Walworth, NY · Wayne County
Request for Fireworks Display Permit
This application requests a fireworks display permit and is completed by the show sponsor and display company for a planned fireworks event.
What this form is
The Town of Walworth fireworks display permit request collects information about the sponsor, display company, pyrotechnician, authorized assistants, event, fireworks, and storage. It asks for proof of insurance or bond and, for outdoor displays not before a proximate audience, a site diagram. Indoor displays require additional planning documents, including a written plan submitted at least five days before the performance.
Who needs it
A show sponsor and display company planning a fireworks display in Walworth need to complete this permit request and provide the applicable supporting materials.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it lists attachments, but none is identified as notarized or sworn.
How to submit this form
- 1
Download The Application
Download the fireworks display permit request PDF.
- 2
Complete The Application
Fill in sponsor, display company, operator, assistant, event, display, and fireworks storage information.
- 3
Gather Supporting Documents
Attach proof of insurance or bond and applicable diagrams; indoor displays require additional plan materials.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the fireworks display permit request?
- No. The application has a signature and date line but no notary block; its listed attachments are not identified as requiring notarization or a sworn statement.
- How do I submit the fireworks display permit request?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information and attachments does the application ask for?
- It asks for sponsor and display company details, event information, operator and assistant credentials, proof of insurance or bond, and applicable site diagrams or indoor-display documents.
Need something notarized?
This Request for Fireworks Display Permit doesn’t need a notary — but if you have another Walworth form that does, a commissioned online notary can help.