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 (23 kb download)

Accident Flyer en español (17 kb download)

Form #001BLR Application for Certification of Authorization to Repair and/or Alter Boilers (43 kb download)

Form #002BLR Application for Certification of Authorization to Repair, Set and Seal Safety Appliances (43 kb download)

Form #005BLR First Inspection Report (56 kb download)

Form #006BLR Subsequent Inspection Report(56 kb download)

Form #007All Complaint Form (97 kb download)

Form #007BLR Repair Requirements (28 kb download)

Form #008BLR Texas Commission Application (96 kb download) revised July 2010

Form #010BLR Variance Request(27 kb download)

Form #012BLR Entry Checklist (29 kb download)

Form #013BLR Boiler Installation Report (32 kb download)