Form Wp5 - Application For Iowa Permit To Carry Weapons printable pdf download

APPLICATION FOR IOWA PERMIT TO CARRY WEAPONS

TYPE OF PERMIT (check only one)

 Resident Nonprofessional Permit

 Peace Officer Permit

Badge #

 Resident Professional Permit

 Reserve Peace Officer Permit

 Nonresident Professional Permit

 Correctional Officer Permit

 New

 Duplicate

 Renewal

Permit Number

Permit Expiration

Month

Day

Year

NOTE: Renewal applications must be received by the issuing officer within 30 days prior to the expiration of the

applicant’s current permit or within 30 days after expiration of the applicant’s prior permit.

NAME

DATE OF BIRTH

Month

Day

Year

Last

First

Middle

SEX (circle one)

MALE

FEMALE

SOCIAL SECURITY NUMBER (optional)

RESIDENCE

ADDRESS

Number

Street

Apt/Unit #

City

State

Zip Code

MAILING ADDRESS  Same as residence address (skip mailing address section below)

 Different than residence address (complete mailing address section below)

MAILING

ADDRESS

Number

Street (or PO Box number)

Apt/Unit #

City

State

Zip Code

COUNTRY OF CITIZENSHIP

IF NOT U.S. CITIZEN: USCIS, ARN, OR I-94 ADMISSION NUMBER

DRIVER’S LICENSE OR NON-OPERATOR ID #

DRIVER’S LICENSE OR ID STATE OF ISSUANCE

PRIMARY PHONE

ALTERNATE PHONE (optional)

ALIASES (list all other

names ever used)

TRAINING

 Handgun safety training course utilizing instructor certified by

 Armed forces small arms training (for those released or retired

the National Rifle Association

from Active Duty) - requires documentation of honorable

discharge OR general discharge under honorable conditions (DD-

 Handgun safety training course utilizing instructor certified by a

214, DD-256, NGB-22, or similar)

state law enforcement agency

 Completion of law enforcement agency firearms training course

 Armed forces small arms training (for those on Active Duty) -

that qualifies a peace officer to carry a firearm

requires certificate of completion of basic training or similar

 Completion of a hunter education program approved by the

 Handgun safety training course for security guards, investigators,

Natural Resource Commission, if handgun safety training is

or special deputies if such course has been approved by the Iowa

noted on the certificate of completion

Department of Public Safety

 TRAINING EXEMPT – Documentation that applicant holds or held an Iowa Permit to Carry Weapons issued on or after 01/01/2011

PERMIT ELIGIBILITY

YES NO



1. Do you have charges pending for a felony?



2. Have you ever been convicted of a felony?



3. Have you ever been adjudicated delinquent for an offense that would be a felony if committed by an adult?



4. Have you ever been convicted of an offense involving a firearm or explosive that is classified as a misdemeanor AND is

punishable by more than one year of imprisonment (such as an Iowa aggravated misdemeanor)?



5. Have you been convicted within the previous three years of an aggravated misdemeanor OR serious misdemeanor

offense under Iowa Code Ch. 708, including but not limited to assault, intimidation, harassment, hazing, or stalking?



6. Have you ever been convicted of a misdemeanor crime of domestic violence?



7. Are you subject to a court order restraining you from harassing, stalking, or threatening your intimate partner, your

child, or the child of your intimate partner?

Form WP5 – Published by Iowa Department of Public Safety

Page 1 of 2

Form for use on or after 09/01/2017, Version 1

Form Wp5 - Application For Iowa Permit To Carry Weapons

Related Articles

Related forms

Related Categories