Hillsboro, IL · Montgomery County

No notary required

Application for an Outdoor Pyrotechnic Display Permit

Display sponsors and pyrotechnic distributors use this application to request a permit for an outdoor fireworks display and provide event and safety details.

What this form is

The application requests information about the display sponsor, pyrotechnic distributor, operator, insurance, fireworks, location, and planned display times. Applicants also answer site-safety questions and attach a diagram showing display areas and separation distances; the form includes a professional display site checklist. The Fire Chief or designee reviews the site and application, and the completed permit must also be signed by the designated issuing officer to be valid.

Who needs it

Display sponsors and pyrotechnic distributors planning an outdoor display use this application to provide event, operator, insurance, and site-safety information.

How to submit it

After the Fire Chief or designee signs the permit form, return it to the local governmental authority issuing the permit for the designated officer’s signature.

About notarization

This document is signed without a notary; the property owner, Fire Chief or designee, and issuing officer sign where indicated, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the outdoor pyrotechnic display permit application and its site checklist.

  2. 2

    Complete The Application

    Enter sponsor, distributor, operator, insurance, display, and site-safety information in the applicable parts.

  3. 3

    Attach The Site Diagram

    Attach a diagram showing the display site, specified locations, and associated separation distances.

  4. 4

    Obtain Fire Department Signature

    Have the Fire Chief or designee review the site and application and sign the permit form.

  5. 5

    Return The Permit Form

    Return the signed form to the local governmental authority issuing the permit for the designated officer’s signature.

Frequently asked questions

Who uses the outdoor pyrotechnic display permit application?
Display sponsors and pyrotechnic distributors use the application to provide information about the planned display, operator, fireworks, insurance, and site.
What information does the application ask for?
It asks for sponsor and distributor details, operator and insurance information, display dates and location, site-safety responses, and a diagram of the display site.
How do I submit the outdoor pyrotechnic display permit application?
After the Fire Chief or designee signs the permit form, return it to the local governmental authority issuing the permit for the designated officer’s signature.
Do I need a notary for this application?
No. The document has signature lines for the property owner, Fire Chief or designee, and issuing officer, but does not specify a notarized attachment.

Need something notarized?

This Application for an Outdoor Pyrotechnic Display Permit doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.