Form S P 642 – Fill Out and Use This PDF

Form S P 642 is a document that is essential in the process of applying for Social Security or Supplemental Security income benefits. It is part of the Disability Report filled out by those who are seeking to obtain these forms of benefits. Being able to properly fill out this form can make the application process easier, providing the claimant with an opportunity to give clear information regarding their eligibility and proving their case. The various fields that must be filled in demand a careful scrutiny on the details provided to ensure accuracy. Failure to comply could make it more difficult for Social Security Administration adjudicators to clearly make out the details requested, resulting in potential delays getting your forms approved.

Form S P 642 PDF Details

In order to form an opinion on a certain issue, it is important to have all of the information. Form S P 642 is one way that the state of California provides its residents with information pertaining to proposed regulations and legislation. This form can be found online, and it is important for citizens to review it before expressing an opinion on a particular issue. By doing so, they will be able to make an informed decision on where they stand on the matter. Form S P 642 includes all of the proposed bills and regulations that are currently being considered by the state government. It is broken down into sections based on the topic area, such as taxation, education, and healthcare. Additionally, each section includes a brief description of what the bill or regulation would do if passed. This allows residents to quickly read over all of the proposed changes and decide which ones they support or oppose. The state of California relies heavily on public input when making decisions

Question	Answer
Form Name	Form S P 642
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	new jersey permit handgun, new jersey application permit carry handgun, permit carrier gun, application permit carry handgun

Form Preview Example

	This form is prescribed by the
	Superintendent for use by
	applicants for a Permit to Carry
	a Handgun. Any alteration to
	this form is expressly forbidden.

NEW	RENEWAL	Municipal Code

STATE OF NEW JERSEY

APPLICATION FOR PERMIT TO CARRY A HANDGUN

Application must be delivered, in triplicate, to the Chief of Police of the municipality wherein you reside, or to the Superintendent of State Police in all other cases. A money order in the amount of $50.00 payable to State of New Jersey — Treasurer must accompany this application.

Answer all questions. If more space is needed, attach bond paper. Page two must be completed. Four photographs of the applicant, one and one-half inch square, head and shoulders, no hat, light background, taken within the last 30 days must accompany this application.

Each person applying for a Permit to Carry a Handgun must supply a letter of need, specific in content, as to why they have a need to carry a firearm in the State of New Jersey. If this application is employment-related, then your employer must supply this letter.

List the reason for this application:

(1) Last Name ( If female, include maiden) First

Middle

(2)Resident Address (Number - Street - City - State - Zip)

(3)

Date of Birth

(4) Age

(Place of Birth - City - State or Country)

(5) U.S. Citizen

(6) Social Security Number

Yes

Month

Day

Year

(7)

Sex

Height

Weight

Eyes

Race

Hair

Complexion

(8) Distinguishing Physical Characteristics

(9) Name of Employer

(10) Employer's Address (Number - Street - City - State - Zip)

(11) Occupation

(12) Home Telephone

(13) Business Telephone

(

)

(

)

(14) Driver's License Number & State

(15) If you possess a N.J. Firearms Purchaser ID Card, list the number

(16)

Have you ever been adjudged

Yes

If Yes, List Date(s)

Place(s)

Offense(s)

a juvenile delinquent?

(17)

Have you ever been convicted

Yes

If Yes, List Date(s)

Place(s)

Offense(s)

of a disorderly persons offense,

that has not been expunged or

sealed?

(18)

Have you ever been convicted

Yes

If Yes, List Date(s)

Place(s)

Offense(s)

of a criminal offense, that has

not been expunged or sealed?

(19)

Have you ever had a firearms

Yes

If Yes, By Whom?

When?

Where

Why?

purchaser identification card,

permit to purchase a handgun,

or permit to carry a handgun

refused or revoked?

(20)

Have you ever had an

Yes

If Yes, By Whom?

When?

Where

Why?

Employee of Firearms Dealer

License refused or revoked?

(21)

Are you an Alcoholic?

Yes

(22) Have you ever been confined or committed to a mental institution or hospital for treatment

or observation

Yes

of a mental or psychiatric condition on a temporary, interim or permanent basis? If Yes, give the name and

location of the institution or hospital and the date(s) of such confinement or commitment

(23)

Are you dependent upon the

Yes

use of any narcotic or other

controlled dangerous substance?

(24)

Are you now being treated for

Yes

(25) Have you ever been attended, treated or observed by any doctor or psychiatrist or at any hospital or mental

Yes

a drug abuse problem?

institution on an inpatient or outpatient basis for any mental or psychiatric conditions? If Yes, give the name &

LOCATION OF the doctor, psychiatrist, hospital or institution and the date(s) of such occurrence.

(26)

Do you suffer from a physical

Yes

defect or sickness?

(27)If answer to question 26 is yes, does this make it unsafe for you to handle firearms? If not, explain.

Yes

(28)Are you subject to any court order issued pursuant to Domestic Violence? If yes, explain.

Yes No

(29) Have you ever been convicted of any domestic violence in any jurisdiction which involved the elements of (1) striking, kicking, shoving, or (2) purposely or			Yes
attempting to or knowingly or recklessly causing bodily injury, or (3) negligently causing bodily injury to another with a weapon? If Yes, explain.			No


(30) Are you presently, or have you ever been a member of any organization which advocates or approves the commission of acts of violence, either to overthrow			Yes
the government of the United States or of this State, or to deny others of their rights under the Constitution of either the United States or the State of New			No
Jersey? If yes, list name and address of organization(s) here:

	APPLICANT: DO NOT WRITE BELOW THIS SPACE
To the Judge of the Superior Court of		County: I have investigated or caused to be investigated the applicant, and from the results of such

investigation, the applicant is:	(Attach investigation Report when submitting to Superior Court.)

APPROVED

This

Day of

, 20

DISAPPROVED

Signature

Title

Department of Police

The foregoing application, having been presented to me, and the determination made of the sufficiency thereof, and the need of the applicant to carry a handgun, I hereby: Grant a permit, pursuant to Section 2C:58-4 of the New Jersey Statutes.

	This		Day of	, 20


Deny					NJ
					NJ
		Judge of the Superior Court		County
		Judge of the Superior Court		County
S.P. 642 (Rev. 03/15)		Page One of Two Pages

Reason for Disapproval

A. CRIMINAL RECORD

B. PUBLIC HEALTH SAFETY AND WELFARE

C. MEDICAL, MENTAL OR ALCOHOLIC BACKGROUND D. NARCOTICS/ DANGEROUS DRUG OFFENSE

E. FALSIFICATION OF APPLICATION F. DOMESTIC VIOLENCE

G. LACK OF JUSTIFIABLE NEED H. OTHER (SPECIFY)

GRANTED ON SBI Number:

APPEAL

Permit Number:

Restrictions:	Yes (List on Page 2)	No

NOTICE: If Internet form, print Page 1, return to printer and print Page 2 on reverse side.

Name of Applicant from page one

Endorsement Number One — Reference must have known applicant for a minimum of three years preceding the date of the application.

I am personally acquainted with			, the applicant named on page one of this application. I have known Him/Her for
		Name of applicant from page one
the past	years to be a person of good moral character and behavior and who is capable of exercising self control. I have reviewed this application

and I believe that the answers given by the applicant to the questions set forth in this application are complete, true and correct in every particular.

Print or Type Name

Signature

Date of Endorsement

No.	Street Address

City/Town	State	Zip

Home Telephone Number	Business Telephone Number

Endorsement Number Two — Reference must have known applicant for a minimum of three years preceding the date of the application.

I am personally acquainted with			, the applicant named on page one of this application. I have known Him/Her for
		Name of applicant from page one
the past	years to be a person of good moral character and behavior and who is capable of exercising self control. I have reviewed this application

and I believe that the answers given by the applicant to the questions set forth in this application are complete, true and correct in every particular.

Print or Type Name

Signature

Date of Endorsement

No.	Street Address

City/Town	State	Zip

Home Telephone Number	Business Telephone Number

Endorsement Number Three — Reference must have known applicant for a minimum of three years preceding the date of the application.

I am personally acquainted with			, the applicant named on page one of this application. I have known Him/Her for
		Name of applicant from page one
the past	years to be a person of good moral character and behavior and who is capable of exercising self control. I have reviewed this application

and I believe that the answers given by the applicant to the questions set forth in this application are complete, true and correct in every particular.

Print or Type Name

Signature

Date of Endorsement

No.	Street Address

City/Town	State	Zip

Home Telephone Number	Business Telephone Number

State of New Jersey

County of

being duly sworn, upon oath deposes and states that he/she is the applicant named on page one of this application; that the answers to the questions given on this application are complete, true and correct in every particular.

This	Day of	, 20

			Signature of Applicant named on page one	Date of Application

	(The disclosure of my social security number is voluntary. Without this number, the processing
	of my application may be delayed. This number is considered confidential.) I realize that if any
	of the foregoing answers made by me are false, I am subject to punishment.
Notary Public	Falsification of this form is a crime of the third degree as provided in NJS 2C:39-10c.
Notary Public

SPACE BELOW RESERVED FOR SUPERIOR COURT JUDGE GRANTING PERMIT

List Permit Restrictions Here:

Photograph of

Applicant

1.5 x 1.5 inches

S.P. 642 (Rev. 03/15) Page 2

How to Edit Form S P 642 Online for Free

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Filling out this PDF demands attentiveness. Make sure each blank field is filled out correctly.

1. When filling in the new jersey permit carry, make sure to complete all necessary blanks within the associated section. This will help facilitate the work, allowing your information to be handled quickly and appropriately.

Part no. 1 for filling out nj permit carry

2. The next part is usually to complete the next few blanks: Have you ever been convicted of a, Have you ever had an Employee of, Are you an Alcoholic, Are you dependent upon the use of, Are you now being treated for a, Do you suffer from a physical, Yes, Yes, Yes, Yes, Yes, If Yes By Whom When Where Why, Have you ever been confined or, Have you ever been attended, and If answer to question is yes.

nj permit carry writing process clarified (part 2)

3. Through this part, take a look at I am personally acquainted with, the past years to be a person of, Name of applicant from page one, and I believe that the answers, Print or Type Name, No Street Address, Signature, CityTown State Zip, Date of Endorsement, Home Telephone Number Business, Endorsement Number Two Reference, I am personally acquainted with, the past years to be a person of, Name of applicant from page one, and and I believe that the answers. Each of these need to be filled out with utmost awareness of detail.

Concerning Signature and Endorsement Number Two Reference, make sure you don't make any errors in this section. These are viewed as the most significant ones in this form.

4. The following subsection requires your involvement in the subsequent parts: Print or Type Name, No Street Address, Signature, CityTown State Zip, Date of Endorsement, Home Telephone Number Business, Endorsement Number Three, I am personally acquainted with, the past years to be a person of, Name of applicant from page one, and I believe that the answers, Print or Type Name, No Street Address, Signature, and CityTown State Zip. Just remember to fill out all needed information to go further.

Step no. 4 of completing nj permit carry

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Form S P 642 – Fill Out and Use This PDF

Form S P 642 PDF Details

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