Explosives license

Explosives license application

This license application is for those who manufacture, assemble or wholesale/resale explosives. For those who store for end-use or are an end-user, you must apply for an explosives permit
Name or company name

First Name or Company nameLast Name
Company address*

Street Address

Street Address Line 2

City, CountyState

Zip Code
Company phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Company email*
example@example.com
Responsible party contact information*

First NameLast Name
Responsible party date of birth*

MonthDayYear
Date
Responsible party home address*

Street Address

Street Address Line 2

CityState

Zip Code
Responsible party phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Responsible party email*
example@example.com
Address where explosives are located*

Street Address

Street Address Line 2

CityState

Zip Code
Attach a copy of your ATF license and State or Federal ID such as a drivers license*

Cancelof
The questions below refer to the responsible person listed on this application. If you answer yes to any of the following questions without the certificate* indicated, you are prohibited from obtaining a license.
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Minnesota Statutes, Chapter 299F.19 makes it unlawful to store explosive materials in a manner not in conformity with the rules and regulations of the Minnesota Department of Public Safety and the Federal Safe Explosives Act.

By signing below, you are certifying the following information:
- I am the responsible party indicated on this application or, in the case of a corporation, agency, or association, I am authorized to sign this application on behalf of the corporation, agency, or association.
- Under penalties of perjury, I have examined this application and any supporting documents submitted, and to the best of my knowledge and belief, they are true, accurate, and complete.
- I am familiar with the applicable regulations, state laws and rules, and local ordinances relating to explosive and blasting agents for the location intended.
- Prior to the storage or use of explosives or blasting agents, the licensee will notify the appropriate local fire official and law enforcement agency.
Signature*

Clear
Title*
The Minnesota Data Practices Act requires that you be notified of the following information:
- As an applicant for an explosives license, you are being asked to provide private and/or confidential data about yourself that will be used to check criminal histories, arrest records, and warrant information through the Minnesota Crime Information System and local police/sheriff files. This is being done to determine your eligibility to obtain an explosives license.
- You may refuse to provide this information. Should you refuse, this application will not be processed and no license will be issued.
- The information that you provide will be used by the State Fire Marshal to complete its investigation. This information may be conveyed to the Minnesota Bureau of Criminal Apprehension, other law enforcement agencies and treatment facilities identified through this application or investigation.
Please verify that you are human*
Should be Empty:

Explosives license application

The questions below refer to the responsible person listed on this application. If you answer yes to any of the following questions without the certificate* indicated, you are prohibited from obtaining a license.

Minnesota Statutes, Chapter 299F.19 makes it unlawful to store explosive materials in a manner not in conformity with the rules and regulations of the Minnesota Department of Public Safety and the Federal Safe Explosives Act.

The Minnesota Data Practices Act requires that you be notified of the following information: