APPLICATION TO LICENCE PREMISES TO SUPPLY/EXPOSE FOR SUPPLY ADULT FIREWORKS IN ACCORDANCE WITH REGULATION 9 OF THE FIREWORKS REGULATIONS 2004

FULL NAME of Applicant
(include full names of members of a partnership and
trading name or Limited Company name where applicable)

Address of Applicant

Telephone Number

Address of premises to be licensed for
supply/expose for supply of adult fireworks
if different from above
Is the above premises currently registered
for storage of Explosives?
If ‘Yes’ please quote current receipt number: / Yes / No (Delete as appropriate)

I wish to apply for a licence to expose or supply adult fireworks outside the periods exempted in accordance with Regulation 9 of the Fireworks Regulations 2004. (See note 1 overleaf)

I enclose a cheque for £500 (annual fee).

(Please make cheques payable to Devon County Council) □

I wish to pay by BACS*(please see details overleaf):- □

I also supply/expose for supply fireworks via the internet:- □

Please be sure to complete declaration overleaf, sign and date the form before returning in envelope provided along with cheque unless paying by BACS*(see above and overleaf).

Regulation 9 of the Fireworks Regulations 2004 state that a local licensing authority may refuse to grant a licence, or may revoke a licence which it has granted, if the applicant has committed –

(a)  an offence under section 11 of The Fireworks 2003 Act;

(b)  an offence under section 12 of The Consumer Protection Act 1987 Act arising from a contravention of The Fireworks (Safety) 1997 Regulations;

(c)  an offence under sections 4, 5 or 32 of The Explosives Act 1875; or

(d)  an offence in relation to the use, storage or keeping of fireworks under the Health and Safety at Work etc. Act 1974[14].

Please complete the form below by ticking the relevant box, adding your signature and then return this application form to me for processing. Please note that your licence will be valid for one year from the date of issue.

Please tick as applicable
I have no convictions relating to the above offences
I do have convictions relating to the above offences recorded against me - please give details below.

Signed: ______Date: ______

Details of Conviction (include dates)

Payment of Fee by BACS Transfer:

The necessary details to arrange a BACS* transfer are shown below:

Account Name: / DCC County Fund Account
Bank Sort Code: / 20 30 47
Account Number: / 10050040
Bank Name: / Barclays Bank plc
Address: / 3 Bedford Street, Exeter, Devon

Note 1:

You are not required to hold a firework supply licence if you only expose/supply fireworks during the following periods:

1.  15th October to 10th November

2.  26th December to 31st December

3.  On the first day of the Chinese New Year and the 3 days immediately preceding it. Next Chinese New Year is 14th February 2010.

4.  On the day of Diwali (Hindu New Year) and the 3 days immediately preceding it. The date for Diwali this year (2009) is 17th October.

This form should be sent with the fee to:

Trading Standards Service, Devon County Council, County Hall, Topsham Road, EXETER EX2 4QH Tel: 01392 381381

FAO: Mary Hayman

P:\TradeStd\Community Services Team\Mary Hayman\Explosives\Firework Licences - All Year docs\SHELL - New explosives licensee - form.doc