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Fill Your Texas Sf044 Form

The Texas SF044 form is an application for a Class B fireworks permit, specifically for singular or multiple displays of Fireworks 1.3G. This form must be completed with accurate information and submitted along with the required fee and supporting documents as outlined in Chapter 2154 of the Texas Occupations Code. Ensuring compliance with these regulations is essential for obtaining the necessary permit to conduct fireworks displays in Texas.

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Dos and Don'ts

When filling out the Texas SF044 form, consider the following dos and don’ts:

  • Do ensure all questions are answered completely and accurately.
  • Do include the appropriate fee with your application.
  • Do provide a valid certificate of general liability insurance as required.
  • Do sign the application, ensuring it is signed by the correct individual or officer.
  • Don't submit the application without verifying that all information is correct.
  • Don't leave out any required documents, such as the Certificate of Existence or Assumed Name Certificate.
  • Don't provide false information, as this may lead to denial or revocation of your permit.
  • Don't forget to check the age requirement; applicants must be at least 21 years old.

Sample - Texas Sf044 Form

Texas Department of Insurance

State Fire Marshal’s Office Mail Code 112-FM

333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900512-305-7922 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

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

Yes

No

 

 

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

__________________________________

Time

________________________

 

 

 

 

 

 

 

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

 

 

Name

License number

 

 

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:

Name

License number

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

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:

State Fire Marshal’s Office

 

Mail Code 9999

 

333 Guadalupe

 

P. O. Box 149221

 

Austin, TX 78701

 

Austin, TX 78714-9221

Fax No.

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.

SF044 Rev. 12/13

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.

SF044 Rev. 12/13

Page 3 of 5

Texas Department of Insurance

State Fire Marshal’s Office

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 ___________________________________________________

Time

____________________________

 

Alternate date of display ___________________________________________

Time

____________________________

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.

Yes

No

5.

I approve of the location and manner for storage of display fireworks before and during the display.

Yes

No

6.

I approve of the potential landing area for fireworks debris.

 

 

 

Yes

No

7.

The display is to be conducted in compliance with TX Occupations Code,

 

 

 

 

 

Regulation of Fireworks & Fireworks Displays and the Fireworks Rules.

 

 

 

Yes

No

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 ________________________________________

Date

_________________________

Printed name of fire prevention officer _____________________________________

Title

_________________________

Department __________________________________________________

Telephone No. ________________________

Email address:_________________________________________________

Mobile Phone No. _____________________

Telephone No.

512-305-7930

Fax No.

512-305-7922

Web Site Address

www.tdi.texas.gov/fire

SF044 Rev. 12/13

Page 4 of 5

APPLICATION FOR CLASS B FIREWORKS (FIREWORKS 1.3G)

SINGULAR OR MULTIPLE DISPLAY PERMIT

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

Corporation

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)

If you are a

Sole Proprietorship or General Partnership

submit the following:

Certificate of general liability insurance

Assumed Name Certificate from your County Clerk (if using a d/b/a)

If you are a

Texas or Foreign

Limited Partnership

submit the following

Certificate of general liability insurance

Certificate of Limited Partnership, Registration Application for Foreign Limited Partnership

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)

If you are a

Texas or Foreign

Limited Liability

Company

submit the following

Certificate of general liability insurance

Certificate of Organization, 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)

Texas Secretary of State: 512-463-5578

Texas Comptroller of Public Accounts 800-252-1386

SF044 Rev. 12/13

Page 5 of 5

More PDF Templates

Documents used along the form

The Texas SF044 form serves as an essential application for obtaining a permit for public fireworks displays. When applying for this permit, several additional documents are typically required to ensure compliance with state regulations. Each of these documents plays a crucial role in the overall approval process and helps to maintain safety standards during fireworks displays.

  • Certificate of General Liability Insurance: This document provides proof that the applicant has insurance coverage for potential liabilities arising from the fireworks display. It must meet specific requirements, including a minimum coverage amount and listing the State Fire Marshal’s Office as the certificate holder.
  • Site Inspection Certification: This form is completed by a fire prevention officer who inspects the proposed display site. It confirms that the location is safe and compliant with relevant regulations. The officer must approve various aspects of the display, such as the storage of fireworks and the potential landing area for debris.
  • Assumed Name Certificate: If the applicant operates under a different name than their legal entity, this certificate must be submitted. It is obtained from the county clerk and verifies the business name under which the applicant is conducting operations.
  • Corporate Charter or Certificate of Existence: For applicants that are corporations, this document demonstrates that the corporation is legally established and recognized by the state. It must be current and issued by the Texas Secretary of State.

These documents, along with the SF044 form, create a comprehensive application package that facilitates the review process by the State Fire Marshal’s Office. Properly completing and submitting these forms ensures that all safety and legal requirements are met, paving the way for a successful fireworks display.

Common mistakes

Filling out the Texas SF044 form can seem straightforward, but there are common mistakes that applicants often make. Understanding these pitfalls can help ensure a smoother application process. One frequent error is failing to provide complete answers to all questions. Each section of the form is crucial, and incomplete responses can lead to delays or outright rejection of the application.

Another common mistake involves the age requirement. Applicants must be at least 21 years old to apply for a fireworks display permit. Some individuals overlook this requirement, leading to complications later in the process. It’s essential to double-check that all applicants meet the age criteria before submitting the form.

Incorrectly selecting the type of permit is also a frequent issue. The form offers options for either a singular or multiple display permit, and applicants sometimes choose the wrong one, which can result in additional fees or the need to resubmit the application. Always review the permit types carefully to ensure the right choice is made.

Providing inaccurate or missing contact information can hinder communication. Applicants should ensure that their telephone numbers, fax numbers, and email addresses are current and correct. This information is vital for receiving updates or requests for additional documentation.

Another mistake relates to the display information section. Applicants often forget to include the exact location and alternate date of the fireworks display. This information is necessary for the approval process, and any omissions can lead to delays.

Additionally, failing to include the required documentation, such as the certificate of general liability insurance, can halt the application process. The insurance must meet specific criteria, including coverage amounts and the correct naming of the insured. Applicants should verify that all necessary documents are attached before submission.

Some applicants neglect to sign the application correctly. The form must be signed by the appropriate individual, whether that be the applicant, an officer of a corporation, or a partner in a partnership. Missing signatures can result in immediate rejection of the application.

Another oversight is not including the correct fee. The application requires a fee that varies depending on the type of permit. Applicants should ensure that they submit the right amount, as incorrect fees can lead to processing delays.

Lastly, applicants sometimes fail to check the site diagram requirements. This diagram must include specific details, such as the location of the firing site and the secured area around it. Omitting these details can lead to safety concerns and complications with approval.

By being mindful of these common mistakes, applicants can enhance their chances of a successful application for a fireworks display permit in Texas. Careful attention to detail is key to navigating this process smoothly.

Misconceptions

Here are some common misconceptions about the Texas SF044 form, which is used for applying for a Class B Fireworks Display Permit:

  • Anyone can apply for a permit regardless of age. This is not true. Applicants must be at least 21 years old to be eligible for a fireworks display permit.
  • All fees are refundable. In reality, all fees are non-refundable, except for overpayments made due to mistakes of law or fact.
  • Only one type of permit is available. There are actually two types of permits: a Singular Display Permit and a Multiple Display Permit, each with different fees.
  • Insurance is optional. This is incorrect. A certificate of general liability insurance is required to complete the application process.
  • Applications can be submitted without supporting documents. This is a misconception. The application must be accompanied by all required documents as outlined in the application guidelines.
  • It’s enough to just fill out the form. Not quite. The application must be signed by the appropriate individual, such as an officer or member of the organization applying.
  • Local fire department approval is not necessary. This is false. The display site must be inspected and approved by the local fire prevention officer.
  • Submitting false information has no serious consequences. On the contrary, providing false information can lead to denial, suspension, or revocation of the permit, and may even result in legal penalties.

Key takeaways

When filling out the Texas SF044 form for a fireworks display permit, there are several important points to keep in mind. Here are five key takeaways:

  • Eligibility Requirements: Only individuals 21 years of age or older can apply for a fireworks display permit. Ensure that you meet this requirement before submitting your application.
  • Complete and Accurate Information: Provide complete answers to all questions on the form. Inaccurate or fraudulent information can lead to denial or revocation of your permit.
  • Permits and Fees: Choose the correct type of permit—either a Singular Display Permit for $50 or a Multiple Display Permit for $400. Include the appropriate fee with your application.
  • Documentation Requirements: Along with the application, submit a certificate of general liability insurance. This insurance must meet specific criteria, including a minimum coverage of $500,000.
  • Site Diagram: Include a detailed site diagram that shows the location of the firing site, spectators, and safety measures. This diagram is crucial for ensuring compliance with safety regulations.

By following these guidelines, you can navigate the application process more smoothly and increase the likelihood of obtaining your fireworks display permit.

File Characteristics

Fact Name Description
Purpose The Texas SF044 form is an application for a Class B Fireworks Display Permit, which allows for singular or multiple fireworks displays.
Governing Law This form is governed by Chapter 2154 of the Texas Occupations Code and the associated Fireworks Rules.
Age Requirement Applicants must be at least 21 years old to be eligible for a fireworks display permit.
Fees The application fee for a singular display permit is $50, while a multiple display permit costs $400.
Non-Refundable Fees All fees submitted with the application are non-refundable, except in cases of overpayment due to errors in law or fact.

How to Use Texas Sf044

Filling out the Texas SF044 form is an important step for those seeking a permit for fireworks displays. This form requires detailed information about the applicant, the display, and necessary safety measures. Once completed, the form must be submitted along with the required fee and any additional documentation to the appropriate office.

  1. Obtain the Form: Download or print the Texas SF044 form from the Texas Department of Insurance website.
  2. Choose the Type of Permit: Indicate whether you are applying for a Singular Display Permit ($50) or a Multiple Display Permit ($400) by checking the appropriate box.
  3. Fill in Applicant Information: Provide your name, telephone number, fax number, address, city, state, and ZIP code. Include your email address and website if applicable.
  4. Indicate Business Structure: Check the box that describes your business structure (Individual, Corporation, Partnership, or Other). Confirm the age of the applicant or partners as required.
  5. Provide Display Information: Enter the date and time of the display, as well as any alternate dates and times. Describe the exact location of the display.
  6. List Pyrotechnic Operators: Include the names and license numbers of licensed pyrotechnic operators who will supervise the display.
  7. Detail Fireworks Information: Provide the size and estimated number of 1.3G fireworks to be discharged, as well as information about any other items like 1.4G fireworks or flame effects.
  8. Storage Information: Describe how and where the fireworks will be stored prior to and during the display.
  9. Manufacturer Information: List the name and license number of the manufacturer or distributor who will supply the fireworks.
  10. Sign and Date the Application: Ensure that the application is signed by the appropriate individual, such as the applicant or an officer of the corporation. Include the printed name, title, and date of signature.
  11. Prepare Additional Documents: Gather required documents such as a certificate of general liability insurance and any necessary certificates depending on your business structure.
  12. Submit the Application: Mail the completed form, required fee, and additional documents to the State Fire Marshal’s Office at the provided address. Ensure the payment is made by check or money order payable to the Texas Department of Insurance.