Ohio Application Concealed PDF Details

Ohioans who are looking to apply for a concealed carry permit will need to complete the Ohio Application Concealed Form. This form can be found on the website of the Ohio Attorney General. The purpose of this form is to provide law enforcement with all of the information they need in order to approve or deny a concealed carry permit. There are several sections on the form, which ask for personal information, criminal history, and firearms training information. Completing the form accurately is important, as it will help ensure that you are approved for a concealed carry permit. If you have any questions about how to complete the form, or what type of information is required, be sure to contact your local law enforcement agency.

You can find more info concerning the ohio application concealed by looking through the listing we prepared for you.

QuestionAnswer
Form NameOhio Application Concealed
Form Length5 pages
Fillable?Yes
Fillable fields115
Avg. time to fill out24 min 19 sec
Other namesccw application ohio, ohio ccw application, ccw permit, ohio ccw online application

Form Preview Example

State of Ohio

 

 

 

 

 

 

 

 

 

Application for License to

 

 

 

 

 

 

 

 

 

Carry a Concealed Handgun

 

 

 

 

 

 

 

 

 

Issuing Agency Use Only

Type or Print in Ink

License #:

 

 

 

Fee Collected:

 

 

 

 

Date Issued:

 

 

Receipt #:

 

 

 

Type: Original

Renewal

 

 

 

 

 

SECTION I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This application will not be processed unless all applicable questions have been answered

 

 

 

 

 

and until all required supporting documents as described in Ohio Revised Code (ORC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2923.125(B) or (F) and, unless waived, the applicable license fee or license renewal

 

 

I am applying for a:

 

 

 

fee have been submitted. FEES ARE NONREFUNDABLE. Consult your sheriff for acceptable

 

 

new license

 

 

 

 

forms of payment.

 

 

 

 

 

 

 

 

 

 

 

 

renewed license

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION II

 

 

 

 

 

 

 

 

 

 

 

 

CLEO certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Applicant:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

First

Middle

 

 

 

 

 

 

County of Residence:

 

 

 

Date of Birth:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM/DD/YYYY

 

 

 

 

Current Residence:

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Photo

 

 

 

Street

 

 

 

City

State

ZIP

 

 

Mailing Address (if different from above):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

City

State

ZIP

 

 

 

 

 

Social Security Number (optional):

 

 

 

 

 

Place of Birth:

 

 

 

 

 

 

 

 

 

Residence Telephone Number:

 

 

 

 

Cell Phone:

 

 

 

 

 

 

 

 

 

Sex of Applicant: Male Female

Race/National Origin of Applicant:

Indian/Alaskan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asian/Pacific

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Islander

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Black

 

 

SECTION III

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hispanic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

White

 

 

ANSWER THE FOLLOWING QUESTIONS.

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

(1) Are you legally living in the United States?

 

 

 

 

 

 

 

YES

NO

(2) Have you lived in Ohio for the past five years or more?

 

 

 

 

 

 

 

YES

NO

(3) Are you at least 21 years of age?

 

 

 

 

 

 

 

YES

NO

(4) Are you a fugitive from justice?

 

 

 

 

 

 

 

YES

NO

(5) Are you prohibited by federal law from possessing a firearm?

 

 

 

 

 

 

 

YES

NO

FOR THE FOLLOWING QUESTIONS 6, 7A, 7B, DO NOT INCLUDE ANY CONVICTION FOR WHICH A COURT HAS

 

 

 

ORDERED SEALED OR EXPUNGED OR RELATIVE TO WHICH A COURT HAS GRANTED RELIEF FROM DISABILITY

 

 

 

PURSUANT TO ORC 2923.14, OR A CONVICTION FOR A MINOR MISDEMEANOR LEVEL OFFENSE.

 

 

 

(6) Are you under indictment for or otherwise charged with a felony, or have you ever been convicted of or

 

 

 

 

 

pleaded guilty to a felony, or have you ever been adjudicated as a delinquent child for committing an

YES

NO

 

 

act that would be a felony if committed by an adult?

 

 

 

 

 

 

 

(7A) Are you under indictment for, or otherwise charged with, or have you been convicted of, or pleaded

 

 

 

 

 

guilty to an offense under ORC 2925, 3719, or 4729, that involves illegal possession, use, sale,

YES

NO

 

 

administration, distribution of, or trafficking in a drug of abuse?

 

 

 

 

 

 

 

(7B) Have you ever been adjudicated a delinquent child for committing an act that would, if committed by

 

 

 

 

 

an adult, be an offense under ORC 2925, 3719, or 4729, that involves illegal possession, use, sale,

YES

NO

 

 

administration, distribution of, or trafficking in a drug of abuse?

 

 

 

 

 

 

 

SECTION III, continued

(8) Have you ever been convicted of, or pleaded guilty to, a misdemeanor offense of violence, charge

YES

NO

of domestic violence, or a similar offense, in this or any other state?

(9)Are you under indictment for, or otherwise charged with, or, except for a conviction or guilty plea the records of which a court has ordered sealed or expunged or relative to which a court has granted relief from disability pursuant to ORC 2923.14, have you been convicted of or pleaded guilty to, within three years of the date of this application, except for a conviction or guilty plea the records of which a court has ordered sealed or expunged or relative to which a court has granted relief from disability pursuant to ORC 2923.14, a misdemeanor that is an offense of violence or the offense of possessing a revoked or suspended concealed handgun license, or, except for a conviction or guilty plea the records of which a court has ordered sealed or expunged or relative to which a court has granted relief from disability pursuant to ORC 2923.14, have you been adjudicated as a delinquent child within

three years of the date of this application for committing an act that would be a misdemeanor of

YES

NO

that nature, if committed by an adult?

(10)Are you under indictment for or otherwise charged with, or, except for a conviction or guilty plea the records of which a court has ordered sealed or expunged or relative to which a court has granted relief from disability pursuant to ORC 2923.14, or have you been convicted of or pleaded guilty to, within 10 years of the date of this application, resisting arrest, or, except for a conviction or guilty plea the records of which a court has ordered sealed or expunged or relative to which a court has granted

relief from disability pursuant to ORC 2923.14, have you been adjudicated as a delinquent child for

 

 

committing, within 10 years of the date of this application, an act that if committed by an adult

YES

NO

would be the offense of resisting arrest?

(11)(a) Are you under indictment for, or otherwise charged with, assault or negligent assault?

(b)Have you been convicted of, pleaded guilty to, or adjudicated as a delinquent child two or more times for committing assault or negligent assault within five years of the date of this application?

(c)Except for a conviction, guilty plea, or delinquent child adjudication the records of which a court

has ordered sealed or expunged or relative to which a court has granted relief from disability

 

 

pursuant to ORC 2923.14, have you ever been convicted of, pleaded guilty to, or adjudicated as a

YES

NO

delinquent child for assaulting a peace officer?

(12) (a) Have you ever been adjudicated as mentally incompetent or mentally defective?

YES

NO

(b) Have you ever been committed to a mental institution?

YES

NO

(c) Have you ever been involuntarily committed to a mental hospital or facility for purposes other

YES

NO

than observation?

(d) Have you ever been adjudicated as mentally defective (which includes having been adjudicated as

YES

NO

incompetent to manage your own affairs, or ever been committed to a mental institution?

(13) Are you currently the subject of a civil protection order, a temporary protection order,

YES

NO

or a protection order issued by a court of this or any other state?

(14)Are you currently subject to a suspension imposed under ORC 2923.128(A)(2) of a license to carry a concealed handgun or a temporary emergency license to carry a concealed handgun that previously

was issued to you, or are you subject to a similar suspension by another state?

YES

NO

(15)Are you a member of the United States Military on permanent change of station (PCS) orders

to Ohio? YES NO

(16)Are you a permanent resident of Ohio on permanent change of station (PCS) orders to a military assignment

outside of Ohio? YES NO

(17) Are you a resident of another state?

 

YES

NO

State of residence

 

If a resident of another state, are you employed in Ohio?

YES

NO

 

SECTION IV

THESE QUESTIONS ARE REQUIRED TO DETERMINE IF YOU CAN PASS THE NATIONAL INSTANT CRIMINAL BACKGROUND CHECK SYSTEM AND RECEIVE AN OHIO CONCEALED HANDGUN LICENSE:

(1) Are you under indictment or information in any court for a felony, or any other crime, for which

YES

NO

the judge could imprison you for more than one year?

(2)Have you ever been convicted in any court of a felony, or any other crime, for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence,

 

including probation?

YES

NO

(3)

Are you a fugitive from justice?

YES

NO

(4)

Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic

YES

NO

 

drug, or any other controlled substance as defined in 21 U.S.C. 802?

(5)Have you ever been adjudicated mentally defective (which includes a determination by a court, board, commission, or other lawful authority that you are a danger to yourself or others or are incompetent to manage your own affairs) or have you ever been committed to

 

a mental institution?

YES

NO

(6)

Have you ever been discharged from the Armed Forces under dishonorable conditions?

YES

NO

(7)

Are you subject to a court order restraining you from harassing, stalking, or threatening your

YES

NO

 

child or an intimate partner of a child?

(8)

Have you ever been convicted of, pleaded guilty to, or adjudicated a delinquent child in any

YES

NO

 

court of a misdemeanor crime of domestic violence?

(9)

Have you ever renounced your United States citizenship?

YES

NO

(10) Are you an alien illegally in the United States?

YES

NO

(11) Are you an alien admitted to the United States under a nonimmigrant visa?

YES

NO

(12)If you are an alien admitted to the United States under a nonimmigrant visa, do you fall within any of the exceptions set forth in the instructions to question 12 on the ATF Form 4473? (If you

meet any of these exceptions, you must provide supporting documentation)?

YES

NO

(13)What is your state of residence (if any)?

(14)What is your country of citizenship?

(15)If you are not a citizen of the United States, what is your U.S.- issued alien number or admission number?

SECTION V

YOU MUST COMPLETE THIS SECTION OF THE APPLICATION BY ANSWERING THE QUESTION POSED IN PART (1) BELOW AND, IF THE ANSWER TO THE QUESTION IS “YES,” BY PROVIDING IN PART (2) THE INFORMATION SPECIFIED. IF YOU NEED MORE SPACE, COMPLETE AN ADDITIONAL SHEET WITH THE RELEVANT INFORMATION, ATTACH IT TO THE APPLICATION, AND NOTE THE ATTACHMENT AT THE END OF THIS SECTION.

(1) Have you previously applied in Ohio or in any other state for a license to carry a

YES

NO

concealed handgun or a temporary emergency license to carry a concealed handgun?

(2)If your answer to the question in part (1) of this section of the application is “yes,” you must complete this part by listing each county in Ohio, and each other state, in which you previously applied for either type of license and, to the best of your knowledge, the date on which you made the application.

Previous application made in

 

 

 

 

 

on

 

 

 

.

 

 

 

 

 

 

 

 

 

Ohio County or Other State

 

 

 

 

 

Application Date

Previous application made in

 

 

 

 

on

 

 

 

.

 

 

 

 

 

 

 

 

Ohio County or Other State

 

 

 

 

 

Application Date

Previous application made in

 

 

 

on

 

 

.

 

 

 

 

 

 

 

Ohio County or Other State

 

 

 

 

 

Application Date

SECTION VI

AN APPLICANT WHO KNOWINGLY GIVES A FALSE ANSWER TO ANY QUESTION OR SUBMITS FALSE INFORMATION ON, OR A FALSE DOCUMENT WITH, THE APPLICATION MAY BE PROSECUTED FOR FALSIFICATION TO OBTAIN A CONCEALED HANDGUN LICENSE, A FELONY OF THE FOURTH DEGREE, IN VIOLATION OF ORC 2921.13.

(1)I have read the publication that explains Ohio firearms laws, provides instruction in dispute resolution and explains the Ohio laws related to that matter, and provides information regarding aspects of the use of deadly force with a firearm, and I am knowledgeable of the provisions of those laws and of the information on those matters.

(2)I desire a legal means to carry a concealed handgun for defense of myself or a member of my family while engaged in lawful activity.

(3)I have never been convicted of or pleaded guilty to a crime of violence in the state of Ohio or elsewhere (if you have been convicted of or pleaded guilty to such a crime, but the records of that conviction or guilty plea have been sealed or expunged by court order or a court has granted relief pursuant to ORC 2923.14 from the disability imposed pursuant to ORC 2923.13 relative to that conviction or guilty plea, you may treat the conviction or guilty plea for purposes of this paragraph as if it never had occurred). I am of sound mind. I hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make any false statements herein I am subject to penalties prescribed by law. I authorize the sheriff or the sheriff’s designee to inspect only those records or documents relevant to information required for this application.

(4)The information contained in this application and all attached documents is true and correct to the best of my knowledge.

Signature of Applicant

 

Date

TO BE COMPLETED BY THE ISSUING AUTHORITY ONLY

Certificate of Competency:

Original Renewal

Prior Equivalent

 

 

If Original or Renewal, Date Certificate Issued:

 

 

 

 

Entity Name:

 

 

 

 

 

 

Instructor Name:

 

 

 

 

 

ID #:

 

(OPOTC or NRA ID #)

If Prior Equivalent, what type:

Law Enforcement

Retirement date:

 

 

 

 

What documents have been provided to evidence Prior Equivalent Training Experience:

Military • Active/Reserve, provide Active Duty credentials

• Retired/Honorable Discharge, date:

What documents have been provided to evidence Prior Equivalent Training Experience:

Does Competency Certification provided meet the requirements specified in ORC 2923.125(B)(3)(a)–(f)?

Yes No

Application received:

 

 

 

 

 

 

Name of Intake Person:

 

 

 

 

 

 

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

Application review is to be completed by:

 

 

 

Application reviewed by:

 

 

Date:

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

(MM/DD/YYYY)

Foreign notification sent:

 

 

Foreign notification response received:

 

 

 

 

 

 

(MM/DD/YYYY)

 

 

 

 

 

 

(MM/DD/YYYY)

Background completed:

(MM/DD/YYYY)

Approved date:

(MM/DD/YYYY)

Process suspended date:

(MM/DD/YYYY)

Denied date:

(MM/DD/YYYY)

Background records destroyed:

 

Destroyed By:

 

(MM/DD/YYYY)

Reason:

Reason:

LEADS entry date:

 

Entry #:

 

Entered By:

 

 

 

 

 

 

 

 

NICS Response:

 

 

 

 

 

 

Date:

 

(MM/DD/YYYY)

NOTES:

Rev. 03/17

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