Online Fireworks Application


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Urgent! Please verify and update email address before submitting an application. Permits will be sent to the email provided below.
Last Name of Applicant:
First Name of Applicant:
Middle Initial of Applicant:
U.S. Citizen?
  Proof of Citizenship:   Examples        Why Submit Proof of Citizenship?
Social Security Number:  (XXX-XX-XXXX)
Date of Birth:  (MM/DD/YYYY)
Home Telephone Number:
Work Telephone Number:
Mailing Address:  
    City, State, Zip Code:        
Email Address:        
Confirm Password:      
Password Question:
Password must be at least:
-8 character minimum
-12 character maximum
  -1 uppercase
-1 lowercase
-1 number
"Section 30 of the Immigration Act defines professional licensure to be a business transaction, and requires an applicant for professional licensure, who is US citizen, to demonstrate citizenship by presenting at least one of the documents named in the Code of Alabama 1975 Section 31-13-29(g)."

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