Form MO815-F0104 "Fireworks Permit Application" - Missouri

What Is Form MO815-F0104?

This is a legal form that was released by the Missouri Department of Public Safety - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Missouri Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MO815-F0104 by clicking the link below or browse more documents and templates provided by the Missouri Department of Public Safety.

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Download Form MO815-F0104 "Fireworks Permit Application" - Missouri

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Department of Public Safety
Mailing Address: P O Box 844
Jefferson City, Missouri 65102
Division of Fire Safety
Telephone: 573-751-2930
Fireworks Permit Application
Fax Number: 573-526-4600
Permit Year 20____
E-Mail Address:
firesafe@dfs.dps.mo.gov
INSTRUCTIONS
FOR COMPLETING
FIREWORKS PERMIT APPLICATION
Notice:
If you are involved in Missouri’s fireworks industry as a manufacturer, distributor, wholesaler, jobber or seasonal
retailer, it is your responsibility to be familiar with and know Missouri law, RSMo. 320.106 through 320.161 and Missouri’s Code
of State Regulations 11 CSR 40-3.010.
Copy of the Missouri Revised Statutes and Missouri Rules pertaining to fireworks can be obtained from our
website at
www.dfs.dps.mo.gov
or by calling 573-751-2930.
Permit applications may be obtained from the Division of Fire Safety or downloaded from our website at
www.dfs.dps.mo.gov.
INSTRUCTIONS
To ensure prompt processing of Fireworks Permit Application please follow the check list below:
Please print in ink or type.
Complete all questions on application.
Only cashier’s checks, bank drafts, or money orders payable to the “Division of Fire Safety” will be accepted. (Cash or
personal checks will not be accepted.)
All applicants must submit a Certificate of No Sales or Use Tax Due and a copy of the Missouri Retail Sales Tax
License. This must be obtained from the Missouri Department of Revenue. For example: If you are applying for five separate
locations you must submit five sales tax licenses, each with a separate address of business, all will have the same sales tax
number.
All corporations must submit a current copy of their Certificate of Good Standing to commence business in Missouri.
This may be obtained from the Missouri Secretary of State.
All manufacturers, distributors, jobbers, and wholesalers shall submit their application and required documentation
before January 1.
Please include a stamped, self-addressed, business envelope.
ISSUANCE OF PERMIT
Allow a minimum of 30 days from the date the Division of Fire Safety receives an application for the permit to be issued.
Applications received on or postmarked after the January 1st deadline may require a longer processing time.
SEND ALL INFORMATION TO: Investigations and Explosives Enforcement Unit, Missouri Division of Fire Safety, P.O. Box
844, Jefferson City, Missouri 65102
Department of Public Safety
Mailing Address: P O Box 844
Jefferson City, Missouri 65102
Division of Fire Safety
Telephone: 573-751-2930
Fireworks Permit Application
Fax Number: 573-526-4600
Permit Year 20____
E-Mail Address:
firesafe@dfs.dps.mo.gov
INSTRUCTIONS
FOR COMPLETING
FIREWORKS PERMIT APPLICATION
Notice:
If you are involved in Missouri’s fireworks industry as a manufacturer, distributor, wholesaler, jobber or seasonal
retailer, it is your responsibility to be familiar with and know Missouri law, RSMo. 320.106 through 320.161 and Missouri’s Code
of State Regulations 11 CSR 40-3.010.
Copy of the Missouri Revised Statutes and Missouri Rules pertaining to fireworks can be obtained from our
website at
www.dfs.dps.mo.gov
or by calling 573-751-2930.
Permit applications may be obtained from the Division of Fire Safety or downloaded from our website at
www.dfs.dps.mo.gov.
INSTRUCTIONS
To ensure prompt processing of Fireworks Permit Application please follow the check list below:
Please print in ink or type.
Complete all questions on application.
Only cashier’s checks, bank drafts, or money orders payable to the “Division of Fire Safety” will be accepted. (Cash or
personal checks will not be accepted.)
All applicants must submit a Certificate of No Sales or Use Tax Due and a copy of the Missouri Retail Sales Tax
License. This must be obtained from the Missouri Department of Revenue. For example: If you are applying for five separate
locations you must submit five sales tax licenses, each with a separate address of business, all will have the same sales tax
number.
All corporations must submit a current copy of their Certificate of Good Standing to commence business in Missouri.
This may be obtained from the Missouri Secretary of State.
All manufacturers, distributors, jobbers, and wholesalers shall submit their application and required documentation
before January 1.
Please include a stamped, self-addressed, business envelope.
ISSUANCE OF PERMIT
Allow a minimum of 30 days from the date the Division of Fire Safety receives an application for the permit to be issued.
Applications received on or postmarked after the January 1st deadline may require a longer processing time.
SEND ALL INFORMATION TO: Investigations and Explosives Enforcement Unit, Missouri Division of Fire Safety, P.O. Box
844, Jefferson City, Missouri 65102
DEPARTMENT OF PUBLIC SAFETY
Fireworks Permit Application
DIVISION OF FIRE SAFETY
Permit Year 20___
PO Box 844, Jefferson City, MO 65102
Name of Business:
Business Email Address:
Owner of Business Or Responsible Person:
Business Phone Number:
Business Fax Number:
Mailing Address:
City:
State:
Zip:
County:
Does your business sell display fireworks as defined in Chapter 320 RSMo.
_______ YES
_______ NO
If yes, BATFE Federal License/Permit Number: _____________________ Expiration Date: __________________
Fireworks Product Purchased From:
Business Name: ___________________________________________ City: ___________________________________ State: _________
COMPLETE FORM BELOW LISTING ALL BUSINESS LOCATIONS FOR WHICH YOU ARE APPLYING. IF YOU ARE
APPLYING FOR MORE THAN ONE LOCATION, YOU MUST SUMBIT A RETAIL SALES TAX LICENSE FOR EACH.
Address
City
State
County
Zip
Permit
Company
Type
Number
Permit Type and Fee Per Location
(M) Manufacturer
(D) Distributor $775
(W) Wholesaler
(J) Jobber $525
(S)Seasonal Retailer
$775
$275
$50
Total Fee(s) Amount Enclosed: $ ____________________
I CERTIFY THAT I AM FAMILIAR WITH THE RULES AND REGULATIONS OF CHAPTER 320 RSMO AND ITS REVISIONS
AS IT PERTAINS TO THE FIREWORKS INDUSTRY IN THE STATE OF MISSOURI.
____________________________________
__________________________________________
_________________________
Signature
Print Name
Date
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