Rock Island County, IL · Rock Island County
Public Fireworks Display Permit Application
This application requests a permit for a public fireworks display in unincorporated Rock Island County and is completed by the individual applicants or municipality.
At a glance
- Issued by
- City of Rock Island County · Rock Island County, Rock Island County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- rockislandcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Applicants use this form to request a permit for a public fireworks display in unincorporated Rock Island County. It asks for applicant names, Social Security numbers and addresses, display purpose, location, date and time, and information about fireworks qualifications and prior permits. Applicants must contact the fire department chief or designee for a site inspection; the form states the County Board cannot act if the site is not inspected.
Who needs it
Individuals or a municipality planning a public fireworks display in unincorporated Rock Island County should complete and submit this application.
How to submit it
Return the completed form to the County Administration Office, 1504 Third Avenue, Rock Island, IL 61201, at least 15 days before the display. Applicants are responsible for contacting the fire department chief or designee for a site inspection.
About notarization
This document is signed and dated without a notary; applicants without an IDNR-licensed handler must provide the requested license proof and company or handler letter.
How to submit this form
- 1
Download the Application
Download the Public Fireworks Display Permit Application for unincorporated Rock Island County.
- 2
Complete the Applicant Details
Enter applicant names, Social Security numbers and addresses, display purpose, location, date and time, and the requested licensing and prior-permit information.
- 3
Gather Licensing Information
If no applicant is licensed by IDNR, provide the requested license proof and a letter from the licensed company or person handling the display or dismantling.
- 4
Arrange the Site Inspection
Contact the fire department chief providing coverage to the display area, or the chief’s designee, for an inspection of the proposed display site.
- 5
Submit to the County
Return the completed form to the County Administration Office at 1504 Third Avenue, Rock Island, IL 61201, at least 15 days before the display.
Frequently asked questions
- Do I need a notary for the Public Fireworks Display Permit Application?
- No. This document is signed and dated without a notary. Applicants without an IDNR-licensed handler must provide the requested license proof and company or handler letter.
- How do I submit the fireworks permit application?
- Return the completed form to the County Administration Office at 1504 Third Avenue, Rock Island, IL 61201, at least 15 days before the display.
- Who must complete this application?
- The form may be completed by individual adult applicants or a municipality seeking a permit for a public fireworks display in unincorporated Rock Island County.
- What must applicants do before the County Board can act?
- Applicants are responsible for contacting the fire department chief providing coverage to the display area, or the chief’s designee, for an inspection of the proposed site.