Form E-03 "Application for Elevator Mechanic's License" - Alabama

What Is Form E-03?

This is a legal form that was released by the Alabama Department of Labor - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2020;
  • The latest edition provided by the Alabama Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form E-03 by clicking the link below or browse more documents and templates provided by the Alabama Department of Labor.

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Download Form E-03 "Application for Elevator Mechanic's License" - Alabama

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O
G
D
L
OVERNOR
FFICE OF THE
EPARTMENT OF
ABOR
K
I
AY
VEY
F
W
S
A
ITZGERALD
ASHINGTON
TATE OF
LABAMA
G
OVERNOR
S
L
ECRETARY OF
ABOR
Application for Elevator Mechanic’s License
Applicants Name __________________________________________________________________
Residence Address _________________________________________________________________
City _______________________________ State_________ Zip__________
Employed by ______________________________________________________________________
New License [ ]
Renewal [ ]
Previous License Number ______________________
Applicant Social Security # ___________________________________________________________
(Required by Federal/State law for new license, not required for renewal)
Are you a US Citizen? Yes _____
(If yes, provide copy of valid driver’s license or other acceptable form of identification.)
No _____
(If no, provide acceptable documentation from the US Government with this application. For a list of acceptable
identification you can visit our website at:
https://labor.alabama.gov/docs/law/Inspections_AcceptableFormsofIdentification.pdf
Elevator Mechanic’s License
Covers all activities of installation, alteration, service, replacement or maintenance on all conveyances under
statute 25-13-1 (short title). Must be employed by an Alabama licensed Elevator Contractor to receive this
license. The following documents are required to accompany this application:
1. Acceptable documentation of eligibility to receive a first-time mechanic’s license.
2. Renewals must provide copy of approved continuing education units (CEU) obtained within 12 months
immediately preceding the current expiration date.
3. Check or money order, payable to the Alabama Department of Labor:
In the amount of $100.00 (initial and renewal prior to expiration date) or
In the amount of $150.00 (for renewal of an expired license within 90 days of expiration date: $50 late fee) or
In the amount of $150.00 (for new license after 90 days of expiration date: $100 plus $50 late fee).
Number of years engaged in the business of installing, maintaining or servicing elevators or related
conveyances ___________________
Criminal Record of convictions, if any as verified by the Department of Public Safety:
___________________________________________________________________________________
Signature: _____________________________________________________ Date: ________________
Official Use Only
Approved by: __________________________
Form E-03 Revision 09/2020
649 MONROE STREET MONTGOMERY, ALABAMA 36131
An Equal Opportunity Employer / Program
Auxiliary aids and services available upon request to individuals with disabilities
Dial 711 for TTY accessibility
O
G
D
L
OVERNOR
FFICE OF THE
EPARTMENT OF
ABOR
K
I
AY
VEY
F
W
S
A
ITZGERALD
ASHINGTON
TATE OF
LABAMA
G
OVERNOR
S
L
ECRETARY OF
ABOR
Application for Elevator Mechanic’s License
Applicants Name __________________________________________________________________
Residence Address _________________________________________________________________
City _______________________________ State_________ Zip__________
Employed by ______________________________________________________________________
New License [ ]
Renewal [ ]
Previous License Number ______________________
Applicant Social Security # ___________________________________________________________
(Required by Federal/State law for new license, not required for renewal)
Are you a US Citizen? Yes _____
(If yes, provide copy of valid driver’s license or other acceptable form of identification.)
No _____
(If no, provide acceptable documentation from the US Government with this application. For a list of acceptable
identification you can visit our website at:
https://labor.alabama.gov/docs/law/Inspections_AcceptableFormsofIdentification.pdf
Elevator Mechanic’s License
Covers all activities of installation, alteration, service, replacement or maintenance on all conveyances under
statute 25-13-1 (short title). Must be employed by an Alabama licensed Elevator Contractor to receive this
license. The following documents are required to accompany this application:
1. Acceptable documentation of eligibility to receive a first-time mechanic’s license.
2. Renewals must provide copy of approved continuing education units (CEU) obtained within 12 months
immediately preceding the current expiration date.
3. Check or money order, payable to the Alabama Department of Labor:
In the amount of $100.00 (initial and renewal prior to expiration date) or
In the amount of $150.00 (for renewal of an expired license within 90 days of expiration date: $50 late fee) or
In the amount of $150.00 (for new license after 90 days of expiration date: $100 plus $50 late fee).
Number of years engaged in the business of installing, maintaining or servicing elevators or related
conveyances ___________________
Criminal Record of convictions, if any as verified by the Department of Public Safety:
___________________________________________________________________________________
Signature: _____________________________________________________ Date: ________________
Official Use Only
Approved by: __________________________
Form E-03 Revision 09/2020
649 MONROE STREET MONTGOMERY, ALABAMA 36131
An Equal Opportunity Employer / Program
Auxiliary aids and services available upon request to individuals with disabilities
Dial 711 for TTY accessibility