Elevator Safety and Licensing 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."

We periodically update our forms to address procedural changes or amendments to the administrative rules. Please check to ensure that you are utilizing the most current forms which are listed below. For automatic updates and information regarding rule changes or forms please sign up for TDLR email updates.

As of April 1st 2016, the Elevator Equipment Inspection and Elevator Plan Review Application forms have been updated and you may begin using them immediately.  Note: All inspection report and plan review submittals on or after May 1st, 2016 MUST be completed using the updated forms

Elevator Application Elevator Contractor Application (97 KB)

Form #001ELE Instructions-How to Obtain a Certificate of Compliance for Elevator/Escalator Equipment (20 KB)

Form #002ELE Elevator / Escalator and Related Equipment Report of Inspection (35 KB) - revised April 2016

Form #002ELEa Elevator / Escalator and Related Equipment Additional Inspection Report Page (20 KB) - revised April 2016

Form #004ELE Elevator Inspector Registration Application (140 KB)

Form #005ELE Elevator or Escalator Delay or Waiver (139 KB)

Form #012ELE Elevator / Escalator and Related Equipment Plan Review (55 KB) - revised April 2016

Form #013ELE New Technology Variance Application (181 KB)

Form #015ELE Request for Elevator Test Tag Kits and/or Decals (151 KB)

Form #016ELE TDLR Elevator Incident Report (25 KB)

Form #017ELE TDLR Escalator Incident Report (23 KB)

Form #018ELE TDLR Elevator Certificate Combined Fee Worksheet (96 KB)

Responsible Party Designee Application (74 KB)

Form #002LIC Criminal History Questionnaire (69 KB)

Form #007ALL Complaint Form (97 KB)

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

Request to Executive Director for Expired License Renewal Form (33 KB download)

Disciplinary Action Questionnaire (13 KB download)

Criminal History Evaluation Letter

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

TDLR Complaint Sign (105 kb download)