Pistol Transfer Application
Private transfer
Form has changed - mark private transfer checkbox at right if private transfer.
Approval code
Dealer: Make sure this form is completed in full and is clearly legible.
1. Send by the close of the business day to the appropriate Chief of Police or Sheriff.
Dealer transaction #
2. Send within 7 days after delivery of the firearm to:
Department of Licensing, Firearms Section, PO Box 9649, Olympia, WA 98507-9649
Appropriate LEA
3. Retain a copy for your records for 6 years.
City
County
Click here to START or CLEAR, then hit the TAB button
Section A – Firearm description – Type all information
Pistol serial number
Make
(choose one)
Other (no abbreviations)
Choose one:
Caliber
Barrel length (in.)
Type
Model number or name
Condition
Application initiated (date and time)
Choose one:
New
Used
a.m.
p.m.
Pistol
Revolver
Section B – Buyer information
Buyer name (Last, First, Middle, Suffix)
Gender
U.S. citizen
Male
Female
Yes
No
Home address (Number, Street, Apartment number)
City
State
ZIP code
County
Date of birth
Place of birth (City, State or Province, and Country)
Height (ft, in)
Weight (lbs)
Eye color
Choose one:
Race (choose all that apply)
American Indian/Alaska Native
Asian
Black
Native Hawaiian/Pacific Islander
White
Permanent resident card number
Washington State alien firearms license
Occupation
Number
Expires
Answer the following
I have been a resident of Washington at the address above for the previous consecutive 90 days. . . . . . . . . . . . . . . . .
Yes
No
If "no", provide previous address(es):
Concealed pistol license number
Expiration date
Issuing authority
Driver license or state ID card number
State
(Area code) Telephone number
Caution: Although state and local laws do not differ, federal law and state law on the possession of firearms differ. If you are
prohibited by federal law from possessing a firearm, you may be prosecuted in federal court. State permission to purchase a
firearm is not a defense to a federal prosecution.
Buyer: Read the following statement carefully
I certify I am eligible to possess a pistol under RCW 9.41.040 and 9.41.045. I understand by signing this application I am waiving
confidentiality and requesting the Department of Social and Health Services, mental health institutions, and other health care
facilities, to release information relevant to my eligibility to purchase a pistol to a court or law enforcement agency. I certify under
penalty of perjury under the laws of the state of Washington that the statements and other information set forth in this application
are true and correct. RCW 9A.72.040
Buyer signature (Full legal name)
X
Buyer - Print the completed form and sign your full legal name here
Section C – Dealer information
Date weapon was delivered
UBI number
Business ID
Location ID
Stamp area
Federal firearms license number
Dealer / Store name
Address (Number, Street, City, State, ZIP code)
(Area code) Dealer telephone number
Email
Dealer signature
X
Dealer - Print the completed form and sign here.
FIR-652-001 (R/5/17)WA