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 October 14, 2009.
| 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. (October 14, 2009)
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 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. Also, for elevator credential licensing and registration.
This page contains helpful information about elevators. To apply for an elevator-related license using a paper application, please click this APPLY link.
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. (July 8, 2009)
Scantron Scanner & Forms Store is the distributor of the elevator inspection report forms. DBPR Form HR 5023-003, Elevator Inspection Report, can be purchased from Scantron's Internet store under specialty form number 283209.
Scantron sells the form in packages of 100 and requires payment by credit card. Inspectors must register as an individual account before completing a purchase.
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)