Pike County Sheriff's Office Online License to Carry Gun Permit Director

License to Carry Firearms Please Enter All Information

Welcome! This is an official application for a license to carry. You must completely and accurately fill-out this application to be considered for a license. Any falsification of the information within this application will result in the refusal of this application for a license to carry.

A non-refundable processing fee is required. In addition, an online service fee is required to process payment. These fees will be charged even if your application is denied.

Add An Address

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

From:

To:

Add Address Add And Close

Add An Alias

Prev. Last Name:

Prev. First Name:

Prev. Middle Name:

City Where Changed:

State or Region Where Changed :

Court File Number:

Add Alias Add And Close

Add a reference

Title:

Last Name:

First Name:

Middle Name:

Address Line 1:

Address Line 2:

City:

State :

Zip:

Phone Number:

Email:

Relationship:

Add Reference Add And Close

Update a reference

Title:

Last Name:

First Name:

Middle Name:

Address Line 1:

Address Line 2:

City:

State :

Zip:

Phone Number:

EmailEdit:

Relationship:

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Agreement
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Appointment

Please read the following before proceeding:

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Check if no middle name.

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth Country:

Are you a US Citizen?

Yes No

Prohibitions applicable to certain aliens. Federal law makes it unlawful for aliens who are illegally or unlawfully in the United States to receive or possess firearms. In addition, subject to certain exemptions, aliens who are in a non-immigrant status are prohibited from possessing or receiving firearms in the United States.

A non-immigrant alien is not subject to this prohibition if the alien:

is in possession of a valid hunting license or permit lawfully issued in the United States;
is an official representative of a foreign government who is accredited to the United States Government or his or her government’s mission to an international organization having its headquarters in the United States; or
has received a waiver from the prohibition from the Attorney General of the United States.

See 18 USC 922(y)(2) for additional exceptions.

In order to determine whether applicants who are not United States citizens are prohibited from possessing firearms under Federal law, it is necessary to obtain answers to the following questions:

^{Country of Citizenship}

^{Country of Birth}

Select Appropriate Immigrant Classification: ^{(only choose one)}

^{Immigrant Alien}

Yes No

What is your ICE-issued AR/USCIS #?:

^{Non-Immigrant Alien}

Yes No

What is your ICE-issued I-94 #?:

^{Non-Immigrant Visa}

Yes No

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Valid Hunting License/Permit

Official Representative of a Foreign Government

Foreign Government Official/Distinguished Visitor

Foreign Law Enforcement Officer

Waiver from Prohibition

No Documentation Provided

Demographic Information:

Race:

Amera-Indian Asian Black Native Hawaiian Pacific Islander White Unknown

Hispanic/Latino:

Yes No

Gender:

Male

Female

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password Strength:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

County:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Spouse Residence Address:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Attach Documentation: please upload the required documentation

If you need to upload documentation, please use the 'Add Files' button below to begin the process. The maximum size of individual files is 5 MB. The address on government-issued IDs must match the address on this application.

VALID GOVERNMENT ISSUED PHOTO ID FRONT & BACK (e.g. PA DRIVERS LICENSE / STATE ID)
Permanent Resident card (green card) Front & Back including any applicable extension letter, if applicable. Note: an original Permanent Resident card is required to be brought with you to your appointment to pick up your license.
Naturalized citizens must provide your Naturalization Certificate.
Non-Citizen with a Non-Immigrant VISA
- Hunting License

Out-of-State Applicants:

VALID GOVERNMENT ISSUED PHOTO ID FRONT & BACK (e.g. PA DRIVERS LICENSE / STATE ID)
Out-of-State CCW License

Uploaded Files:

Add files...

Please select a document type then, click on the “Attach” button to complete the upload process.

Select Your Application Type:

New License to Carry

Total Fee:

$0

I have never been convicted of a crime that prohibits me from possessing or acquiring a firearm under Federal or State law. I am of sound mind and have never been committed to a mental institution or mental health care facility. 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 his designee, or, in the case of first class cities, the chief or head of the police department, or his designee, to inspect only those records or documents relevant to information required for this application. If I am issued a license and knowingly become ineligible to legally possess or acquire firearms, I will promptly notify the sheriff of the county in which I reside or, if I reside in a city of the first class, the chief of police of that city. This certification is made subject to both the penalties of § 4904 of the Crimes Code, 18 Pa.C.S., relating to unsworn falsifications to authorities and the Uniform Firearms Act.

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Your Initials:

For security purposes, we logged your IP Address: 3.138.124.28, 172.71.190.18:30798, 40.1.2.140

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Application Qualification Questions:

Yes No

Is your character and reputation such that you would be likely to act in a manner dangerous to public safety?