Fire Prevention Division
606 S. Main St.
Normal, IL 61761
Given by the Fire Department.
Please provide the date and time of the firework event.
Please provide the name and address of your organization.
Please provide the name and address of where the display will be taking place.
Please provide the name and address of the firm providing the fireworks.
Please provide the name and address of the pyrotechnic operator.
Please provide the pyrotechnic operators license number.
Please provide the number and types of fireworks planned to be used.
You may attach a list here.
Please provide us with all the information of where the fireworks will be stored.
(Required in addition to insurance by state law)
($500,000 or more)
Please sign or type the full names of three applicants, their age, and best phone number to reach them by.
This field is not part of the form submission.
* indicates a required field