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NC DOL »   Safety and Health »   Elevator »   Elevator Forms

Elevator Forms

Application to Install New Equipment

This is an application used by elevator companies to install new equipment.

Application For Alteration or Repair

This is an application used by elevator companies for alteration or repair on equipment.

90-Day Limited Use Request

This is a limited 90-day use request application for permanent elevators used for building construction.

Variance Request

This form is used by elevator companies to request a variance.

Elevator Information Change Form

This form is used to change the owner, occupant, or billing information by an authorized representative.

Request for Extension of Permit

A Request For Extension must be submitted for requesting extension of permits to install, alter, or repair.

Request to Withdraw/Void of Permit

If a project is determined to be cancelled, discontinued, or on indefinite hold, please complete this request to withdraw/void the contract application.

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Contact Information

N.C. Department of Labor
Physical Address
4 West Edenton St.
Raleigh, NC 27601

Mailing Address
1101 Mail Service Center
Raleigh, NC 27699-1101

1-800-NC-LABOR
(1-800-625-2267)

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https://www.labor.nc.gov/safety-and-health/elevator/elevator-forms