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Forms

  • Application for Authorization for Repair and Alteration (PDF)
  • Certificate of Competency Application (PDF)
  • Application for Installation Permit (PDF)
  • Review of ASME-NB Certificate of Authorization Application (PDF)
  • Notification of Sale Form (Boiler & Pressure Vessels) (PDF)
  • Non-Boiler External Piping (NBEP):
    • NBEP Certificate of Authorization Application (PDF)
    • NBEP Design-Repair-Alteration Application (PDF)
  • Request for Elevator Permit Renewal Inspection (Form)
  • Elevator Out of Service Certification (PDF)
  • Elevator Installation – Online application to install a NEW elevator, escalator or moving walk, dumbwaiter, disability lift, material lift and/or personnel hoist, effective August 6, 2013. Note: Applications by mail or in person are no longer accepted.
  • Elevator Alteration (PDF) – Note: As of August 6, 2013, this form should be used ONLY for alterations of elevators and kindred equipment. For installation of new equipment, use the online form linked above.
  • Application for Installation/Alteration Permit Form (DOC) and Instructions (PDF)
  • Elevator Notice of Sale Form (Rev. 9-23-14) (PDF)
  • New and Renewal Application (PDF)
  • Application (PDF)
  • Renewal (PDF)
  • Experience (PDF)
  • Reference Questionnaire Form (PDF)

Request Form-20 (PDF)

  • Application Form (PDF)
  • Form 300 – Log of Work-Related Injuries & Illnesses (PDF)
  • Form 300A – Summary of Work-Related Injuries & Illnesses (PDF)
  • Application Form (PDF)

We provide our forms, instructions, publications and other items in a variety of file formats. Please click for more information on how to electronically access these.

Occupational Safety and Health

Lea Faka-Tonga (Tongan)

‘Okú ke fie maʻu tokoni ʻi ha lea fakafonua ʻe taha? Temau kumi haʻo taha fakatonulea taʻetotongi. Telefoni ki he (808-586-9116) ke fakahā mai ʻa e lea fakafonua ʻokú ke lea aí.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

VISAYAN: CEBUANO

Gakinahanglan ka ba ug tabang sa imong pinulongan? Amo kang mahatagan ug libre nga maghuhubad. Tawag sa (808-586-9116) aron magpahibalo kung unsa ang imong sinulti-han.

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

TIẾNG VIỆT: VIETNAMESE

Bạn có cần giúp đỡ bằng ngôn ngữ khác không ? Chúng tôi se yêu cầu một người thông dịch viên miễn phí cho bạn. Gọi (808-586-9116) nói cho chúng tôi biết bạn dùng ngôn ngữ nào.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

ภาษาไทย: THAI

คุณต้องการความช่วยเหลือทางด้านภาษาหรือไม่ ทางเราจะจัดหาล่ามฟรีให้คุณ โทรที่เบอร์ (808-586-9116) และบอกเราว่าคุณพูดภาษาอะไร

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

TAGALOG: TAGALOG

Kailangan ba ninyo ng tulong sa ibang lengguwahe? Ikukuha namin kayo ng libreng tagasalin. Tumawag sa (808-586-9116) para sabihin kung anong lengguwahe ang nais ninyong gamitin.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

ESPAÑOL: SPANISH

¿Necesita ayuda en otro idioma? Nosotros le ayudaremos a conseguir un intérprete gratuito. Llame al (808-586-9116) y diganos que idioma habla.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

GAGANA SAMOA: SAMOAN

E te mana’o mia se fesosoani i se isi gagana? Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Vili mai i le numera lea (808-586-9116) pea e mana’o mia se fesosoani mo se faaliliu upu.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

KAJIN MAJÔL: MARSHALLESE

Kwoj aikuij ke jiban kin juon bar kajin? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kirtok (808-586-9116) im kwalok non kim kajin ta eo kwo melele im kenono kake.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

한국어: KOREAN

다른언어로 도움이 필요하십니까? 저희가 무료로 통역을 제공합니다. (808-586-9116) 로 전화해서 사용하는 언어를 알려주십시요

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

日本語 (JAPANESE)

貴方は、他の言語に、助けを必要としていますか ? 私たちは、貴方のために、無料で 通訳を用意で きます。電話番号の (808-586-9116) に、電話して、私たちに貴方の話されている言語を申し出てください。

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

ILOKANO: ILOCANO

Masapulyo kadi ti tulong iti sabali a pagsasao? Ikkandakayo iti libre nga paraipatarus. Awaganyo ti (808-586-9116) tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

ʻŌLELO HAWAIʻI: HAWAIIAN

Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Makemake la maua i ki`i `oe mea unuhi manuahi. E kelepona (808-586-9116) `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

KAPASEN CHUUK: CHUUKESE

En mi niit alilis lon pwal eu kapas? Sipwe angei emon chon chiaku ngonuk ese kamo. Kokori (808-586-9116) omw kopwe ureni kich meni kapas ka ani.

You have the right to an interpreter
at no cost to you.

Occupational Safety and Health

中文 – CHINESE Mandarin

您需要其它語言嗎？如有需要, 請致電 (808-586-9116), 我們會提供免費翻譯服 (Traditional)

您需要其它语言吗？如有需要,请致电 (808-586-9116), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

Occupational Safety and Health

中文 – CHINESE: Cantonese

您需要其它語言嗎？如有需要, 請致電 (808-586-9116), 我們會提供免費翻譯服務 (Traditional)

您需要其它语言吗？如有需要,请致电 (808-586-9116), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.