PISTOL LICENSE APPLICATION GUIDE – NYC.gov

INSTRUCTIONS TO ALL HANDGUN LICENSE APPLICANTS. The attached application MUST be typewritten and signed. Only the original application will be.

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INSTRUCTIONS TO HANDGUN LICENSE APPLICANTS PD 643-115 (Rev. 02-15) POLICE DEPARTMENT CITY OF NEW YORK HANDGUN LICENSE APPLICATION SECTION LICENSE DIVISION ROOM 110A INSTRUCTIONS TO ALL HANDGUN LICENSE APPLICANTS The attached application MUST be typewritten and signed. Only the original application will be accepted. DO NOT SUBMIT A PHOTOCOPY. The application must be completely Þ lled out and presented by you personally at the License Division. At the time you submit your application, you must furnish the items listed below that are applicable to you. You must submit original copies of certiÞ cates, licenses, etc. In addition, a legible photocopy of each item submitted must accompany the original or certiÞ ed copy. (A copy certi Þ ed by the issuing agency as true and complete is also acceptable in lieu of the original.) Your application will not be accepted without producing the required documents. 1. Fees. Two (2) separate fees are required. These are payable by certi Þ ed check, bank check, money order or credit card. All fees are non-refundable. Œ $340.00 – Made payable to New York City Police Department Œ $ 89.75 – Made payable to New York City Police Department 2. Photographs. Two (2) recent color photographs of yourself. They should measure 1½ x 1½ inches and show you from the chest up. Do not wear any article of clothing or adornment that obscures your facial features.3. Birth CertiÞ cate . In lieu of your birth certiÞ cate, some other proof of your birth date, e.g., a military record, U.S. passport or baptismal certiÞ cate, must be submitted. 4. Proof of Citizenship/Alien Registration . If you were born outside the United States, you must submit your naturalization papers or evidence of citizenship if derived from your parents. All other applicants born outside the United States must submit their Alien Registration Card. If you have lived in this country less than 7 years you must submit a good conduct certiÞ cate from your country of origin. 5. Military Discharge. If you served in the armed forces of the United States, you must submit your separation papers (DD 214) and your discharge.6. Proof of Residence. You must submit proof of your present address. Proof may consist of, but is not limited to, a real estate tax bill, ownership shares in a cooperative or condominium, or a lease. You may also be requested to supply further documentation, i.e., a New York State Driver™s License, a New York State Income Tax Return, a Utility Bill, etc. 7. A.) Arrest Information: If you were ever arrested, indicted or summonsed (other than parking violations) for any reason you must answer Yes to question-23 and submit a certi Þ cate of disposition showing the offense and the disposition. Also, you must submit a detailed statement describing the circumstances surrounding each arrest. YOU MUST DO THIS EVEN IF: the case was dismissed, the record sealed or the case nulli Þ ed by operation of law. The New York State Division of Criminal Justice Services will report to us every instance involving the arrest of an applicant. DO NOT rely on anyone™s representation that you need not list a previous arrest because it was sealed. If you were ever convicted or pleaded guilty to a felony, or a serious offense as deÞ ned in Penal Law Section 265.00(17), an original CertiÞ cate of Relief from Disabilities must be submitted. B.) Summons Information: If you have received a summons for other than a parking violation you must answer Yes to question-23. You must list the violation and disposition for each summons received. C.) Order of Protection: If you have ever had an Order of Protection or Restraining Order issued against you, or issued on your behalf against anyone, you must list the following information: Court of Issuance; Complainant™s or Respondent/Defendant™s name, including address and phone number; Complainant™s or Respondent/ Defendant™s relationship to you; Reason for issuance of Order of Protection or Restraining Order. 8. Proof of Business Ownership. If you are making application for a License in connection with a business, you must submit proof of ownership for that business. Such proof must clearly state the names of the owner(s), or, if a corporation, the names of the corporate ofÞ cers. A corporation must submit its corporate book including Þ ling receipt, certi Þ cate of incorporation and minutes of the corporate meeting re ß ecting current corporate ofÞ cers; others must provide their business certi Þ cate or partnership agreement, whichever is applicable. If the business requires a license or permit from any government agency, e.g. alcohol or Þ rearms sales, gunsmith, private investigation and guard agencies, you must submit the license or permit or a certiÞ ed copy thereof. You must submit proof of address for the business. Proof may consist of a utility bill, not more than 60 days old, in the name of the business or a lease in the name of the business.9. Letter of Necessity. All applicants for a carry license and those seeking a premise license for use in connection with their employment MUST complete the Letter of Necessity found on page 3 of the application. NO SUBSTITUTES WILL BE ACCEPTED.10. You must bring your original social security card when you apply. If you have any questions concerning your application, please call (646) 610-5551. Applications must be submitted in person at the License Division, One Police Plaza Room 110, New York, NY or the Ri ß e/Shotgun Section, 120-55 Queens Blvd. Rm. B11, Kew Gardens, NY. The License Division™s hours of operation are: Monday thru Friday between the hours of 8:30 a.m. to 4:00 p.m. Applicants must arrive early enough for processing to be completed by the close of business.http://nyc.gov/html/nypd/html/permits/handgun_licensing_application.shtml

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1 of 5HANDGUN LICENSE APPLICATION POLICE DEPARTMENT CITY OF NEW YORK PD 643-041 (Rev. 11-10) LICENSE DIVISION1 POLICE PLAZANEW YORK, N.Y. 10038 All applications must be typewritten. DO NOT MAKE ENTRIES IN SHADED AREAS. Necessary fee must accompany application. Make Bank Check, Certified Check or Money Order payable to the Police Department, City of New York. Payment may also be made by credit card. Not refundable if application is disapproved. (Administrative Code Sec. 10-131)SECTION ATO BE ANSWERED BY ALL APPLICANTS CARRY BUSINESS CARRY GUARD/SECURITY RETIRED POLICE OFFICERLIMITED CARRY GUN CUSTODIAN PREMISES (IndicateResidenceBusiness)SPECIAL (out of city validation.) CARRY Photo taken within30 days prior to dateof application.FRONT VIEW 1½ x 1½SquareYEARLICENSE NUMBER (Renewal Applicant)Do you possess any other NYC Handgun Lic.? If YES TYPELIC. NO.OFFICIAL USE ONLY NYSID NUMBER DATE APPLICATION NUMBER OLD LICENSE NUMBERComplaint No.LostMutilatedCorp CodeCust Code 1.Last Name First NameM.I. Maiden Name/Alias2.Legal Address (Street No.) Apt. # City or TownState Zip Code3CitizenAlien Registration Number Social Security NumberRes. Pct. OCC CodeTotal Guns Code AlienHome Phone No. Cell Phone No. Email Address 4.Place of Birth – City, State, CountryAgeDate of BirthHgt. (inches)Wgt.SexColor of HairColor of Eyes EMPLOYMENT INFORMATION 5.Name of Business Type of BusinessBus. Pct. 6.Business Address (Street No.)City or TownState Zip Code7.Bus. Telephone No./DayOccupation (Owner – Employee – Gun Custodian)How many other persons in this business have N.Y.C. Handgun Licenses? 8.If applicable, list name, job title and license number of company gun custodian VALIDATION OF OUT OF CITY LICENSE (Special Handgun License ONLY) 9.Basic License Number Issued ByCountyDate IssuedExpiration Date LIST HANDGUNS FOR THIS APPLICATION ONLY 10.(ORIGINAL APPLICANT LEAVE BLANK) TYPEOWNER RRevolverEEmployer MAKEMAKEMODELGUN SERIAL NUMBERCALIBER AAutomaticS SelfCODE001002OFFICIAL USE ONLY Right Thumb NOTICEPursuant to Penal Law Section 400.00(5), thename and address of any person to whom anapplication for any license has been granted, shall be a public record.SIGNATURE OF PERSON PRINTED

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2 of 5Applicants must answer questions 10 through 24. Additionally questions 29 through 31 must be answeredchronologically and in detail. If you have answered YES to question(s) 10 through 28 you MUST use the HANDGUN LICENSE APPLICATION ADDENDUM (PD 643-041A ) to explain such answer(s) in complete detail. A FALSE STATEMENT SHALL BE GROUNDS FOR DENIAL OF A N.Y.C. HANDGUN LICENSE SECTION B HAVE YOU EVER 10.Had or ever applied for a Handgun License issued by any Licensing Authority in N.Y.S.?. Yes No 11.Been discharged from any employment?. Yes No 12.Used narcotics or tranquilizers? List doctor™s name, address, telephone number, in explanation. Yes No 13.Been subpoenaed to, or testified at, a hearing or inquiry conducted by any executive, legislative or judicial body?.. .. Yes No 14.Been denied appointment in a civil service system, Federal, St ate, Local?.. Yes No 15.Served in the armed forces of this or any other country?. Yes No 16.Received a discharge other than honorable? . Yes No 17.Been rejected for military service?.. Yes No 18.Are you presently engaged in any other employment, business or profession where a need for a firearm exists?.. Yes No 19.Had or applied for any type of license or permit issued to you by any City, State or Federal agency? Yes No 20.Has any corporation or partnership of which you are an officer, director, or partner, ever applied for or been issued a license or permit issued by the Police Dept? Give type, year, license number, in explanation. . Yes No 20a.Has any officer, director or partner ever applied for or been issued a license or permit issued by the Police Department? Give type, year , license number, in explanation Yes No 21.Suffered from mental illness, or due to mental illness received treatment, been admitted to a hospital or institution, or taken medication? List Doctor™s/Institutions, Name, Address, Phone #, in explanation.. Yes No 22.Have you ever suffered from any disability or condition that may affect your ability to safely possess or use a handgun? List Doctor™s Name, Address, Phone #, in explanation Yes No NOTE:The following conditions must be listed: Epilepsy, Diabetes, Fainting Spells, Blackouts, Temporary Loss of Memory or any Nervous Disorder. Before answering questions number 23 thru 26, read paragraph 7 of the instructions completely. 23.Been arrested, indicted, or summonsed for ANY offense other than Parking Violations, in ANY jurisdiction,federal, state, local or foreign? You must include cases that were dismissed and/or the record sealed. List the following: date, time, charge(s),disposition, court and police agency. (False statements are grounds for disapproval). Yes No 24.Have you ever, or do you now have an Order of Protection issued against you?. Yes No 25.Have you ever, or do you now have an Order of Protection issued by you against a member of your household, or any family member? . Yes No 26.Have you ever, or do you now have an Order of Protection issued by you against a person other than a member of your housold or family?.. .. Yes No If you have answered yes to questions 24 – 26, you must indicate the following information:a.Court of Issuance b.Date of Issuance c.Complainant™s Name, Address and Telephone Number d.Complainant™s relationship to you e.Reason for issuance of Order of Protection 27.Have the police ever responded to a domestic incident in which you were involved?. Yes No 28.Used any variation in spelling of your name or any other name used? (Alias), explain Yes No

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3 of 5LIST ALL PLACES OF RESIDENCE FOR PAST FIVE (5) YEARS RESIDENCE (Include State, County, Zip Code and Apt. No.) FROMTO (MONTH AND YEAR) PRECINCT29.PRESENT FROMTO (MONTH AND YEAR) OCCUPATION PRECINCTLIST ALL PLACES OF EMPLOYMENT FOR PAST FIVE (5) YEARS BUSINESS NAME AND ADDRESS (Include State, County, Zip Code and Apt. No.) 30.How and where will handgun(s) be safeguarded when not in use? (Location outside of N.Y. State is unacceptable).31.Give name, address, relation and telephone number of person who will safeguard handgun(s) in case of applicant™s death or disability. Must be a N.Y. State resident. The undersigned affirms that the statements made and answers given herein are accurate and complete, and hereby authorizesthe New York City Police Department, License Division to make appropriate inquiries in connection with processing this application. False written statements in this document are punishable under Section 210.45 of the New York Penal Law (making a punishable false written statement) and also will be sufficient cause for denial of an application, license or permit by the New York City Police Department, License Division. Date __________________________ Signature ______________________________________________________________INVESTIGATING OFFICER™S SIGNATUREDATETAX REGISTRY NO.APPROVALDISAPPROVAL and REASON SUPERVISOR™S SIGNATUREDATETAX REGISTRY NO. APPROVAL DISAPPROVAL and REASON C.O. INVEST. SECTION SIGNATUREDATETAX REGISTRY NO. APPROVAL DISAPPROVAL and REASON C.O. LICENSE DIVISION SIGNATUREDATETAX REGISTRY NO. APPROVAL DISAPPROVAL and REASON PRESENT

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4 of 5ADDITIONAL INSTRUCTIONS FOR CARRY LICENSE APPLICANTS LETTER OF NECESSITYAll applicants for a carry license for use in connection with a business or profession must answer the following questionsin the space provided. If additional space is necessary continue your letter on reverse side. In ALL CASES the form provided must be used.1.A detailed description of the applicant™s employment and an explanation of why the employment requires the carrying of a concealed handgun.2.A statement acknowledging that the handgun may only be carried during the course of and strictly in connection with the applicant™s job, business or occupational requirements, as described herein.3.A statement explaining the manner in which the gun will be safeguarded by the employer and/or applicant when not being used. 4.A statement indicating that the applicant has been trained or will receive training in the use and safety of a handgun. 5.A statement acknowledging that the applicant™s employer, or, if self employed, the applicant, is aware of its or his or her responsibility to properly dispose of the handgun and return the license to the License Division upon the termination of the applicant™s employment or the cessation of business.6.A statement indicating that the applicant, and if other than self employed, a corporate officer, general partner, or propriet or, has read and is familiar with the provisions of Penal Law Articles 35 (use of deadly force), 265 (criminal possession and use of a firearm) and 400 (responsibilities of a handgun licensee).The Letter of Necessity is part of this application. Any false statement is an offense punishable as a Class A Misdemeanor pursuant to to Section 210.45 of the New York State Penal Law. The undersigned affirms that the statements made and answers given herein are accurate and complete, and hereby authorizes the New York City Police Department, License Division to make appropriate inquiries in connection with processing this application. False written statements in this document are punishable under Section 210.45 of the New York Penal Law (making a punishable false written statement) and also will be sufficient cause for denial of an application, license or permit by the NewYork City Police Department, License Division. Date __________________________ Signature ______________________________________________________________

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5 of 5ADDITIONAL DOCUMENTATION TO BE PRESENTED AT PERSONAL INTERVIEW At the time of your interview, you must also furnish the following documents, as they apply to you: 1.The two (2) most recent copies of the business™s sales tax report (ST 100) submitted to the State of New York and Federal Tax Return submitted for the previous year. If the business is solely a wholesale operation, a copy of the Federal tax return submitted for the previous tax year must be submitted. All tax forms must bear notarized signatures. 2.When requested by your investigator, your personal income tax return for the previous tax year. 3.Daily bank deposit slips and corresponding bank statements for the six months preceding the date of your interview. (Photocop ieswill not be accepted.)4.A statement from your bank setting forth the total amount of your payroll and the total amount of payroll checks cashed durin g thethree months immediately preceding the date of your interview. 5.If you were the victim of a crime which occurred during the course of your business or professional activities during the pre vioustwo years, you must provide the complaint report number, date and the precinct of occurrence. At the time of your interview, your investigating officer will advise you if any additional forms or documents are required. NOTICE TO ALL APPLICANTS: While the application is pending, the applicant shall make an immediate report to the License Division,Applicant Section at (646) 610-5551, of any of the following occurrences:1.Arrest, indictment, or conviction in any jurisdiction; summons other than traffic infraction; suspension or ineligibility ord erissued pursuant to section 530.14 of the New York State Criminal Procedure Law or Section 842-a of the New York State Family Court Act. 2.Change of business or residence address. 3.Change of business, occupation or employment. 4.Any change in the circumstances cited by the applicant in their application. 5.Receipt of psychiatric treatment or treatment for alcoholism or drug abuse, or the presence or occurence of any disability or condition that may affect the ability to safely possess or use a handgun. 6.Applicant is or becomes the subject or recipient of an Order of Protection or a Temporary Order of Protection. The applicant may be required to provide additional documentation for any of the above occurrences to License Division personnel.

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NEW YORK CITY CHARTER CHAPTER 18-C: PUBLIC SAFETY* NYC Charter § 460 § 460 Gun-free school safety zones. a. It shall be a crime for any individual knowingly to possess a firearm at a place that the individual knows, or has re a-sonable cause to believe, is a school zone. b. Subdivision a of this section shall not apply where the firearm is: (i) possessed and kept in such individual’s home in a school zone, provided that such individual is licensed or pe r-mitted to possess such firearm; or (ii) possessed and kept at such individual’s business in a school zone, provided that such individual is licensed or permitted to possess such firearm. c. Affirmative defenses to the crime established in subdivision a shall include possession of a firear m: (i) carried for personal safety between such individual’s business, home, or bank in a school zone, provided that such individual is licensed or permitted to possess such firearm for such purpose; (ii) just purchased or obtained by such individual and being transported that same day for the first time to such i n-dividual’s home or business in a school zone where it will be stored, provided that such individual is licensed or permi t-ted to possess such firearm; (iii) carried between a police department facility for inspection and an individual’s business, home, bank, or point of purchase in a school zone, provided that such individual is licensed or permitted to possess such firearm; (iv) carried by licensed or permitted individuals and being transported to or from an authorized target practice faci l-ity; (v) carried between a gunsmith for demonstrably needed repairs and an individual’s business or home in a school zone, provided that such individual is licensed or permitted to possess such firearm; (vi) used in an athletic or safety program approved by a school in a school zone, or by the police commissioner, or in accordance with a contract entered into between a school within the school zone and the individual or an employer of the individual, provided that such individual is licensed or permitted to possess such firearm for such purpose; or (vii) used in accordance with a contract entered into between a business within the school zone and the individual or an employer of the individual, provided that such individual is licensed or permitted to possess such firearm for such purpose. d. It shall be a crime for any person, knowingly or with reckless disregard for the safety of another, to discharge a firearm in a school zone. e. Affirmative defenses to the crime established in subdivision d shall include discharge of a firearm: (i) by an individual for self-defense, provided that such individual is licensed or permitted to possess such firearm for such purpose; (ii) for use in a special event or safety program authorized by a school in a school zone or by the police commi s-sioner; (iii) by an individual in accordance with a contract entered into between a school in the school zone and the ind i-vidual or an employer of the individual, provided that such individual is licensed or permitted to possess such firearm for such purpose; or (iv) by an individual in accordance with a contract entered into between a business and the individual or an e m-ployer of the individual, provided that such individual is licensed or permitted to possess such firearm for such purpose. f. Any person who violates this section shall be guilty of a misdemeanor, punishable by imprisonment of not more than one year or by a fine of not more than ten thousand dollars, or both. g. In addition to the penalties prescribed in subdivision f of this section, any person who violates this section shall be liable for a civil penalty of not more than ten thousand dollars. h. This section shall not apply to a police officer, as such term is defined in section 1.20 of the criminal procedure law, or a federal law enforcement officer, as such term is defined in section 2.15 of the criminal procedure law.

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i. The police commissioner may promulgate rules implementing the provisions of this section. The police commi s-sioner shall provide written notice of the requirements of this section to all persons who receive an official authorization to purchase a firearm and to all persons applying for a license or permit, or renewal of a license or permit. Failure to receive such notice shall not be a defense to any violation of this section. j. The city of New York and its agencies, officers or employees shall not be liable to any party by reason of any i n-cident or injury occurring in a gun-free school safety zone arising out of a violation of any provision of this section.

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Page 1 NEW YORK CITY CHARTER CHAPTER 18-C: PUBLIC SAFETY* NYC Charter § 459 § 459 Definitions. a. The term “school” means a public, private or parochial, day care center or nursery or pre-school, elementary, inte r-mediate, junior high, vocational, or high school. b. The term “school zone” means in or on or within any building, structure, athletic playing field, playground or land contained within the real property boundary line of a public, private or parochial day care center or nursery or pre- school, elementary, intermediate, junior high, vocational, or high school, or within one thousand feet of the real property boundary line comprising any such school. c. The term “firearm” means a firearm, rifle, shotgun, or assault weapon, as such terms are defined in section 10- 301 of the administrative code, or a machine gun, as defined in penal law section 265.00. HISTORICAL NOTES: Section added at General Election, November 6, 2001 (Question 3 § 1) eff. immediately upon certification that electors have approved the amendments.

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TYPES OF LICENSES PREMISES LICENSE: ISSUED FOR YOUR RESIDENCE OR BUSINESS, THIS IS A RESTRICTED TYPE OF LICENSE. The Licensee may possess a handgun at the specific location indicated on the front of the license. This license permits the transporting of an unloaded handgun directly to and from an authorized small arms range/shooting club, secured unloaded in a locked container. Ammunition must be carried separately. CARRY BUSINESS LICENSE: IS VALID FOR THE BUSINESS NAME, ADDRESS, AND FIREARM(S), LISTED ON THE FRONT OF THE LICENSE. IT IS NOT TRANSFERABLE TO ANY OTHER PERSON, BUSINESS, OCCUPATION, OR ADDRESS, WITHOUT THE WRITTEN APPROVAL OF THE COMMANDING OFFICER, LICENSE DIVISION. LIMITED CARRY BUSINESS LICENSE: IS A RESTRICTED LICENSE. THE LICENSEE MAY ONLY CARRY THE FIREARM INDICATED ON THE LICENSE IN ACCORDANCE WITH THE SPECIFIC LIMITATIONS LISTED THEREON. AT ALL OTHER TIMES THE WEAPON MAY BE POSSESSED ONLY WITHIN THE CONFINES OF THE BUSINESS ADDRESS LISTED ON THE FRONT OF THE LICENSE. SPECIAL CARRY LICENSE: IS VALID FOR THE BUSINESS NAME, ADDRESS AND FIREARMS(S) LISTED ON THE FRONT OF THIS LICENSE ONLY WHILE THE LICENSEE HAS IN HIS POSSESSION HIS VALID BASIC COUNTY LICENSE ISSUED ACCORDING TO THE PROVISIONS OF ARTICLE 400 OF THE N.Y.S. PENAL LAW. UPON THE REVOCATION, SUSPENSION, OR CANCELLATION OF THE BASIC LICENSE, THE SPECIAL LICENSE IS RENDERED VOID AND MUST BE IMMEDIATELY RETURNED TO THE LICENSE DIVISION. RESTRICTED CARRY LICENSE (SECURITY GUARDS, ETC.): APPLICATIONS FOR THIS TYPE OF LICENSE MUST BE MADE WITH THE IS ISSUED ONLY FOR THE FIREARM LISTED ON THE LICENSE. THE FIREARM MAY BE CARRIED ONLY WHILE THE LICENSEE IS ACTIVELY ENGAGED IN EMPLOYMENT. AT ALL OTHER TIMES THE FIREARM MUST BE STORED UNLOADED IN A LOCKED CONTAINER AT EITHER THE ADDRESS STATE OF NEW YORK). Section at 646-610-5936

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