Application For Firearm Owner'S Identification Card Form - Illinois State Police
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1
2ILLINOIS STATE POLICE
APPLICATION FOR FIREARM OWNER’S IDENTIFICATION CARD
Offi cial Use Only
Remit exactly $10.00 in check or money order payable to FOID. THIS FEE IS NONREFUNDABLE
Last Name
First Name
Suffi x
Middle Initial
Tape
EXACT SIZE
Photo
Mailing Address (Illinois Residency Required)
Apt. #
Here
Face Up
City/Town
State
Zip Code
1
/
” by 1
/
”
1
1
4
2
I L
Head and
County
Date of Birth (MM/DD/YYYY)
Shoulders only
W O O D F O R D
List Any Previous Names
(Last Name, First Name, Middle Initial)
Social Security Number
EYE COLOR: SELECT ONE:
HAIR COLOR: SELECT ONE:
HEIGHT:
GENDER:
ft
in
Male
Female
Brown
Black
Blue
Brown
Bald
Grey
White
WEIGHT:
RACE:
lbs
Black
White
Other
Blonde
Black
Red
Other
Green
Hazel
(U.S. State or Foreign Country)
1. Place of Birth
If you are 18 years of age or older, you must provide your most
current Illinois Driver’s License # or Illinois State Identifi cation #.
Illinois Driver’s License Number OR
1a. Are you a United States citizen/naturalized citizen? Yes
No
Illinois State Identifi cation Number
If NO, you must provide your alien
Alien #
registration number or provide other
proof of documentation.
(Alien # - Resident Alien Card/Permanent Resident Card) (Admission # Form I-94/I-94W)
Yes
No
2. Have you ever been convicted of a felony? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. In the past 5 years, have you been a patient in a mental institution or any part of a medical facility for the treatment of mental illness? (Unless your
treatment was solely for alcohol abuse disorder.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Are you addicted to narcotics? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Are you intellectually disabled? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Are you subject to an existing order of protection which prohibits you from possessing a fi rearm? . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Within the past 5 years, have you been convicted of battery, assault, aggravated assault, violation of an order of protection, or a
substantially similar offense in which a fi rearm was used or possessed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. Have you ever been convicted of domestic battery or a substantially similar offense (misdemeanor or felony)? . . . . . . . . . . . . . . . . . . . .
9. Have you ever been adjudicated a delinquent minor for the commission of an offense that if committed by an adult would be a felony? . . . . . . . .
10. Are yo u an alien who is unlawfully present in the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Have you ever been adjudicated as a mental defective?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Area Code
Daytime Phone Number
Warning: This applicati on is governed by the Firearm’s Owner’s Identi fi cati on (FOID) Card Act and must be completed by the
applicant or his/her parent or legal guardian in its enti rety, or it will be denied. Entering false informati on on an applicati on for
a FOID Card is punishable as a Class 2 felony in accordance with Secti on 14(d-5) of the FOID Card Act. This applicati on and the
informati on contained herein may be provided to third parti es with whom the Illinois State Police (ISP) has contracted in order to
complete the processing of my FOID card applicati on. In such cases, however, the ISP requires the companies acti ng on our behalf
e-mail: ________________________________________
abide by all state and federal laws and our privacy policies and insti tute safeguards to protect the confi denti ality of your informati on.
SIGNATURE REQUIRED
(Please sign inside the box)
Signature Certi fi cati on: My signature authorizes the Illinois State Police to verify answers given with any government or private
enti ty authorized to hold records relevant to my citi zenship, criminal history and mental health treatment or history; to use the
digital photo, demographic informati on and signature from my Illinois Driver’s License or State Identi fi cati on to create my FOID card;
and to share my informati on as described in the Warning contained herein. Under penalti es of perjury, I certi fy I have examined all
Date:
the informati on provided for my applicati on or renewal and, to the best of my knowledge, it is true, correct, and complete.
_______________________________
Yes No
IF YOU ARE UNDER 21:
The minor applicant and their parent or legal guardian
1. Have you (the minor) ever been convicted of a misdemeanor other than
must complete this section.
The signature of the applicant’s parent or legal
a traffi c violation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
guardian is required on both the front of the application and on the back affi davit.
2. Have you (the minor) ever been adjudged delinquent? . . . . . . . . . . . .
Parent or Legal Guardian
3. Are you (the minor) subject to a petition alleging you are a delinquent minor for
Information
the commission of an offense that if committed by an adult would be a felony?. .
Relationship:
Parent or legal guardian
Parent/Guardian Last Name
First Name
MI
must be 21 years of age
Mark with an X
and eligible to acquire
Father
or possess fi rearms or
Date of Birth (MM/DD/YYYY)
fi rearm ammunition.
Legal Guardian must
Mother
Male
Female
submit a copy of legal
guardianship
court
Legal
Illinois Driver’s
order.
License or
Guardian
Signature of Parent/Legal Guardian Required
State ID#
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