Nics Form

Firearm Transaction Type

Sales from dealer

Pawn Redemption

Consignment Retrun

Private Sale - NICS only check

FULL name as it appears on your Drivers License

Phone #

Valid Email Address

Male or Female

Male

Female

Date of Birth

SS# if your name is common, it helps with the speed of the background check (Not Required)

Current US State of Residency

What US State were you BORN in ? If you were born in another Country, Please indicate which Country

Race

Black

White

Asian/Pacific Islander

American Indian/Native

Unknown

Are you a US Citizen

YES

NO

If NO, Not a US Citizen, What is your Alien or Admission ID (AR or i94 #)

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

I DO NOT QUALIFY

Florida Concealment Weapons Permit

Florida Hunters safety course or hunting license

Law Enforcement/corrections officer or US service member (Age 21 or Over)

Sworn Law Enforcement (Ages less than 21 years old)

Military (Age less than 21)

Sworn Corrections (Age less than 21)

Type of firearm for transfer

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

Attach a copy of your Drivers License

Attach a copy of your Weapons Permit (If you have one)

Any notes or clarifications to any of these questions?