waiver (PDF) ELE205N
TDLR Elevator Incident Report (PDF) ELE216N
TDLR Escalator Incident Report (PDF) ELE217N
Elevator Certificate Combined Fee Worksheet (PDF) ELE018

Elevator Contractors

Document Name Publication Number
Texas Elevator Contractor Registration Application (PDF) ELE003
Elevator Contractor - Responsible Party Designee (PDF) ELE-LIC-006-E
New Technology Variance Application (PDF) ELE213N
Elevator-Escalator Plan Review Form (PDF) ELE212N
Elevator Contractor Certificate of Insurance (PDF) ELE020

Elevator Inspectors

Document Name Publication Number
Elevator Escalators and Related Equipment Report of Inspection (PDF) ELE-LIC-002-E
Elevator Escalator Inspection Report Page (PDF) ELE002a
Texas Elevator Inspector (PDF) ELE004
Request for Elevator Test Tag Kits and/or Decals (PDF) ELE015
Decal Replacement Form ELE220N
Installation Placed Out of Service Form ELE221N
Demolition Form ELE222N
Correction of Repeat Violations Form ELE223N
Occupational License Application Claiming to Have No Social Security Number GC001

Other Forms

Expired License

Document Name Publication Number
Request to Executive Director for Expired License Renewal Form (PDF) LIC003

Military Applicants

Document Name Publication Number
Military Service Member, Military Veteran, or Military Spouse Supplemental Application (PDF) MIL001

Payee Identification Number

Document Name Publication Number
Texas Application for Payee Identification Number (PDF) AP-152

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