Concealed Weapons Application Form

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STATE OF IDAHO
CONCEALED WEAPONS LICENSE APPLICATION
¨
¨
COUNTY OF ISSUE
Application Type: Initial
Renewal
¨
¨
License: 18-3302 Concealed
18-3302K Enhanced Concealed
Full Name
Date of Birth
Place of Birth
SSN (Optional)
Address:
Sex
Weight
Height
Hair
Eyes
City, State, Zip
D/L or ID Card Number
CAUTION: Federal and state laws on the possession of
Military Status
Citizenship
weapons and firearms differ. If you are prohibited by federal
law from possessing a weapon or a firearm, you may be
List previous firearms training including the date completed:
prosecuted in federal court. A state permit is not a defense to a
federal prosecution.
NOTE: According to Federal Code, 18 USC Sec. 921-922, the following persons are prohibited from receiving a firearm: fugitives from
justice; persons who are unlawful users of or are addicted to narcotics or any other controlled substances, persons adjudicated as a mental
defective or who have been committed to a mental institution; persons who have been convicted in any court of a crime punishable by
imprisonment for a term exceeding one (1) year; persons who are under indictment for a crime punishable by imprisonment for a term
exceeding one (1) year; military veterans discharged under dishonorable conditions; persons who have renounced U.S. citizenship; aliens
illegally in the U.S.; persons subject to a court order that restrains them from harassing, stalking, or threatening an intimate partner or child of
such intimate partner; and persons convicted in any court of a misdemeanor crime of domestic violence.
APPLICANTS MUST ANSWER THE FOLLOWING QUESTIONS
YES
NO
(check appropriate box)
Have you been a legal resident of the state of Idaho for at least six (6) consecutive months, or hold a current concealed
weapons license or permit in the state of residency, before filing this application? (For Enhanced Concealed Carry only)
Are you eligible to own, possess or receive a firearm under the provisions of federal law?
Are you formally charged with a crime punishable by imprisonment for a term exceeding one (1) year?
Have you ever been adjudicated guilty in any court of a crime punishable by imprisonment for a term exceeding one (1)
year?
Are you a fugitive from justice?
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant or narcotic drugs, or any other controlled
substance as defined in 21 U.S.C. 802?
Are you currently suffering from any of the following conditions or have you been adjudiated as follows, based on
substantial evidence: (1) lacking mental capacity as defined in Section 18-210, Idaho Code; (2) mentally ill as defined in
Section 66-317(12), Idaho Code; (3) gravely disabled as defined in Section 66-317(13), Idaho Code; or (4) an incapacitated
person as defined in Section 15-5-1(a), Idaho Code?
Have you been discharged from the armed forces under dishonorable conditions?
Have you been adjudicated guilty of or received a withheld judgment or suspended sentence for one (1) or more crimes of
violence constituting a misdemeanor in the last three (3) years?
Have you ever had an entry of a withheld judgment for a criminal offense which would disqualify you from obtaining a
concealed weapon license?
Are you an alien illegally in the United States?
Have you, having been a citizen of the United States, renounced your citizenship?
Are you under twenty-one (21) years of age?
Are you free on bond or personal recognizance pending trial, appeal or sentencing for a crime which disqualifies you from
obtaining a concealed weapon license?
Are you a respondent to a civil protection or no contact order?
Have you ever been convicted in any court of a misdemeanor crime of domestic violence?
List all states you have lived in during the past ten (10) years:
Under penalty of Idaho Code 18-3302 C (2), I certify I have read the entire text of this form and my statements set forth are true and
correct. This application may take a minimum of ninety (90) days to process.
SIGNATURE OF APPLICANT______________________________________________________ DATE __________________________
Do not write in this space
¨ This applicant has provided completion documentation of the required training for the license type.
¨ Approved
¨ Denied Reason for denial_____________________________________________
SIGNATURE OF SHERIFF OR DESIGNEE__________________________________DATE ______________________
Prepared by Idaho State Police
08/2013

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