Elevator Forms & Applications

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Licensing

• Application for Elevator Contractor Registration   

• Application for Elevator Mechanic License   

• Elevator Mechanic License Renewal 

• Application for Elevator Operator License   

• Elevator Operator License Renewal 

Inspection

• Pre-Inspection Checklist for New Elevator Installations and Modernizations   

• Application for Annual Elevator Test and Fire Service OT (printable) 

• Application for Annual Elevator Test and Fire Service OT (electronic) 

• Application for 90 Day Procedure Extension 

• Request for Decommission Inspection 

Elevator Forms

• Petition for Variance/Relief Elevator 

• Appeal from Board of Elevator Regulations 

• Elevator Fee Waiver Request Form (electronic) 

• Elevator Permit Fee Refund Request (electronic) 

• Exemption for Chapter 288 Freight Elevators application 

• Variance Petition for Chapter 288 Freight Elevators form 

• Duplicate Elevator Certificate Request (electronic) 

• Elevator Notice of New Contract (electronic) 

• Elevator Notice of New Owner Information (electronic) 

• Vertical Reciprocating Conveyor Information List (electronic) 

• Vertical Reciprocating Conveyor Training Log 

• Application for Additional Four Year Certificate for Elevators in Owner Occupied Single Family Residences 

Permitting

• Application for Permit for Elevator Construction, Installation, Material Change, Modernization, Alteration or Decommission 

• Application for Emergency Elevator Permit 

• Application to authorize purchase of emergency medical key 

Reports

Elevator Incident Report (electronic) 

Firefighter Emergency Elevator Operation and Elevator Extrication Response