Elevator Forms

Online Elevator Appointment Request

Elevator appointments can no longer be requested via the Elevator Appointment Request Form. Please visit DOB NOW: Inspections for more information.

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

Use this form to report inspection/test results for elevators/escalators.

• 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

Certified elevator inspection companies who are authorized to perform inspections can use this form to request dismissal of non-hazardous violations (PVTs).

• ELV29 Form - Rev. 6/16 

• ELV29 Instructions 

ELV36 Elevator/ Escalator Test Notification Form

Use this form prior to completing a 1 Year Escalator Test, 3 Year Elevator Test (Water Hydro) and 5 Year Elevator Test.  It must be completed by Approved Licensed Elevator Inspection Agencies.

• ELV36 Form - Rev. 4/18

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