Bill L. Veach , Director
Division of Hotels and Restaurants
1940 North Monroe Street
Tallahassee, FL 32399-1011
Phone: 850.487.1395
Fax: 850.488.1514
Division of Hotels and Restaurants
Elevator Forms
All information on this page is current and was last reviewed by the division on May 12, 2008.
| Due to Governor Crist's Plain Language Initiative, the Division of Hotels and Restaurants has updated its application packets and forms. Please make sure you are using the current forms to ensure faster processing. |
On Completing the Forms Electronically. . .
ACCIDENT REPORT FORMS
Elevator Owners Accident Report Form - Word / Fill-in PDF
DBPR HR-7016, form required to be filed in instances of elevator accident within 5 days of the incident. (March 10, 2008)
Fill in the accident report form in either Word or PDF format, save to your local drive and:
- Send by email to: dhr.elevators@dbpr.state.fl.us
- Send by fax to: 850.922.6208
- Send by mail to the address on the form.
APPLICATION PACKETS AND FORMS
For all classes of vertical conveyances, including elevators, escalators, moving walks, dumbwaiters, material lifts, chair lifts, etc.
APPLICATION PACKETS CONTAIN ALL INSTRUCTIONS AND FORMS NEEDED TO COMPLETE THE PROCESS. Please send all elevator-related forms and fees to the Tallahassee address on the form for processing . Processing will be delayed if you send forms, supporting documents or fees for elevators to the district offices.
Application Packet - Permit to Install Elevator - Word / Fill-in PDF
- includes instructions for making application and the following form:
DBPR HR-7015 Application for Permit to Install an Elevator - Word / Fill-in PDF
- DBPR HR-7023 Affidavit of Elevator Code Compliance - Word / Fill-in PDF
Application Packet - Permit to Alter or Relocate an Elevator - Word / Fill-in PDF
- includes instructions for making application and the following form:
- DBPR HR-7024 Application for Permit Alter or Relocate an Elevator - Word / Fill-in PDF
- DBPR HR-7023 Affidavit of Elevator Code Compliance - Word / Fill-in PDF
Application Packet - Certificate of Operation - Word / Fill-in PDF
- includes instructions for making application and the following form:
- DBPR HR-7025 Application for Certificate of Operation - Word / Fill-in PDF
Application Packet - Certificate of Competency or Certificate of Competency–Certified Elevator Technician - Word / Fill-in PDF
- includes instructions for making application and the following form:
- DBPR HR-7014 Application for Certificate of Competency or Certificate of Competency–Certified Elevator Technician - Word / Fill-in PDF
Application Packet - Initial Registration for Elevator Company - Word / Fill-in PDF
- includes instructions for making application and the following form:
- DBPR HR-7026 Initial Registration for Elevator Company - Word / Fill-in PDF
Application Packet - Initial Registration for Certified Elevator Technician or Certified Elevator Inspector - Word / Fill-in PDF
- includes instructions for making application and the following form:
- DBPR HR-7017 Initial Registration for Certified Elevator Technician or Certified Elevator Inspector - Word / Fill-in PDF
INSPECTION FORMS
Elevator Inspection Report Form - PDF
DBPR Form HR 5023-003, is the approved conveyance inspection report used by Florida elevator inspectors. See our website for more information regarding inspection submittal. (September 27, 2006)
Multiprint, Inc. is the distributor of the scannable elevator inspection report forms. Multiprint can be contacted by E-mail: formsrus@multiprint.biz, or telephone at: 800.833.3638, or via FAX at: 813.884.2040.
Step-by-step Instructions for Completing the Elevator Inspection Report - PDF
DBPR Form HR 5023-055, is a detailed guide for filling out the Elevator Inspection Report. (November 14, 2007)
Instructions for Completing the Elevator Inspection Report - PDF
DBPR Form HR 5023-053, is a quick reference for filling out the Elevator Inspection Report. (December 11, 2007)
Tips for Completing Scannable Inspection Reports - PDF
DBPR Form HR 5020-023, contains instructions and graphical examples for ensuring the scannable inspection reports are completed correctly. Following these guidelines will minimize the amount of forms returned to the inspector. (June 7, 2002)
Temporary Operating Permit/Temporary Certificate - PDF
DBPR Form HR 5023-042, is a print master of the required notice that must be posted on all Temporary Operation Inspection (TOI) elevators. Inspectors are encouraged to have copies printed on brightly colored paper stock. Instructions for use are included in the step-by-step instructions above.
(October 11, 2007)Acceptance Inspection Procedure - PDF
DBPR Form HR 5023-052, is an instruction sheet for performing acceptance inspections. (December 11, 2007)