Guidelines for Applying for a Low Explosives User Permit - Part 2

NOTE: This information applies only to rocketeers who fly H motors and above.  If you are flying anything in the A through G range then you can ignore this information.

This page will show you how to fill out the ATF form 5400.28 that is required along with the 5400.13.  There is a related page that shows you how to fill out the new ATF form 5400.13 to get a LEUP.  These pages are also available as a PDF file.  Filled out samples of 5400.13 and 5400.28 are also here as PDF's.  You can also obtain the blank form 5400.13 and 5400.28.

Form 5400.28 Tutorial

Note: This tutorial applies to the version of 5400.28 that was available as Revision February 2003.  The new form 5400.28 has no major changes.  This version will be accepted after the March 15th, 2003 deadline.

The Safe Explosives Act passed on November, 25, 2002 requires additional enforcement by the ATFE.  It prohibits aliens, persons dishonorably discharged, and citizens of the US who have renounced their citizenship from possessing explosives.  This additional enforcement went into effect January 24, 2003.  The ATFE has created form 5400.28 to help them in this new enforcement.  You are now required to submit form 5400.28 along with your 5400.13/5400.16 for a LEUP.  You will also be required to submit a photo and fingerprints along with the above mentioned forms.

Form 5400.28 is now available on the ATFE website.  They have changed the name of the form. It is now 5400.28 Employee Possessor Questionnaire.  The rest of the form has not changed only the name.

Contact your local ATFE agent about obtaining form 5400.28 for a new application, or you can use the copy at the back of this document, or from the website.  We take no responsibility if your application is returned because of an incorrect form.

Form 5400.28  Employee Possessor Questionnaire

Question 1:  Enter your last name.  This should match the name you used on your LEUP application.

Question 2:  First name.  See above.

Question 3:  Middle name.  See above.  It would be safest if you used your full given name everywhere required on this form and on your LEUP (5400.13).

Question 4:  Any suffix you use.  e.g. Sr., Jr., II, etc.  Again be sure you used this everywhere else your name was needed.

Question 5:  Enter any other names you may have used.  This includes maiden name.

Question 6:  It says voluntary, but if you don't enter it, expect a delay.

Question 7:  City and State of your birth.  This should match #13g from form 5400.13

Question 8:  Use the date of birth from form 5400.13 #13f

Question 9:  Self-explanatory

Question 10:  If you don't know, don't bother applying.

Question 11:  This number should match form 5400.13 #7

Question 12:  Here you can enter the number where you work, unlike 5400.13 #7 where it most likely didn't apply.  It should match 5400.13 #13e.

Question 13a-f:  Again this address should match what you put on form 5400.13 #5.  Do you see a common theme here? Consistency!!

Question 14:  The latest information I have indicates that this should be filled in with your name and address.  This should match the name you used on form 5400.13 #1 and the address should match 5400.13 #5a.

Question 15:  Enter "Owner"

Question 16:  Enter "Applicant" since you do not yet have a permit

Question 17a and b:  Self-explanatory

Question 17c:  You will most likely skip this entry

Question 18-25:  This group of questions should be answered truthfully.  However, if you answer "Yes" to ANY of them you can expect your application to be delayed.  The best advice here is to contact your local ATFE agent if you need to answer "Yes".  Please answer "Yes" or "No".  DO NOT put "Y" or "N".  If you do, then your application will be delayed.

Then print your full name as given in question #1-4 in the order First, Middle, Last, Suffix.  Then sign and date it.  Make two copies.  Then attach one copy to each copy of form 5400.13.  Keep one copy for your records and mail the other two copies to the ATFE along with a check for $100.  Remember to include your storage information for question 22a of form 5400.13, two passport size photos and a fingerprint card.

Good Luck!

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Page last modified Thursday, August 25, 2005