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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 *
Sales from Dealer
Pawn Redemption
Consignment Return
Private Sale - NICS Check Only
Type of Firearm *
01- Handgun
02- Long Gun
03- Other(frame, Receiver, Etc)
01,02- Both Handgun and Long Gun
01,03- Handgun and Other
02,03- Long Gun and Other
01,02,03- Handgun, Long Gun and Other
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? *
Born outside of the USA
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
If Born Outside of the USA, Which Country? *
Current US STATE of Residency *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Race (B)lack, (A)sian, (W)hite, (Am)erican Indian, (O)ther *
Are you a US Citizen ? *
YES
NO
If No, Not a US Citizen. Alien or Admission ID (AR or I94) #
Exception Doc Code :
Not Applicable
Exception Doc Code NOT Provided
Exception Doc Code Provided
SS# if your name is common, helps with speed of results. (Not Required)
Do You qualify for exception to waiting period. What Type? *
I DO NOT QUALIFY
Florida Concealed Weapons Permit
Firearm Trade-In
Hunters Safety Course or Hunting License
Law Enforcement/Corrections Officer or US Service Member (For age 21 and over)
Sworn Law Enforcement (For Age Less than 21)
Military (For Age less than 21)
Sworn Corrections (For age less than 21)
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.
Verification Code
SUBMIT
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