Elevator Forms

Online Elevator Appointment Request

Log into DOB NOW: Inspections to schedule an elevator appointment.

Elevator Application

As of December 11, 2017, all new Elevator Application filings must be submitted through DOB NOW: Build.

All ELV1 job filings with a current BIS job number will continue to be processed through the Elevator Unit.

The ELV1 Form can only be used for permit renewals, reinstatements, and withdrawals for filings with a current BIS job number.

• ELV1 Form - Rev. 6/16

• ELV1 Instructions

ELV1A Amusement Ride Application

Use this form as a supplement to the ELV1.  You must submit it when installing, replacing, modifying or modernizing a permanent amusement ride.

• ELV1A Form - Rev. 1/09

• ELV1A Instructions

ELV3 Elevator Inspection/Test Report

As of September 17, 2018, all new Elevator Inspection/Test Reports must be submitted through DOB NOW: Safety. To accommodate owners and industry members in transitioning to DOB NOW, the Department will continue to allow paper filings using the ELV3 form in certain circumstances. See the September 2018 Service Notice for details.

• ELV3 Form - Rev. 8/15

• ELV3 (continued) - Rev. 8/15 

• ELV3 Instructions 

ELV14 Index Sheet

Use this form to list all of the elevator forms being submitted along with your elevator application.

• Download Form - Rev. 4/13

ELV15 Affidavit of Professional Certification

Use this form to certify that (a) the elevator application or building notice is complete and in compliance with all applicable provisions of law or rules; and (b) whether or not the application is being filed to legalize an existing condition.

• ELV15 Form - Rev. 12/14

ELV22 Pre-Clearance Inspection/Test Request

Use this form to request a pre-clearance (expedited test) inspection from the Elevator Division.

• ELV22 Form - Rev. 4/16

ELV29 Affirmation of Correction

As of September 17, 2018, all new Affirmations of Correction must be submitted through DOB NOW: Safety. To accommodate owners and industry members in transitioning to DOB NOW, the Department will continue to allow paper filings using the ELV29 form in certain circumstances. See the September 2018 Service Notice for details.

• ELV29 Form - Rev. 6/16 

• ELV29 Instructions 

ELV36 Elevator/ Escalator Test Notification Form

As of September 17, 2018, Elevator/Escalator Test Notifications must be submitted through DOB NOW: Safety.

B Form 10 Elevator Amendment Form

File this form with the ELV1 form.

• B Form 10 Elevator Amendment Form - Rev. 6/09 

• B Form 10 Elevator Amendment Instructions 

EBI1 Elevator Batch Intake Form

Use the Elevator Batch Intake (EBI-1) Form when processing reports for 5 or more of the following:

• Category 1 (Annual Inspection)

• Category 3 and 5 Reports (ELV3 & ELV3A forms)

• Affirmation of Correction (ELV29 form)
  
  
  • EBI1 Form - Rev. 3/11
  • EBI1 Instructions

ECP Elevator Cashier Civil Penalty Form

Use the ECP Form to submit civil penalties owed to the Elevator Division.

• ECP Form - Rev. 9/10 

EWP Elevator Waiver of Civil Penalties Form

Use the Elevator Waiver of Penalties (EWP) Form to request a waiver of elevator civil penalties.

• EWP Form - Rev. 1/11

• EWP Instructions

AI1 Additional Information

Multipurpose form for applicants to provide additional information on jobs.

• AI1 Form - Rev. 3/09