Rhode Island Occupational Safety, DLT

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Elevator Application

Forms

The following forms are in pdf format. You must have Adobe Reader to view them. Get Adobe Reader

You must have Adobe Reader 6.0 or greater to fill it out on-line. Please complete as much of the form as possible.

 

bullet Application for Permit to Install
or Modernize Vertical Devices

bullet Application for a COMPANY License
bullet Application for Exam - Mechanic Installer
bullet Application for INDIVIDUAL License

bullet Notice of Decommission Form
 
   

Once you complete the form you can sent it to us by:

1. Mailing it to the Elevator Unit, RI DLT, Center General Complex,
P.O. Box 20157, 1511 Pontiac Ave. Cranston RI 02920

or

2. Printing it out using the Print Buttonbutton above and faxing it to the
Elevator Unit at (401) 462-8576

or

3. Saving it to a file by using the Save Button button above and e-mailing it to Occupational Safety
Adobe Acrobat 6.0 or greater is required to save the completed form to a file.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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State Seal

RI Department of Labor and Training
Division of Occupational Safety
Center General Complex, Building 70-2,
1511 Pontiac Avenue, PO Box 20157, Cranston, RI 02920-0942
Phone: (401) 462-8570
Fax: (401) 462-8576
E-mail: Occupational Safety Info
Sandra M. Powell, Director