Vp Form 304A PDF Details

Understanding VP Form 304A is a critical component of running any aviation business. This robust form serves as an authorization and agreement that allows the pilot-in-command (PIC) to draw down their full FAA required flight regulations, such as rest periods and duty time limits. With this essential documentation processes in place, businesses are able to maximize safety operations while ensuring PICs contributions remain compliant with governmental regulations. In this blog post, we’ll explain who needs to complete VP Form 304A and why it's so important for both pilots & operators alike.

QuestionAnswer
Form NameVp Form 304A
Form Length14 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 30 sec
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Form Preview Example

VP Form 304A

Send your completed application to:

Licensing & Regulation Division

GPO Box 2807

MELBOURNE 3001

Phone: 1300 651 645

Fax: (03) 9247 6485

Email: licensingregulation@police.vic.gov.au

Web: www.police.vic.gov.au

Victorian Firearm Licence Application Form

Licence Categories: A longarms or A & B Longarms Licence

Part 1 - Type of Application (All applicants must complete this part)

This is an application for

(Cross the relevant box(es) below)

 

 

Category

Duration

Category

Duration

Longarms Licence

(Category A)

(5 Years)

Longarms Licence

(Category A & B)

(5 Years)

Part 2 - Personal Information (All applicants must complete this part)

Current Name

Family Name

First Given Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Second Given Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

 

 

Male

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of

 

 

 

/

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Third Given Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever changed your name?

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you cross “yes” you MUST provide a certified copy of your change of name certificate or full birth certificate that includes the schedule of any name changes or marriage certificate.

Residential Address Property name (if applicable)

Flat / Unit Number

 

 

Street Number

Lot Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Type (RD, ST, AVE, etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Please Note: If you reside interstate, you will only be eligible for a Victorian licence if your

 

 

 

 

 

 

 

 

 

 

licence is for a work purpose in Victoria.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town / Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

Postcode

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Address (only complete this section if you want your licence forwarded to an address different to your residential address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Box / Bag / Street number

 

 

GPO Box

 

 

PO Box

 

 

Locked Bag

 

Private Bag

 

 

RSD

 

RMB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Type (RD, ST, AVE, etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town / Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

Postcode

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPRINT 11/13

Page 1

Revised 11/13

Part 2 - Personal Information (continued)

Contact details & Driver’s Licence (All applicants must complete, if applicable)

Telephone

(Home)

(Work)

Victorian Driver’s

Licence Number

(Mobile)

E-mail Address (indicate exact case)

Part 3 - Storage Address

Storage Address

The instruction pages describe the storage requirements of Schedule 4 of the Firearms Act 1996.

Do you own or store firearms and ammunition?

 

Yes

 

Do your storage facilities comply with Schedule 4 requirements?

 

Yes

 

Are your firearms ordinarily stored at the residential address

 

Yes

 

specified above? If your answer is “no”, please specify the ordinary

 

 

 

storage address below.

 

 

 

Please Note: If you have multiple firearms with multiple ordinary storage addresses, you must specify the ordinary storage address for each firearm and attach the information to this application.

No

If you answered ‘no’ go to Part 4

No

If ‘no’ please explain

No

...............................

 

 

..................................................................

 

..................................................................

Storage Address (Please staple additional storage address details to the back of this application if applicable.)

Name of property Owner / Occupier:

Property name (if applicable)

Flat / Unit Number

 

Street Number

 

Lot Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Type (RD, ST, AVE, etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town / Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

Postcode

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2

Attach Medical Report here if applicable

Attach longarms safety course certificate here

(All new applicants must attend a longarms safety course)

Part 4 - Medical History (All applicants must complete this part)

Have you in the past 5 years been treated for:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Psychiatric, depression, stress or emotional problems?

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alcohol or drug related problems?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stroke or head injuries?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Any other medical condition which could preclude you from

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

obtaining a Firearm Licence and possessing firearms?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have any Physical Disability which may preclude you from

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

obtaining a firearm licence and possessing firearms?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you answer “yes” to any of the above, you must obtain a medical report from a doctor who treated you, or is familiar with

 

 

your condition, outlining your suitability to hold a firearm licence and possess firearms. (refer to instruction pages)

 

 

 

 

 

 

 

 

 

 

Part 5 - Previous History (All applicants must complete the first three sections for this part)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 1: Offences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been found guilty of, or do you have charges pending for, any offence in Australia or Overseas?

 

 

 

Yes

 

 

 

No

If you answered “yes”, which State and Country?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2: Licence Refusal / Cancellations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been refused a licence or permit for a firearm?

 

 

Yes

 

 

No

 

If “yes” indicate the year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever had a licence or permit for a firearm cancelled?

 

 

Yes

 

 

No

 

If “yes” indicate the year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 3: Family Violence Intervention Order

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been subject to a full Intervention Order?

 

 

Yes

 

 

No

 

If you answered “no” go to Part 6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you answered “yes”, have you applied successfully to a

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

court to be deemed not to be a Prohibited Person?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 4: Application to be deemed not to be a Prohibited Person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have made an application to be deemed not to be a Prohibited Person in either Section 1 or 3, indicate the court and date of

 

 

your application.

Court

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 6 - Firearms Safety Course (All new applicants must provide a copy of a safety course certificate)

Have you attended a Longarms Safety Course in the last 12 months? See instructions pages Part 6.

* Please attach a copy of your safety course certificate

Yes

No

Page 3

Identification Documents
I am providing the following(insert document description(s) from instruction pages) Certified Identification Documents (one of which must be primary identification)
I, the Referee, also certify that the above details are true and correct, the applicant’s signature above was completed in my presence, and the Identification Documents I have signed are a true copy of the original. I am aware that it is an offence under the Firearms Act 1996 to knowingly or recklessly make a statement in support of the application of another person under this Act which is false or misleading in any material particular (maximum penalty 240 penalty units or 4 years imprisonment).
Telephone:
Acceptable Referee’s Signature
Referee’s Personal Details Family name
Address
Type of authority
Applicant’s Signature

Attach: 100 points of certified identification documents here

(unless you hold a Victorian Firearms, Security or Weapons licence/approval)

Part 7 - Identification Reference

Have you previously held an Interstate Firearms Licence?

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

If you answered “yes”, please indicate: State

 

Licence Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you hold a current Victorian Firearm Licence, security licence or CCP Weapon Approval?

 

Yes

 

No

 

 

If you answered “yes”, please indicate the licence number:

You do not have to provide any further information for Part 7 – Go to Part 8.

If you answer “no” you must provide 100 points of Certified (Signed by the Referee) Identification Documents, being one form of primary identification and one or more forms of secondary identification documents. (See Instruction Pages Part 7) and arrange for the below Declaration by Referee to be completed.

Declaration by Referee and Signature by Applicant

I, the Referee, declare that I have known

(insert full name of applicant)

by that name for a period of

(years)

and

(months)

and vouch for his/her identity.

Applicant to sign in the presence of an Acceptable Referee and indicate the type of Identification Documents being provided.

Date

/ /

(Home)

Date

/

/

 

 

 

Given name/s

(insert your Authority - see Instruction Pages)

(Business)

 

(Mobile)

 

 

 

Certified copies (Signed by the Referee) of your Identification documents

must be attached to this application.

Please note: Your referee must not be related to you by birth or marriage, or be your defacto partner and must have known you for at least 12 months.

Page 4

Attach either sport target shooting / hunting / primary production / security – prison guard and/or other official evidence here

Part 8 - Genuine Reasons

The Firearms Act 1996 requires you to have a genuine reason to obtain a Firearm Licence.

Cross the box(es) in the left column for the reason, or reasons, you are applying for, and provide the documents listed in the right hand column for each reason you tick

Genuine Reason (any one or more reasons)

 

Information and Documents you must provide

 

 

 

 

 

 

1. Sport / Target Shooting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

 

 

any type, on approved ranges

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Name of club/organisation)

(Branch)

 

(Date joined)

 

 

 

Membership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expiry Date

 

/

/

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

AND

 

 

 

 

 

 

 

 

 

Copy of current membership card

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

Club or organisation’s statement of endorsement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Hunting

1. Evidence of your continual ownership (ie: your most recent Rates Notice), occupancy

 

 

 

 

or management of land on which you intend to hunt. This must include the property size

 

 

 

 

 

and be no more than 12 months old.

 

 

 

 

 

 

Refer to the instruction pages for further

 

OR

 

 

 

 

 

 

information on evidence for Hunting

2. Victorian Membership of a shooting club or organisation that is approved for the activity

 

 

 

 

 

 

of hunting is sufficient evidence for the reason of hunting. Membership must be current

 

 

 

at the time of application and you must maintain your club membership for the

 

 

 

duration of your firearm licence.

 

 

 

 

 

 

OR

3.Written permission from either the owner or manager of land upon which you intend to hunt. (Letter must contain your name and address, the size and location of the owners property, the owners full name and contact details and must be signed and dated by the owner.) This must be a new letter (no more than 12 months old), not a copy of a letter previously provided.

If providing evidence for either 1 or 3, please complete the following:

Property Size (Hectares)

OR

4.Copy of current Victorian Game Licence.

OR

5.Written evidence of formal hunting contracts.

OR

6.Original copy (issued in the last 12 months) of your Registration of Interest in hunting pest animals on Crown Land from Department of Sustainability and Environment. (DSE)

 

 

 

3. Primary Production

1. Property Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(either (i) or (ii))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND

 

 

 

 

 

 

 

 

 

 

 

 

 

i) Indicate if you are the:

 

 

2. Property size (Hectares)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner

Or

 

 

 

Lessee / Share Farmer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

AND

 

ii) If NOT an owner or lessee, you must

3. Total hours per week spent on primary production activities

 

 

 

 

 

 

 

 

 

 

demonstrate that you are regularly engaged in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

primary production as a:

 

 

 

AND

 

 

 

 

Manager

Or

 

 

 

Employee

4. Australian Business Number (ABN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Refer to the instruction pages for further

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND

 

Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Type of Primary Production business conducted on property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND

6. Copy of a recent land rates notice (last 12 months)

OR

7.If a Manager or Employee: Provide written evidence from the Primary Producer of your employment, including his/her documents and information specified at

(1 to 5) above.

Page 5

Part 8 - Genuine Reasons (continued)

The Firearms Act 1996 requires you to have a genuine reason to obtain a Firearm Licence.

Cross the box(es) in the left column for the reason, or reasons, you are applying for, and provide the documents listed in the right hand column for each reason you tick

Genuine Reason (any one or more reasons)

Information and Documents you must provide

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Security Guard

1. Private Security Licence Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE NOTE: You must be the holder of a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expiry Date

 

 

 

/

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Private Security licence for the Subactivities of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash In Transit or Armed Guard.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.Provide a letter of endorsement from your employer (Letter must: be on company letterhead, state hours worked, detail duties performed, state that duties require employee to be armed, be signed and dated by Nominee).

AND

3.Copy of your Security Industry Firearms Safety Training Qualification

(No more than 12 months old)

3. Name and address of employer:

 

 

 

If self employed: Provide copies of contracts including (1) and (3) above.

 

 

 

 

 

 

5. Prison Guard

1. Provide a letter of endorsement from your employer (Letter must: be on company

 

 

 

 

letterhead, state hours worked, detail duties performed, state that duties require employee

 

 

 

 

 

to be armed, be signed and dated by Nominee).

 

 

 

 

AND

 

 

 

2. Copy of your Prison Industry Firearms Safety Training Qualification.

 

 

 

(No more than 12 months old)

 

 

 

3. Name and address of employer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Firearm Safety Instructor -

Copy of Chief Commissioner’s approved Security Industry / Prison Guard Firearms

 

 

Accreditation Certificate.

 

 

 

Security Industry / Prison Guard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Official / Commercial /

Provide sufficient information and documentation to support the genuine official,

 

 

 

 

 

commercial or prescribed purpose relating to your application.

 

 

 

Prescribed purpose or purpose

 

 

 

 

 

 

 

 

 

authorized by an Act or regulations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 6

Part 9 - Confirmation of Currently Owned Firearms

Do you currently own firearms?

Yes

No

If you answer “no” go to part 10.

If you answered “Yes” please specify all of the firearms you currently own under each firearm licence OR if provided, update and sign your Firearm Registration Certificate and return it with this application (use the codes shown in Part 9 of the Instruction Pages to classify your firearms.)

If you have more than four firearms, please photocopy this page and attach it to your application.

 

 

Cross if copy attached.

 

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 1

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 3

 

 

 

 

 

 

 

 

 

 

 

Serial Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category

 

 

Type

 

 

 

Action

 

 

 

Configuration

 

 

Magazine/Firearm Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 1

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 3

 

 

 

 

 

 

 

 

 

 

 

Serial Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category

 

 

Type

 

 

 

Action

 

 

 

Configuration

 

 

Magazine/Firearm Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 1

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 3

 

 

 

 

 

 

 

 

 

 

 

Serial Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category

 

 

Type

 

 

 

Action

 

 

 

Configuration

 

 

Magazine/Firearm Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 1

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 3

 

 

 

 

 

 

 

 

 

 

 

Serial Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category

 

 

Type

 

 

 

Action

 

 

 

Configuration

 

 

Magazine/Firearm Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 7

Part 10 - Acknowledgement (All applicants must complete this Part)

I acknowledge that the particulars in this application and any attachments are true and correct and I make this acknowledgment knowing that it is an offence against section 140A(1) of the Firearms Act 1996 to wilfully supply details that are false or misleading (maximum penalty 240 penalty units or 4 years imprisonment).

Signature

Date

/ /

Privacy Statement: The information collected in this application is being collected by Victoria Police. It will be used in accordance with the provisions of the Firearms Act 1996, Private Security Act 2004, Control of Weapons Act 1990 and the Information Privacy Act 2000. Your information may be disclosed to employers, approved bodies and other statutory authorities by Victoria Police for the purpose of law enforcement and the administration of justice. Applicants may gain access to their information through application to the Victoria Police Freedom of Information Unit.

Health Privacy Statement: The health information collected in this application is being collected by Victoria Police. Contact details can be found on the front of this form. The health information collected will be used in accordance with the provisions of the Firearms Act 1996, Private Security Act 2004, Control of Weapons Act 1990 and the Health Records Act 2001, and is required to be collected under the Firearms Act 1996. Your health information may be disclosed to approved bodies and/ or statutory authorities for purposes related to the administration of the above Acts, for the purpose of law enforcement or, if necessary, for the establishment, exercise or defence of a legal or equitable claim. Applicants are able to gain access to their health information through application to the Victoria Police Freedom of Information Unit. Failure to provide the health information requested in this application may result in this application being refused or delayed.

IMPORTANT CHECKLIST

Before you mail this application to Licensing & Regulation Division MAKE SURE THAT YOU:

READ all the explanatory notes.

Answer ALL the questions that apply to you.

If applicable, PROVIDE a copy of the safety course certificate (Part 6).

If applicable, PROVIDE a certified copy of your identification document(s) and make sure that your referee has signed Part 7.

Include ALL Documentary Evidence for each Genuine Reason for your licence application (Part 8).

Attach ALL supporting documentation.

If applicable, list ALL your currently owned firearms (Part 9).

Complete Part 10 - Acknowledgement.

Send your application to: Licensing & Regulation Division, GPO Box 2807, MELBOURNE VIC 3001.

If you do not complete all the above steps, this may DELAY the processing of your application.

If you need information on any aspect of this application form, please contact Licensing & Regulation Division on 1300 651 645.

Please Note: The Firearms Act 1996 states that any changes to your address or information detailed on your licence must be notified in writing to Licensing & Regulation Division within 14 days after the change occurs (maximum penalty 30 penalty units).

Page 8

Instruction Pages for Firearm Licence Application

Licence Categories: A Longarms, A & B Longarms

The information contained in your application is treated as Strictly Confidential

General Instructions for the Completion of Your Firearm Licence Application Form

How to use these instruction pages

This form is only to be used for New Category A or A & B Longarm Licence applicants and those wanting to renew their existing licence in advance of 8 weeks of their licence expiry.

There are 10 Parts in the firearms licence application form. You may not have to complete all parts. These

instruction pages help you decide whether you have to fill out each part, and how to fill out the parts that apply to you.

IThe form is to be completed in black or blue pen only.

IAttach copies of supporting documents securely to your Application and forward to Licensing & Regulation Division, GPO Box 2807 Melbourne 3001.

IContact Licensing & Regulation Division if you have any queries on telephone number 1300 651 645 or: by e-mail at licensingregulation@police.vic.gov.au

Online Resources: http://www.police.vic.gov.au

Do not send: original identification documents, cash, cheques or money orders.

High quality copies of documents must be provided. If documents are not clear your application will be returned.

This includes:

IPassports in particular the photograph of holder

IDrivers Licences in particular the photograph of holder

IAny other acceptable Identification Documents in particular those with a photograph

ICredit cards

IMedicare cards

IMembership cards of Shooting Clubs or Organisations

IGaming Licences

Under no circumstances should liquid paper be used on application forms or other documents

Failure to provide high quality documents will result in your application being returned for corrective action.

Entering Information

All dates must be entered in the format DD/MM/YYYY. For example:

Please print in capital letters and avoid contact with the edge of the box. The boxes on the right are a good example of how to fill in the boxes. Ensure the printed characters are all very neat and do not cross or

touch the lines of the boxes.

The example on the right has been filled in incorrectly. Printing touches or crosses the lines of the boxes. Printing like this will result in application processing delays.

When you are asked to make a choice, select boxes like this:

Yes

 

Not like this:

 

Yes

1

4

 

0

6

 

1

9

9

7

 

 

 

 

 

 

 

 

 

 

A B C D E F G H I J K L M

N O P Q R S T U V W X Y Z

L

B U E

No

3No

Waiting Periods for Licences

New Firearms Licences cannot be issued until 28 days after Licensing & Regulation Division receives the application.

No waiting period applies for a licence renewal providing the application is submitted prior to the expiry of the old licence. The application will be processed as soon as possible.

Fingerprints

Fingerprints are not required for Category A Longarm Licence OR Category A/B Longarm Licence.

Page 9

Part 1 - Type Of Application (All applicants must complete this Part)

The Licence Category you are applying for is dependent on the type of firearms that you own, propose to acquire or use. Select the Licence Category from the Firearms list below:

Licence Categories

Firearm Types Applicable to this Application Form

 

 

A

Airguns; rimfire rifles (includes pump action not semi-automatic) shotguns (not semi-automatic or

pump action); any combination of a shotgun and rimfire rifle; muzzle loading shotguns.

 

 

 

 

Muzzle loading firearms (except shotguns); centre fire rifles (includes pump action not automatic or

B

semi-automatic); any combination of shotgun and centre fire rifle; black powder ball firing cannon.

 

(Category B licence automatically allows you to use Category A firearms).

 

 

 

Firearm Types Not Applicable to this Application Form

 

 

 

Semi automatic rimfire rifles (magazine capacity no more than 10 rounds); semi-automatic shotguns

C

(magazine capacity not more than 5 rounds); pump action shotguns (magazine capacity not more

 

than 5 rounds); tranquilliser guns.

 

 

 

Semi-automatic rimfire rifles (magazine capacity of more than 10 rounds); semi-automatic shotguns

D

(magazine capacity of more than 5 rounds); pump action shotguns (magazine capacity of more than

 

5 rounds); semi-automatic centre fire rifles.

 

 

 

Machine guns, tear gas guns or projectors; shotguns or rifles with a length of less than 75 cm

E

measured parallel to the barrel; cannons (which are not black powder ball firing); mortars; bazookas;

 

rocket propelled grenades, large calibre military firearms designed to fire an explosive or projectile.

 

 

 

A Junior licence holder cannot own firearms, but can use A, B or C longarms (being shotguns) or

Junior

General Category Handguns under supervision of an appropriate firearms licence holder.

 

 

How to Complete Part 1

Cross the box(es) relating to the licence category(s) that you want.

Part 2 - Personal Information (All applicants must complete this Part)

How to Complete Part 2

Provide your current personal details in the boxes provided. Make sure to leave a space between words. Cross the appropriate box to indicate if you are male or female.

If you have ever changed your name, you must provide a certified copy of your change of name certificate or full birth certificate that includes the schedule of any name changes or marriage certificate.

If applicable, you must provide your e-mail address, Victorian Driver’s Licence number and contact telephone details to enable Licensing & Regulation Division to contact you if a problem is encountered in the processing of your application. When providing your e-mail address, make sure you indicate the exact case, punctuation marks and location of the ‘@’ symbol.

Part 3 - Firearm Storage (All applicants must complete this Part)

The Firearms Act 1996 (Schedule 4) provides for new storage standards for firearms and ammunition. The following is a brief summary of the storage requirements which you must be able to satisfy.

Category A and B requirements

Hard wood or steel container – not easy to penetrate

If the container weighs less than 150kg when empty, it must be securely fixed to the floor or wall frame.

When a firearm is in the container, the container MUST be locked with a lock of sturdy construction.

The premises must have ‘intruder alarm system’ if more than 15 firearms are stored on the premises.

‘Intruder alarm system’ means an alarm system which is installed, maintained and operated in accordance with Australian Standard 2201.1:2007 (as amended from time to time) and which, in the event of an intrusion, activates an audible alarm warning device and an external visible alarm warning light.

Ammunition must be stored in a separate locked container (not with the firearm) unless the receptacle is purpose built to store ammunition separately from the firearms.

NOTE: Your storage arrangements may be inspected at any reasonable time to ensure compliance with the Act.

Part 4 - Medical History (All applicants must complete this Part)

If you answer “yes” to any question, you must supply a medical report regarding your suitability to hold a firearms licence.

Note: This report must state that you are a fit and proper person to be in possession of firearms and/or a firearms licence and that you pose no threat to yourself or the community.

Page 10

Part 5 - Previous History (All applicants must complete each section of this Part)

How to Complete Part 5

Simply cross “yes” or “no” in response to each question, and supply the additional information requested, if it applies to you.

Offences“Charges Pending” means formally charged with an offence which is currently awaiting a court appearance. In relation to “Found Guilty”, it does not matter how long ago you were found guilty or what penalty was imposed. If you answer “yes”, indicate the State and/or Country.

Family Violence If you have been subject to a full (not interim) Intervention Order, you are required to indicate the year

Intervention Order that you were subject to the order. You also have a right to apply to a court to be deemed not to be a Prohibited Person. Indicate if you have done this. Attach the Certified Court Extract if you were subsequently deemed not to be a Prohibited Person.

Part 6 - Firearms Safety Course

You are required to complete a Firearm Safety Course if:

This is a new Firearm application (you have not previously held a firearm licence in Victoria).

You held a previous Firearms licence and it has been expired more than 12 months.

If your licence was cancelled.

NOTE: Heirlooms licence applicants are not required to complete a firearm safety course

The Firearm Safety Course Certificate must be submitted with your application. (Note: Certificates will not be accepted if more than 12 months old.)

For Firearm Safety Course information, visit www.police.vic.gov.au/Firearms under Firearm Licence Applications.

Part 7 - Identification Reference

How to Complete Part 7

If this is your first Firearms Licence Application you must provide proof of your identification.

To prove your identity you are required to provide 100 points of identification. This must be a certified copy of one Primary identification document and certified copies of one or more Secondary identification document(s) equal to, or more than 100 points from the list below.

One of the identification documents must also include your current residential address.

* Primary Identification (only one allowed)

Points

* Secondary Identification continued

Points

 

 

Full Birth Certificate (Change of name certificate if applicable)

70

Mortgage Documents

35

Current passport

70

Land Titles Office

35

Passport which has not been cancelled and was current within

70

Letter from Employer (within last 2 years) confirming name & address

35

preceding 2 years

 

 

Rates Notice

35

Citizenship Certificates

70

Credit Card (only one from the same institution)

25

Diplomatic documents and official documents issued to refugees

70

Medicare Card

25

 

 

* Secondary Identification

 

Telephone Account

25

Identification Card issued by a Tertiary education institution.

 

Electoral Roll complied by Australian Electoral Office

 

Authorised Deposit Taking institutions (customer of at least

 

Letter from Acceptable Referee (see below - Acceptable Referee

 

12 months) ie. bank, building societies, credit unions, or

 

does not have to have known the person for 12 months or more)

25

registered corporations

40

Records of a Public Utility ie. Gas, electricity, water, etc.

25

Letter from Acceptable Referee (see next page) who has known

 

Statement from a primary, secondary, or tertiary education

25

person for at least 12 months

40

institution that person attended in the last 10 years

 

 

 

Public Service ID

40

Records from a professional or trade association (club, school,

25

union or trade/professional body)

 

Any licence issued under law (ie. Driver licence)

40

 

 

 

Social Security Card

40

 

 

 

 

 

 

Note: Identification documents / photographs MUST be readable

This is an example of a Secondary identification document that has been certified:

Identifying Referee

You need to ask one of the persons from the list below to be your Referee. The Referee must not be related by birth or marriage and must have known you for at least 12 months.

Page 11

Part 7– Identification Reference CONTINUED – List of Acceptable Referees

The following people can act as referees for Part 7

The Referee must have known you for at least 12 months.

A member of

A member of a municipal, city, town, district

An employee of a financial institution who is

the Institute of Chartered Accountants

or shire council of a State or Territory.

authorised by the financial institution to open

 

in Australia,

 

 

accounts with the institution.

the Australian Society of Certified

 

 

 

 

 

Practising Accountants, or

 

 

 

 

the National Institute of Accountants.

 

 

 

 

 

 

 

An agent of a financial institution who is

A full time employee of

An employee of a bank carrying on a

authorised by the financial institution to open

a financial institution; or

business outside Australia

accounts with the institution.

a corporation that is a registered

that does not have an authority under

 

 

 

corporation within the meaning of the

 

Section 9 of the Banking Act 1959; and

 

 

 

Financial Corporation Act 1974;

that is engaged in a transaction with a

 

 

who has been employed continuously for at

 

cash dealer;

 

 

least 5 years by one or more financial

who is authorised by the bank to open

 

 

bodies.

accounts with the bank.

 

 

 

A full-time employee of a company carrying

A legal practitioner of a Federal, State or

A registrar, clerk, sheriff or bailiff of a

on insurance business who has been

Territory Court.

Federal, State or Territory Court

employed continuously for at least 5 years

 

 

 

 

by one or more companies of that type.

 

 

 

 

 

 

 

An officer within the meaning of the Defence

An individual registered or licensed as

An individual who is employed and

Act 1903.

a dentist,

registered as a nurse under the law of a

 

 

a medical practitioner,

State or Territory providing for that

 

 

a pharmacist, or

registration.

 

 

a veterinary surgeon,

 

 

 

 

under a law of a State or Territory providing

 

 

 

 

for that registration or licensing.

 

 

 

 

 

A diplomatic or consular officer of an

A holder of an office established by a law of

A judge or master of a Federal, State or

Australian Embassy, High Commission or

the Commonwealth, a State or Territory in

Territory Court.

Consulate, in Australia or overseas.

respect of which annual salary is payable.

 

 

 

 

 

A stipendiary magistrate of the

A justice of the peace of a State or Territory.

A member of the Federal Parliament or a

Commonwealth or of a State or Territory.

 

 

State Parliament.

 

 

 

A member of the Legislative Assembly of the

A minister of religion who is registered as a

A notary public.

Australian Capital Territory, the Northern

marriage celebrant.

 

 

Territory or Norfolk Island.

 

 

 

 

 

 

 

A member of the Australian Federal Police,

A member of the Australian Federal Police,

A manager of a post office.

or of the police force of a State or Territory,

or of the police of a State or Territory, of or

 

 

who in the normal course of his or her

above the rank of sergeant.

 

 

duties, is in charge of a police station.

 

 

 

 

 

 

 

An individual employed as an officer or

An individual employed as a full-time teacher

An individual who, in relation to an Aboriginal

employee by one or more of the following:

or as a principal at one or more of the

community

the Commonwealth, a State or Territory;

following educational institutions:

is recognised by the members of the

an authority of the Commonwealth, a

a primary or secondary school forming

 

community to be a community elder; or

 

State or Territory; or

 

part of the education system in a State

if there is an elected Aboriginal council

a local government body of a State or

 

or Territory; or

 

that represents the community – is an

 

Territory;

an institution listed in section 4 or

 

elected member of the council.

who has been so employed continuously for

 

paragraphs 34(4)(b)-(j) (inclusive) of

 

 

a period of at least 5 years, whether or not

 

the Higher Education Funding Act

 

 

the individual was employed for part of that

 

1988;

 

 

period as an officer and for part as an

who has been so employed continuously for

 

 

employee.

a period of at least 5 years.

 

 

 

 

 

An individual who is an agent of a totalisator

A Commissioner for oaths of a State or

An individual who is registered as a tax

agency board if

Territory.

agent under part VIIA of the Income Tax

the individual conducts an agency of

 

 

Assessment Act 1936.

 

the totalisator agency board at

 

 

 

 

 

particular premises; and

 

 

 

 

the agency is not ancillary to any other

 

 

 

 

 

business conducted at those premises.

 

 

 

 

 

 

 

A member of the Chartered Institute of

A member or fellow of the Association of

A member of the Institution of Engineers

Company Secretaries in Australia Limited.

Taxation and Management Accountants.

Australia, other than a member with the

 

 

 

 

grade of student.

 

 

 

 

 

A fellow member of the National Tax and

 

 

 

 

Accountants’ Association Limited.

 

 

 

 

 

 

 

 

 

 

You must ask the Acceptable Referee to

a)sign the copy of the identification documents that you are providing in order to indicate that it is a true copy of the original as demonstrated on the previous page; and

b)complete all required parts of the “Declaration by Referee” section in Part 7 of the application form as instructed on the form. Please note that this includes witnessing you (the applicant) signing the application in their presence.

Make sure you include the signed identification documents with your application by stapling them to the back of the application.

Page 12

Part 8 - Genuine Reasons

The Firearms Act 1996 requires you to have a genuine reason to have a firearm(s) licence.

How to complete Part 8

1.In the section that applies to you, indicate each genuine reason why you require the licence by putting a cross in the box immediately to the left of the genuine reasons listed in the left column.

2.Make sure that you supply the corresponding documents and information indicated in the right hand column.

Note: You can indicate more than one genuine reason for your application, however the information and documents listed in the right hand column must be provided for each genuine reason.

Memberships

Club membership, Registration documents, Game Licence, etc, provided MUST BE CURRENT at the time of receipt. You must maintain your club membership and currency of your Game Licence for the duration of your firearms licence, or your licence may be cancelled.

Hunting

If you wish to use Hunting as a genuine reason, you are required to provide one of the following documents:

Your current rates notice (not more than 12 months old). You must include the size of the property. Note: The rates notice must include your name. If the rates notice is recorded in a name other than your own, you must provide written permission as listed below.

OR

Written permission from the owner or manager of land upon which you intend to hunt. This letter must contain your name and address, the size and location of the property, the owner or manager’s full name and contact details. The letter must be signed and dated (not more than 12 months old) by the owner or manager.

OR

Copy of a current Victorian Game Licence issued by the Department of Sustainability and Environment.

OR

Alternatively, you must produce a new, original copy of your Registration of Interest in hunting pest animals on Crown land from the Department of Sustainability and Environment.

For more information contact the Department of Sustainability and Environment Hotline 136 186.

OR

Victorian Membership of a shooting club or organisation that is approved for the activity of hunting is sufficient evidence for the reason of hunting. Membership must be current at the time of application and you must maintain your club membership for the duration of your firearm licence.

Primary Production

If you wish to use Primary Production as a genuine reason, you must provide evidence that you are regularly engaged (1-19 hours per week) in this activity as an owner, lessee or “share farmer” by providing the following:

1.Copy of your most recent rates notice (within the last 12 months), relating to the primary production property, and

2.Your Australian Business Number (ABN), relating to the primary production business, or

3.A letter from a tax agent (accountant not solicitor) declaring that you are carrying on the business of primary production in accordance with the Australian Tax Office assessment criteria, or

4.Provide a copy of your last income tax assessment where you demonstrated that you are carrying on the business of primary production in accordance with the Australian Tax Office assessment criteria*, and

5.The type of Primary Production business conducted on the property.

6.The size of the property where primary production activities are conducted.

*This form details applicants’ net income – gross business income less business deduction – for both primary production and non-primary production business income.

If you are either the Manager or Employee of a Primary Producer, then you must:

1. Provide a letter from your employer outlining that you are regularly engaged or employed in the business of Primary Production, and

If you wish to apply for Primary Production and another genuine reason, then you must provide information and documents for each genuine reason. You will be charged a fee for the licence.

The genuine reason of ‘Primary Producer’ authorises you to carry and use your firearms for the reason specified in your licence on the land of another primary producer, hunt pest animals on Crown land and shoot at an approved shooting range. No extra fee is payable.

An Official / Commercial / Prescribed Purpose

If you wish to use an Official / Commercial / Prescribed Purpose as a genuine reason for a licence, then you must provide sufficient documentary evidence, such as a letter from an employer, Business Registration Certificate, etc, to enable Licensing & Regulation Division to determine your genuine reason.

Please Note: You must notify Licensing & Regulation Division in writing of any change to the reason for issue of your licence within 7 days of becoming aware of the change.

Page 13

Part 9 - Confirmation of Currently Owned Firearms

You must indicate if you currently own firearms. If you answer “yes” you must supply full details of all currently owned firearms under each firearms licence. Or, if provided, update the ‘Firearms Ownership’ list and return the list with this application.

If you previously provided these details in a permit application since the 13th July 1998 or a licence renewal application since the 1st January 1999, you do not have to complete this part. If this applies to you, cross the “yes” box and go to Part 10.

Firearm details:

For combination and multi barrel firearms with more than one calibre, please specify each calibre and the firearm capacity.

A correct serial number appropriate to the make and model of the firearm, must be supplied. (Take care to avoid part numbers or product numbers on grips etc. INVALID NUMBERS WILL DELAY YOUR APPLICATION. If in doubt, seek assistance from an authorised firearms identifier (most Licensed Firearms Dealers)).

If the firearm has a magazine, record the capacity of the largest magazine for that firearm in your possession. If the firearm has no magazine, this is the firearm capacity.

Example of correctly completed form:

Make

Model

B R O W N I N G

B 2 5

Calibre 1

Calibre 3

Category

1

2

 

G

A

U

G

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

Action

 

 

A

 

S

H

 

B

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calibre 2

Serial Number

1 5 0 - 1 2 3 4

Configuration

U

O

Magazine Capacity

 

 

0

2

 

 

 

 

 

 

 

 

 

 

 

 

Please use the codes shown in the tables below to classify your firearm

 

FIREARM TYPE CODES

 

 

Code

Description

 

 

AR

Air Rile

BL

Breech Loading

 

 

CA

Cannon

CCCombination (Centreire Cat B)

CF Centre Fire Rile

CR Combination (Rimire Cat A)

DR Drilling (3 Barrel)

HP

 

Handgun

 

 

 

HQ

 

Antique Handgun

 

 

 

HU

 

Humane Killer

 

 

 

MA

 

Machine Gun

 

 

 

ML

 

Muzzle Loading

 

 

 

MO

 

Mortar

 

 

 

NF

 

Needle Fire

 

 

 

PB

 

Paintball Marker

 

 

 

PW

 

Powerhead

 

 

 

RF

 

RimFire Rile

RL

 

Rocket Launcher

 

 

 

SH

 

Shotgun

 

 

 

TR

 

Tranquilliser Gun

 

 

 

VR

 

Vierling

 

 

 

 

 

 

Firearm Coniguration Codes

Code

 

Description

 

 

 

DB

 

Double Barrel - Side by Side

 

 

 

MX

 

Matchlock

 

 

 

MB

 

Multi Barrel

 

 

 

RV

 

Revolver

 

 

 

SA

 

Semi-Automatic

 

 

 

SB

 

Single Barrel

 

 

 

TF

 

Teat Fire

 

 

 

UO

 

Under and Over

 

 

 

 

FIREARM ACTION CODES

 

 

Code

Description

 

 

AR

Air

 

 

AU

Automatic

 

 

BA

Bolt Action

 

 

BF

Blank Fire

 

 

BM

Modiied Break Open

BO

Break Open

 

 

CH

Combination (Handgun) Category H

FB

Falling Block

 

 

FL

Flintlock

 

 

FP

Flare Pistol

 

 

HL

Hammer Lock

 

 

LA

Lever Action

 

 

MH

Martini Henry

 

 

MO

Mortar

 

 

MX

Matchlock

 

 

MZ

Muzzle Loading

 

 

PA

Pump Action

 

 

PH

Powerhead

 

 

PM

Modiied Pump Action

PN

Percussion

 

 

RB

Rolling Breech

 

 

RO

Rocket Launcher

 

 

RV

Revolver

 

 

RX

Rolling Block

 

 

SA

Semi-Automatic

 

 

SB

Sliding Breech

 

 

SC

Screw Breech

 

 

SN

Sneider

 

 

SP

Starting Pistol

 

 

SW

Swivel Breech

 

 

TD

Trap Door

 

 

TF

Teat Fire

 

 

Part 10 - Acknowledgement

You must read, sign and date the Acknowledgement.

Page 14