Forms for elevator mechanics

Application for Licensure as an Elevator Mechanic (F621-067-000)

Construction Elevator Installation Application and Inspection Data Report (F621-001-000)

Conveyance Installation Approval by Building Official (F621-056-000)

Conveyance Permit Application (F621-005-000)

Elevator Continuing Education Course Application (F621-077-000)

Elevator Continuing Education Provider / Instructor Application (F621-078-000)

Elevator Installation Variance Application (F621-048-000)

Elevator Rule Development Form (F621-113-000)

How to Ride Safely on Elevators, Escalators and Moving Walks (F621-084-000)

Licensed Elevator Contractor (LC) Operation (F621-069-000)

Renewal of Contractor Elevator License (F621-082-000)

Renewal of Elevator Mechanic License (F621-080-000)

Request for Duplicate Elevator Certificate (F621-065-000)

Request for Duplicate Elevator Mechanic License (F621-099-000)

Temporary Licensed Elevator Mechanic (F621-068-000)

Contact Us

  • Email: ElevatorSect@Lni.wa.gov
  • Phone: 360-902-6130

Mailing Address

Washington State Department of Labor & Industries
Elevator Program
PO Box 44480
Olympia, WA 98504