Elevator Registration Form

Before completing the registration form, you will need the following information (If you do not possess this information, please contact the property owner or installer/maintenance company of the conveyance to obtain the required information):

- - Type of conveyance (elevator, escalator, etc.)
  - Purpose of conveyance (passenger or freight)
  - Manufacturer and OEM job number
  - Rated speed and capacity
  - Physical location of conveyance
  - Contact information for person responsible for maintaining conveyance

Please contact James Taylor, CID Elevator Bureau Chief if you need assistance:

(505) 420-1124

james.taylor@rld.nm.gov

Please click here to review the governing statutes of the Elevator Safety Act (60-13B-1 to 60-13B-15 NMSA 1978).

"*" indicates required fields

Owner Name*

First Last

Owner Address*

Street Address Address Line 2 City State ZIP Code

Billing Address (if different from owner)*

Same as previous

Street Address Address Line 2 City State ZIP Code

Location Name*

Please enter the name of the business or building where the vertical conveyance is installed.

Location Address*

Please enter the address of the business or building where the vertical conveyance is installed.

Street Address Address Line 2 City State ZIP Code

Location County*

Equipment Specifications

If you do not possess this information, please contact the property owner or installer/maintenance company of the conveyance to obtain the required information. PLEASE NOTE: One application must be submitted per type of conveyance.

Type of Equipment*

Passenger-Traction

Passenger-Hydraulic

Freight-Traction

Freight-Hydraulic

Escalator

Other

Manufacturer*

OEM Serial No.*

Capacity*

Speed*

Year Installed*

Number of Landings*

No. of Openings (Front/Rear)*

Specific Location in Building or ID*

Date of Last Test*

Name and Title of Responsible Party*

This person will be responsible for maintaining the certificate of operation for the conveyance at this location.

Phone Number*

Email Address*

Signature of Responsible Party*

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Please note: A new form must be submitted for each conveyance that is located at the business address. Please refresh this page to access a blank registration form.

Elevator Registration Form

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Construction Industries Division

Elevator Registration Form

Equipment Specifications

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