The Texas SF044 form is an application for a Class B fireworks permit, specifically for singular or multiple displays of fireworks classified as 1.3G. This application requires the submission of appropriate fees and compliance with state regulations outlined in Chapter 2154 of the Texas Occupations Code. For those planning a fireworks display, completing this form accurately is essential; click the button below to get started.
The Texas SF044 form serves as a crucial application for obtaining a Class B Fireworks Permit, specifically for singular or multiple fireworks displays. This form is managed by the Texas Department of Insurance, specifically the State Fire Marshal’s Office, and requires applicants to provide detailed information regarding the planned fireworks event. A permit fee is associated with the application, with different fees for singular displays ($50) and multiple displays ($400). To ensure compliance with state regulations, applicants must be at least 21 years old and must submit a variety of supporting documents, including liability insurance and a site diagram that outlines the display area. The form also emphasizes the importance of truthful responses, as any fraudulent information can lead to severe penalties, including denial or revocation of the permit. Additionally, applicants must designate a licensed pyrotechnic operator to supervise the display, ensuring safety and adherence to the Texas Occupations Code and Fireworks Rules. The process is designed to maintain public safety while allowing for the enjoyment of fireworks displays across the state.
Texas Department of Insurance
State Fire Marshal’s Office Mail Code 112-FM
333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900 • 512-305-7922 fax • www.tdi.texas.gov
APPLICATION FOR CLASS B FIREWORKS (FIREWORKS 1.3G)
SINGULAR OR MULTIPLE DISPLAY PERMIT
This application must be accompanied by the appropriate fee and all documents and information required by Chapter 2154 of the Texas Occupations Code and the Fireworks Rules. Complete answers must be given to all questions.
Please print or type.
A public fireworks display permit may not be issued to any person who is under 21 years of age. Any fraudulent representation on this application shall be cause for denial, suspension, or revocation of a permit. All fees are non-refundable, except for overpayments resulting from mistakes of law or fact.
PERMIT
CHECK ONE
TYPE OF PERMIT
PERMIT FEE
CODE
ﾅ
Singular Display Permit
$50.00
570-07
Multiple Display Permit
$400.00
570-08
APPLICANT
NAME OF APPLICANT
Telephone No. ___________________
Fax No.
________________________
ADDRESS
CITY
STATE
ZIP
E-MAIL ADDRESS FOR NOTIFICATION PURPOSES (optional)
WEB SITE ADDRESS (optional)
Applicant doing business as (Check One)
Individual.
Yes
No
Is the individual 21 years of age or older?
Corporation
Partnership.
Is each partner 21 years of age or older?
Other – describe:
Federal employer's identification (FEI) number:
DISPLAY INFORMATION
Date of display
__________________________________
Time
Alternate date of display
Exact location description or address of display and/or alternate location for the display
Pyrotechnic operator licensed in Texas who will be at the display site to supervise the display:
Name
License number
SF044 Rev. 12/13
Page 1 of 5
QUESTIONS
Size and estimated number of 1.3G fireworks to be discharged:
Other items (1.4G fireworks, flame effects, set pieces, etc.)
Manner and address of storage of fireworks prior to and during the display
Manufacturer or distributor licensed in Texas who is to supply the fireworks:
SIGNATURES
In applying for a fireworks permit, I certify that I am familiar with and will comply with Chapter 2154 of the Texas Occupations Code and the Fireworks Rules.
I hereby authorize the state fire marshal or any of his duly authorized deputies, upon notice, to enter, examine, and inspect any premises, building, room, or establishment used in connection with the permit for which I am applying to determine compliance with the provisions of Chapter 2154 and the Fireworks Rules.
By my signature, I verify that the information on this application and its attachments are true.
I understand that knowingly providing a false answer to any question or submitting false information or documents with this application may be tampering with a governmental record which is punishable under the Texas Penal Code Chapter 37, §37.10.
Printed name
Title
Signature
Date
APPLICATIONS MUST BE SIGNED BY AN INDIVIDUAL APPLICANT, BY AN OFFICER OF A CORPORATION, BY THE SOLE PROPRIETOR, BY EACH PARTNER OF A GENERAL PARTNERSHIP, BY THE GENERAL PARTNER OF A LIMITED LIABILITY PARTNERSHIP OR BY AN OFFICER OR MEMBER OF A LIMITED LIABILITY COMPANY.
APPLICATIONS SUBMITTED BY A GOVERNMENTAL ENTITY MUST BE SIGNED BY THE APPROPRIATE OFFICER. FOR EXAMPLE, A CITY’S APPLICATION SHOULD BE SIGNED BY THE MAYOR, CITY MANAGER, CITY ADMINISTRATOR, CITY SECRETARY, ETC.
Check or money order should be made payable to the TEXAS DEPARTMENT OF INSURANCE.
Mail this completed application along with the appropriate fee and additional documents to:
Mail Address:
State Fire Marshal’s Office
Physical Address:
Mail Code 9999
333 Guadalupe
P. O. Box 149221
Austin, TX 78701
Austin, TX 78714-9221
512-305-7922
512-305-7930
Web Site Address:
www.tdi.texas.gov/fire
NOTICE ABOUT CERTAIN INFORMATION LAWS AND PRACTICES
With few exceptions, you are entitled to be informed about the information that the Texas Department of Insurance (TDI) collects about you. Under sections 552.021 and 552.023 of the Texas Government Code, you have a right to review or receive copies of information about yourself, including private information. However, TDI may withhold information for reasons other than to protect your right to privacy. Under section 559.004 of the Texas Government Code, you are entitled to request that TDI correct information that TDI has about you that is incorrect. For more information about the procedure and costs for obtaining information from TDI or about the procedure for correcting information kept by TDI, please contact the Agency Counsel Section of TDI’s Legal and Regulatory Affairs Division at 512-475-1757 or visit the Corrections Procedure section of TDI’s web page at www.tdi.texas.gov.
Page 2 of 5
SINGULAR OR MULTIPLE DISPLAY PERMIT SITE DIAGRAM/PLAN
Please make sure the below listed items are included on the site diagram
Address of display location
Show location of firing site
Show location of spectators
Show minimum secured area on all sides of firing site
Show method of restraint/security on all sides of firing site
Show location of health care, detention and correctional facilities. If there are no such facilities within the distance required by NFPA 1123, 1995 ed., please indicate such in a statement on the diagram.
Show location of school buildings and/or churches. If there are no buildings within 600 feet of the firing site, please indicate such in a statement on the diagram.
Show location of hazardous materials. If there are no hazardous materials within the distance required by NFPA 1123, 1995 ed., please indicate such in a statement on the diagram.
Page 3 of 5
Application for Class B Fireworks (Fireworks 1.3G) Singular or Multiple Display Permit
Site Inspection Certification
1.Name of applicant ______________________________________________________________________________________
Address _________________________________________________
Telephone _______________________________
City __________________________________________________
State ____________
Zip Code ______________
2.
Date of display ___________________________________________________
____________________________
Alternate date of display ___________________________________________
3.
Location and/or alternate location for the display ______________________________________________________________
______________________________________________________________________________________________________
4.
As the fire prevention officer, I approve of the display site and have reviewed the site diagram.
ﾅ Yes
ﾅ No
5.
I approve of the location and manner for storage of display fireworks before and during the display.
6.
I approve of the potential landing area for fireworks debris.
7.
The display is to be conducted in compliance with TX Occupations Code,
Regulation of Fireworks & Fireworks Displays and the Fireworks Rules.
8.My approval is subject to the following conditions.
List conditions, if applicable, or indicate “None” _______________________________________________________________
9.As the appropriate fire prevention officer, I have inspected the display site(s) to determine whether this proposed display is of a nature or in a location that may be hazardous to property or dangerous to any person. This form is my notice to the state fire marshal of the results of the inspection as required in Sec. 2154.206, Chapter 2154, Texas Occupations Code.
Signature of fire prevention officer ________________________________________
_________________________
Printed name of fire prevention officer _____________________________________
Department __________________________________________________
Telephone No. ________________________
Email address:_________________________________________________
Mobile Phone No. _____________________
Telephone No.
Web Site Address
Page 4 of 5
APPLICANTS FOR A SINGULAR OR MULTIPLE DISPLAY PERMIT MUST SUBMIT THE FOLLOWING:
1.An application for a singular or multiple display permit.
2.A certificate of general liability insurance.
ITEMS TO BE INCLUDED ON INSURANCE CERTIFICATES:
1.The name of the insurer and the policy number.
2.The name of the insured, which must be the same name as on the display application.
3.Effective dates (or days) of the policy.
4.The amount of coverage must not be less than $500,000. The policy shall be conditioned to pay those sums the insured becomes obligated to pay as damages because of bodily injury and property damage caused by an occurrence involving the insured or the insured’s servant, officer, agent, or employee in the conduct of a public fireworks display.
5.The words “fireworks display” and the dates(s) of the display should appear under description of operations on the certificate. Any alternate date(s) should also be included.
6.The State Fire Marshal’s Office should be listed as the certificate holder.
7.Must be issued by an insurer authorized to do business in Texas and countersigned by an insurance agent licensed in Texas.
ADDITIONAL DOCUMENTS
If you are a
Texas or Foreign
submit the following
Certificate of general liability insurance
Corporate Charter, Certificate of Existence, or Certificate of Authority issued by the Texas Secretary of State
Franchise Tax Account Status must be ACTIVE with the TX Comptroller of Public Accounts
Assumed Name Certificate from Texas Secretary of State (if using a d/b/a)
Sole Proprietorship or General Partnership
submit the following:
Assumed Name Certificate from your County Clerk (if using a d/b/a)
Limited Partnership
Certificate of Limited Partnership, Registration Application for Foreign Limited Partnership
Limited Liability
Company
Certificate of Organization, or Certificate of Authority issued by the Texas Secretary of State
Texas Secretary of State: 512-463-5578
Texas Comptroller of Public Accounts 800-252-1386
Page 5 of 5
Completing the Texas SF044 form is a necessary step for obtaining a Class B Fireworks Display Permit. This process involves providing detailed information about the applicant, the display, and ensuring compliance with relevant regulations. Follow the steps outlined below to accurately fill out the form.
After submitting the form, it will be reviewed by the State Fire Marshal’s Office. Ensure that all information is accurate and complete to avoid delays in processing your application.
The Texas SF044 form is an application for a Class B Fireworks Permit, which allows individuals or organizations to conduct public fireworks displays. This form must be filled out and submitted to the State Fire Marshal’s Office along with the required fee and supporting documents.
The SF044 form allows applicants to apply for two types of permits: a Singular Display Permit, which costs $50, and a Multiple Display Permit, which costs $400. The type of permit you choose depends on whether you plan to conduct a single fireworks display or multiple displays over a specified period.
To apply for a fireworks permit in Texas, the applicant must be at least 21 years old. This requirement applies to individuals, as well as to all partners in a partnership and officers in a corporation. Additionally, any fraudulent information provided in the application can lead to denial or revocation of the permit.
The SF044 form requires various details, including:
Applicants must provide a certificate of general liability insurance with a minimum coverage of $500,000. The certificate should include the name of the insured, effective dates, and specify that it covers fireworks displays. The State Fire Marshal’s Office must be listed as the certificate holder.
Providing false information on the SF044 application can lead to severe consequences. This includes denial, suspension, or revocation of the permit. Additionally, it may be considered tampering with a governmental record, which is a punishable offense under Texas law.
Once you have completed the SF044 form and gathered the necessary documents and fees, you can submit it by mailing it to the State Fire Marshal’s Office. Ensure that you include all required information and payment, either by check or money order made out to the Texas Department of Insurance.
Yes, under Texas law, you have the right to request corrections to any information that is incorrect. This can be done by contacting the Texas Department of Insurance and following their procedures for making corrections.
The site diagram is a crucial part of the application that visually represents the display location. It should include details such as the firing site, spectator areas, and any nearby health care or educational facilities. This diagram helps ensure safety and compliance with regulations during the fireworks display.
For more information, you can visit the Texas Department of Insurance website at www.tdi.texas.gov/fire. This site provides resources, guidelines, and contact information for any further questions regarding the SF044 form and the fireworks display permit process.
Incomplete Information: Failing to provide complete answers to all questions can lead to delays or denials. Each section must be thoroughly filled out.
Incorrect Age Verification: Applicants under 21 years of age cannot receive a permit. Ensure age eligibility is accurately confirmed.
Missing Required Fees: Not including the appropriate fee with the application can result in immediate rejection. Verify the fee amount based on the type of permit.
Improper Signatures: The application must be signed by the correct individual. Double-check that signatures are from the designated applicant or authorized officer.
Omitting Required Documents: Failing to attach necessary documents, such as proof of insurance or the corporate charter, may cause processing delays.
Neglecting the Site Diagram: The site diagram must include all required elements. Ensure that the diagram accurately reflects the display location and safety measures.
Incorrect Contact Information: Providing outdated or incorrect contact details can hinder communication. Always verify that phone numbers and emails are accurate.
Failure to Meet Insurance Requirements: Not adhering to the insurance guidelines, such as coverage amounts or proper naming of the State Fire Marshal’s Office, can lead to disqualification.
Ignoring Local Regulations: Overlooking local laws or regulations regarding fireworks displays can have serious consequences. Research and comply with all applicable rules.
Submitting Late Applications: Ensure that applications are submitted well in advance of the planned display date. Late submissions may not be considered.
When applying for a Class B Fireworks Display Permit in Texas using the SF044 form, several additional documents may be required to ensure compliance with state regulations. Each of these documents plays a crucial role in the permitting process, helping to maintain safety and legal standards for fireworks displays.
Collectively, these forms and documents help ensure that all aspects of the fireworks display are conducted safely and legally. Proper preparation and submission of these documents can facilitate a smoother application process for the desired fireworks permit.
The Texas Alcoholic Beverage Commission (TABC) application for a permit shares similarities with the Texas SF044 form. Both require applicants to provide detailed personal and business information, including contact details and legal structure. Just like the SF044, the TABC application mandates that the applicant must be of legal age, ensuring compliance with state regulations. Additionally, both forms necessitate a fee payment and may involve inspections to verify compliance with safety and legal standards.
The Texas Department of Transportation (TxDOT) permit application also mirrors the SF044 form. Each application demands comprehensive information about the applicant and the intended use of the permit. Similar to the SF044, TxDOT applications require the submission of supporting documents, such as proof of insurance. Both applications emphasize the importance of adherence to state laws and regulations, with penalties for false representations.
The Texas Parks and Wildlife Department (TPWD) hunting or fishing permit application is another document akin to the SF044 form. Each application requires personal identification and age verification. Both forms include sections for the applicant to certify compliance with relevant laws and regulations. Additionally, both the TPWD and SF044 applications may require fees and supporting documentation to ensure proper licensing and safety measures are in place.
The Texas Commission on Environmental Quality (TCEQ) permit application for waste management is similar to the SF044 form in that it requires detailed site information and compliance with safety regulations. Both applications involve an approval process that may include inspections and assessments by state officials. Moreover, both require a signed declaration affirming the truthfulness of the information provided, with consequences for any misrepresentation.
The Texas Secretary of State's business formation application shares common ground with the SF044 form. Both documents necessitate the disclosure of the business structure, ownership details, and compliance with state requirements. Each application also includes a certification section where the applicant must affirm the accuracy of the information provided. Fees are applicable in both cases, and both forms are subject to review and approval by state authorities.
Lastly, the Texas Department of Insurance (TDI) application for a general liability insurance policy is comparable to the SF044 form. Each requires the applicant to provide extensive details about the business and its operations. Similar to the SF044, the insurance application mandates that the applicant must comply with specific legal requirements and submit supporting documentation. Both forms emphasize the importance of accurate information and may have repercussions for any fraudulent claims.
When filling out the Texas SF044 form for a Class B Fireworks permit, there are important dos and don’ts to keep in mind. Following these guidelines can help ensure your application is processed smoothly.
By following these tips, you can improve your chances of a successful application. Take your time, double-check your work, and ensure all necessary documentation is included. Good luck with your fireworks display!
Understanding the Texas SF044 form is crucial for anyone looking to apply for a fireworks display permit. However, several misconceptions often arise. Here are eight common misunderstandings, along with clarifications to help you navigate the process more effectively.
By understanding these misconceptions, you can better prepare for the application process and ensure compliance with Texas regulations. Always take the time to read through the requirements thoroughly and seek assistance if needed.
When filling out and using the Texas SF044 form for a Class B Fireworks permit, there are several important points to keep in mind:
By following these key takeaways, you can ensure a smoother application process for your fireworks display permit in Texas.