FDLE / NICS Firearm Eligibility Check

Use this form if you are planning on having us complete your transfer here at our office. All information is needed to perform a Background Check. When finished, go to STEP 3

* Denotes as Required Field

Your Name prefix, Mr or Mrs?

Firearm Transaction Type *

Type of Firearm *

Your FULL name (Include Middle) *

Email to Receive Results *

Contact Phone Number

Date of Birth ( xx/xx/xxxx ) *

(M)ale - (F)emale *

What US State Were You Born In? *

If Born Outside of the USA, Which Country?

Current US STATE of Residency *

Race (B)lack, (A)sian, (W)hite, (Am)erican Indian, (O)ther *

Are you a US Citizen ? *

YES

If No, Not a US Citizen. Alien or Admission ID (AR or I94) #

Exception Doc Code :

SS# if your name is common, helps with speed of results. (Not Required)

Do You qualify for exception to waiting period. What Type? *

Any Notes or Clarifications to the above questions?

Upload any supporting documents. CWP and DL, It will be needed for Check and if you are picking up a firearm from us. You can also text your copies to us, if needed. 561.934.8100

Verification Code

FDLE / NICS Background Checks