Application for Firearms Purchaser Identification Card and/or Handgun Purchase Permit

Identification Information

Disclosure of social security number and driver license details is voluntary. However, without this information, the processing of application may be delayed. This information is considered confidential.

SSN

Show Characters

Do you have a Driver license?

Yes
No or voluntarily choosing to not disclose this information at this time

Driver License Number *

Driver License State *

Is the address on the Driver License same as your Residential Address? *

Yes
No

Enter the address EXACTLY as LISTED ON YOUR Identification Card (ex. Driver’s license). If the address listed on your Identification Card is a PO BOX address, list it here. On the next page, you will list where you PHYSICALLY RESIDE.

Street *

City *

State *

Zip Code * -

U.S. Citizen *

Yes
No

Alien Registration Number *

Country of Citizenship *

Employment Status *

Employer’s Information

Name of Employer *

Street *

City *

State *

Zip Code * -

Phone * -

Occupation *