Doj Wis Concealed Form PDF Details

Wisconsin residents who are interested in carrying a concealed weapon now have a new application to complete. The Department of Justice has released a new Concealed Carry Form, which must be completed by anyone seeking a license to carry a concealed weapon. The form is available on the department's website, and can be submitted electronically or by mail.Residents should be aware that the form has been updated to include several new questions, including detailed information about the applicant's criminal history. Incomplete or inaccurate responses may delay or prevent issuance of a license. Applicants are encouraged to read the instructions carefully and contact the department if they have any questions.

QuestionAnswer
Form NameDoj Wis Concealed Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdoj s wis, doj concealed wi, wisconsin concealed carry address change, concealedcarry doj wi gov

Form Preview Example

DJ-LE–285 (03/01/13) Concealed Weapon License—Change of address notification / Replacement license request

s. 175.60 Wis. Stats.

Wisconsin Department of Justice

Change of Address Notification / Replacement License Request

Change of Address: You must notify the Department of Justice (DOJ) of any address

Application Number

(DOJ Use Only)

change no later than 30 days after the change. Failure to do so may result in a forfei-

 

 

ture of $50, s. 175.60 (17)(ac), Wis. Stats. There is no cost to an address change

 

 

unless you request to have a new license issued by checking the replacement license

 

 

 

(DOJ Use Only)

box below.

 

 

 

Prior to submitting this form, notify the Department of Transportation of the

 

 

change to ensure the address on your photo identification will match the address on

 

 

your concealed carry license. DOT changes can be made at:

 

 

http://www.dot.wisconsin.gov/drivers/drivers/address-change.htm.

 

 

Lost or Destroyed License: If a license is lost or destroyed, the licensee may re-

 

 

quest a replacement by making a request and submitting a $12 fee, along with any re-

 

 

maining portions of the license to the DOJ.

 

 

 

 

 

Instructions

 

 

 

 

 

∙ Complete the licensee information below as it appears on your license.

 

 

∙ Enter your old and new address information below for change of address noti-

 

 

fications.

 

 

∙ Mail completed form to: Wisconsin Department of Justice

 

 

Attn: Firearms Unit P.O. Box 7130 Madison, WI 53707-7130

 

 

฀ Check here if requesting a replacement license

 

 

∙ You must include a check in the amount of $12 made payable to the Wiscon-

License Number

(DOJ Use Only)

sin Department of Justice for a replacement license pursuant to Jus 17.12(3).

 

 

∙ For a change of address, a new license will be mailed to you. If you did not

 

 

Date Updated

(DOJ Use Only)

return your previously issued license with this form you will be requested to

 

 

return it once you receive your replacement license.

 

 

∙ If your license was lost or destroyed making it impossible to return your exist-

 

 

Operator

(DOJ Use Only)

ing license, your existing license will be cancelled and must be returned if

 

 

found at a later time.

 

 

 

 

 

LICENSEE INFORMATION

* * * Enter as it appears on your concealed carry license * * *

Concealed Carry License Number: (Optional if unknown and license was lost or stolen)

Date of Birth:

 

 

 

 

 

 

Last Name:

 

First Name:

Middle Name or Initial:

 

 

 

 

 

 

 

CHANGE OFADDRESS NOTIFICATION

 

 

 

 

Previous address as it appears on your license:

 

 

 

 

 

 

 

 

City:

 

 

State:

 

Zip Code:

 

 

 

 

New address: (P.O. Boxes alone are not acceptable)

 

 

 

 

 

 

 

 

City:

 

 

State:

 

Zip Code:

 

 

 

 

 

 

I state that the information in this request is true and complete to the best of my knowledge. I understand I may be prosecuted if I intentionally give false information. The penalty for making a false statement is a fine of up to $10,000, imprisonment of up to 9 months, or both [s. 946.32(2), Wis. Stats.] and for falsifying a document a fine of up to $10,000, imprisonment up to 9 months, or both [s. 943.38, Wis. Stats.]

X

Signature of licensee

Date

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