Amusement Forms and Applications

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Amusement Forms

Permits

• Amusement Devices Operator 

• Amusement Devices Inspector for Insurance Company Renewal   

• Small Inflatable Devices Operator 

• Bungee Jumping 

Certificates

• Certified Maintenance Mechanic 

• Certified Inspector Report Form 

• Application for Certificate of Competency as Inspector of Amusement Devices 

Forms/Logs

• CHSB Cori Request 

• Amusement Variance 

• Manufacturer Data Sheet 

• Operator Daily Log 

• Daily Maintenance Inspection Log sample 

• Maintenance Repair Log 

• Incident Report 

• Amusement Itinerary 

• Amusement New Ride 

• Operator Training Devices 

• Adjudicatory Hearing Request 

• Notification of CMM Changes 

Challenge Course Forms

License

• License to Operate Challenge Course 

Logs

• Inspection Report Summary 

• Attestation Personnel Training 

• Maintenance Repair Log 

Climbing Wall Forms

License

• License to Operate Climbing Wall 

Logs

• Facility Maintenance Repair Log 

• Attestation Personnel Training 

• Facility Maintenance Inspection Summary