CategoryFire DepartmentRelated Bylaw/PolicyFireworks, Flying Lanterns and Pyrotechnic Special Effect Fireworks Applicant Information Full Name First Name Last Name Address Street Address Village/Town Province - Select -AlbertaBritish ColumbiaManitobaNewfoundland and LabradorNew BrunswickNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoSaint Pierre and MiquelonVirgin Islands Postal Code Phone Number Email Address Event Details Event Name Address where the fireworks will take placeAddress where the fireworks will take place Address Village/Town Province - Select -AlbertaBritish ColumbiaManitobaNewfoundland and LabradorNew BrunswickNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoSaint Pierre and MiquelonVirgin Islands Postal Code Date and Time of Discharge Date and Time of Discharge: Date Date and Time of Discharge: Time Description of the Event Description of Fireworks to Be DischargedDescribe the display fireworks proposed for use during the event, including the types and effects planned. Site Security and Access Control MeasuresDescribe the measures that will be used to prevent unauthorized persons from accessing the fireworks discharge area. Authorized Fireworks PersonnelIndicate the number of individuals who will be authorized to handle and discharge the display fireworks during the event. Emergency ProceduresDescribe the procedures that will be followed in the event of an emergency, including fire, injury, misfire, or other safety incidents.
