Get Application For Display Certificate Of Competency Dsfm 165 Rev 01 ... - Nh

Completing the Application For Display Certificate Of Competency DSFM 165 Rev 01 is an essential step for individuals seeking approval for fireworks display in the State of New Hampshire. This guide provides a clear, step-by-step approach to assist you in filling out the form accurately and efficiently.

Follow the steps to complete the application online:

1. Click ‘Get Form’ button to access the application form and open it in your preferred editing tool.
2. Begin by providing your name and date of birth in the designated fields.
3. Enter your residential address, including the street number, city or town, state, and zip code.
4. Specify your present employer. If you are self-employed, indicate that in the field provided.
5. Fill in your employer's address, ensuring all details are clear and accurate.
6. State your position or title at your current employment.
7. Indicate whether you currently hold a competency license for fireworks displays in any other state. If yes, provide the relevant details.
8. Answer whether you have ever had a license or certificate refused upon application. If yes, explain the circumstances.
9. State whether you have any previous licenses or certificates that were revoked or suspended, with explanations as necessary.
10. Disclose if you have any criminal record that has not been annulled.
11. Confirm your American citizenship by selecting the appropriate response.
12. Indicate how many years you have been involved in fireworks displays.
13. List any companies, municipalities, or organizations you have worked with in conducting fireworks displays.
14. Respond to whether you are under indictment for any crime that could result in imprisonment exceeding one year.
15. Confirm if you are a fugitive from justice.
16. State your age, confirming if you are twenty-one years or older.
17. Disclose whether you are an unlawful user or addicted to any narcotic or controlled substance.
18. Indicate if you have ever been adjudicated as a mental defective or committed to a mental institution.
19. Provide your physical characteristics, including height, weight, hair color, and eye color.
20. Finally, review your responses for accuracy, sign the application, and include your social security number.
21. Once completed, save your changes, and you may choose to download, print, or share the completed form as necessary.

Ensure your compliance and apply for your certificate online today!