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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
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
Date of Birth ( xx/xx/xxxx )
(M)ale - (F)emale
What STATE where you were born in? If another country list that.
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
Current STATE of Residency
SS# if your name is common, helps with speed of results. (Not Required)
Do You qualify for exception to waiting period in 790.0655 as amended by SB7026? 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 ? If paid by another person, Please list what name during checkout.
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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