INSTRUCTIONS TO HANDGUN LICENSE APPLICANTS
PD 643-115 (Rev. 09-16)
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 filled 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 certificates, licenses, etc. In addition, a legible photocopy of each item submitted must accompany the original or certified copy. (A copy certified 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 certified check, bank check, money order or credit card. All fees are non-refundable.
–$340.00 - Made payable to New York City Police Department
–$ 87.00 - 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 Certificate. In lieu of your birth certificate, some other proof of your birth date, e.g., a military record, U.S. passport or baptismal certifi 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 certifi 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 certificate 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 nullified 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 defi ned in Penal Law Section 265.00(17), an original Certificate 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 officers. A corporation must submit its corporate book including filing receipt, certificate of incorporation and minutes of the corporate meeting reflecting current corporate officers; others must provide their business certificate or partnership agreement, whichever is applicable. If the business requires a license or permit from any government agency, e.g. alcohol or firearms sales, gunsmith, private investigation and guard agencies, you must submit the license or permit or a certified 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 Rifle/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

|
|
Photo taken within |
|
|
|
|
HANDGUN LICENSE APPLICATION |
|
|
|
30 days prior to date |
|
|
|
|
POLICE DEPARTMENT CITY OF NEW YORK |
|
|
|
|
of application. |
|
|
|
|
|
|
PD 643-041 (Rev. 11-10) |
OFFICIALUSEONLY |
|
|
|
FRONT VIEW |
|
|
|
|
|
|
LICENSE DIVISION |
|
|
|
|
|
1½ x 1½ |
|
|
|
|
|
|
1 POLICE PLAZA |
NYSIDNUMBER |
|
|
|
|
Square |
|
|
|
|
|
|
NEW YORK, N.Y. 10038 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
All applications must be typewritten. DO NOT MAKE ENTRIES IN SHADED AREAS. Necessary fee must |
|
|
DATE |
|
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) |
|
|
APPLICATION NUMBER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECTION A |
|
|
|
|
|
|
|
|
TO BE ANSWERED BY ALL APPLICANTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CARRY BUSINESS |
|
CARRY GUARD/SECURITY |
|
RETIRED POLICE OFFICER |
OLD LICENSE NUMBER |
|
|
|
|
|
|
|
GUN |
|
|
|
|
|
|
|
|
|
|
|
|
LIMITED CARRY |
|
CUSTODIAN PREMISES (Indicate Residence Business) |
|
SPECIAL (out of city validation.) CARRY
|
|
|
|
|
|
|
|
|
Do you possess any other |
|
|
|
|
|
Complaint No. |
LICENSE NUMBER (Renewal Applicant) |
|
|
|
YEAR |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NYC Handgun Lic.? If YES |
|
|
|
|
|
Lost |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TYPE |
LIC. NO. |
|
|
|
|
|
Mutilated |
|
1. |
Last Name |
First Name |
|
M.I. |
|
|
Maiden Name/Alias |
|
|
Corp Code |
Cust Code |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2. |
Legal Address (Street No.) |
|
|
|
Apt. # |
|
City or Town |
|
|
|
|
|
State |
|
|
|
Zip Code |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3 |
|
Citizen |
Alien Registration Number |
|
|
|
|
Social Security Number |
|
|
|
|
|
|
Res. Pct. |
|
OCC Code |
Total Guns |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Code |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Alien |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home Phone No. |
|
Cell Phone No. |
|
|
|
|
|
Email Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4. |
Place of Birth - City, State, Country |
|
|
|
|
|
Age |
|
Date of Birth |
|
Hgt. (inches) |
Wgt. |
Sex |
|
Color of Hair |
Color of Eyes |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EMPLOYMENT INFORMATION
5. |
Name of Business |
|
|
Type of Business |
Bus. Pct. |
|
|
|
|
|
|
|
|
6. |
Business Address (Street No.) |
|
City or Town |
|
|
State |
Zip Code |
|
|
|
|
|
|
|
|
7. |
Bus. Telephone No./Day |
Occupation (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)
LIST HANDGUNS FOR THIS APPLICATION ONLY
10. (ORIGINAL APPLICANT LEAVE BLANK) |
TYPE |
OWNER |
MAKE |
MODEL |
GUN SERIAL NUMBER |
CALIBER |
001
R Revolver |
E Employer |
MAKE |
A Automatic |
S Self |
CODE |
NOTICE
Pursuant to Penal Law Section 400.00(5), the name and address of any person to whom an application for any license has been granted, shall be a public record.
OFFICIAL USE ONLY Right Thumb
SIGNATURE OF PERSON PRINTED
SECTION B
Applicants must answer questions 10 through 24. Additionally questions 29 through 31 must be answered chronologically 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
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 |
|
|
|
Yes |
12. |
Used narcotics or tranquilizers? List doctor’s name, address, telephone number, in explanation |
|
13. |
Been subpoenaed to, or testified at, a hearing or inquiry conducted by any executive, |
|
|
|
legislative or judicial body? |
|
Yes |
|
|
|
Yes |
14. |
Been denied appointment in a civil service system, Federal, State, Local? |
|
15. |
Served in the armed forces of this or any other country? |
|
Yes |
|
16. |
Received a discharge other than honorable? |
|
Yes |
|
17. |
Been rejected for military service? |
|
Yes |
|
18. |
Are you presently engaged in any other employment, business or profession where a need for a |
|
|
|
firearm exists? |
|
Yes |
|
|
|
Yes |
19. |
Had or applied for any type of license or permit issued to you by any City, State or Federal agency? |
|
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 |
20a. |
Has any officer, director or partner ever applied for or been issued a license or permit issued by |
|
|
|
|
|
Yes |
|
the Police Department? Give type, year, license number, in explanation |
|
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 |
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
No
No
No
No
No
No
No
No
No
No
No
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 |
|
|
|
Yes |
24. |
Have you ever, or do you now have an Order of Protection issued against you? |
|
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 |
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 |
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 |
|
|
|
|
|
Yes |
27. |
Have the police ever responded to a domestic incident in which you were involved? |
|
|
|
|
Yes |
28. |
Used any variation in spelling of your name or any other name used? (Alias), explain |
|

FROM |
TO |
LIST ALL PLACES OF RESIDENCE FOR PAST FIVE (5) YEARS |
|
|
(MONTH AND YEAR) |
RESIDENCE (Include State, County, Zip Code and Apt. No.) |
|
PRECINCT |
|
|
|
|
|
29. |
PRESENT |
|
|
|
|
|
|
|
|
FROM |
TO |
LIST ALL PLACES OF EMPLOYMENT FOR PAST FIVE (5) YEARS |
|
|
(MONTH AND YEAR) |
BUSINESS NAME AND ADDRESS (Include State, County, Zip Code and Apt. No.) |
OCCUPATION PRECINCT |
PRESENT
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 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 New York City Police Department, License Division.
Date __________________________ Signature ______________________________________________________________
INVESTIGATING OFFICER’S SIGNATURE |
DATE |
TAX REGISTRY NO. |
APPROVAL |
|
|
|
DISAPPROVAL and REASON |
|
|
|
|
SUPERVISOR’S SIGNATURE |
DATE |
TAX REGISTRY NO. |
APPROVAL |
|
|
|
DISAPPROVAL and REASON |
|
|
|
|
C.O. INVEST. SECTION SIGNATURE |
DATE |
TAX REGISTRY NO. |
APPROVAL |
|
|
|
DISAPPROVAL and REASON |
|
|
|
|
C.O. LICENSE DIVISION SIGNATURE |
DATE |
TAX REGISTRY NO. |
APPROVAL |
|
|
|
DISAPPROVAL and REASON |

ADDITIONAL INSTRUCTIONS FOR CARRY LICENSE APPLICANTS
LETTER OF NECESSITY
All applicants for a carry license for use in connection with a business or profession must answer the following questions in 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 proprietor, 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 New York City Police Department, License Division.
Date __________________________ Signature ______________________________________________________________