Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
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Routine Inspection Request Form

Please choose an Inspection Type
This form allows you to request a State Inspection of the equipment listed below in Inspection Type.

Upon receipt of your request, we will contact you within 48 hours to schedule the inspection.

Please make sure all requested information is filled out correctly or we might not be able to contact you back.
Inspection Type:
Amusement/Carnival Ride(s)
Elevator
Boiler
 
Jurisdiction Number:
(If known, leave blank if not.)
 
Facility:
Name
Address
City
ZipCode
 
Contact:
Name
Telephone Number
Email Address
 
Note:




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