Longview Police Department Online Concealed Pistol License Application

Welcome! This is an official application for a Washington Firearms Dealer Employee Background Check. This application must be filled-out completely and accurately.

A non-refundable processing fee is required. In addition, an online service fee is required to process payment. All fees will be charged even if your application is denied. This service is provided by a third party vendor.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

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

SSN:

SSN: ^(confirm)

Previous Names/Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

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 Country:

Birth City:

Birth State:

Demographic Information:

Race:

Gender:

Male

Female

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Scars/Marks/Tattoos:

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: ^(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:

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:

Work Information And Address: ^{(enter your place of employment)}

Employer Name:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Phone number:

Attach Documentation/Photo ID:

To upload documentation, please use the button below to begin the process. Please scan each document individually. The maximum size of individual files is 5 MB.

You will need to provide a copy of proof of identification. Accepted photo identification is:

A current Washington state driver’s license
A current Washington state identification card
Equivalent out of state identification

Uploaded Files:

Add files...

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

Select Purchase Option:

Firearms Dealer Employee Background Check

Total Fee:

$0

SIGNING THIS APPLICATION AUTHORIZES THE WASHINGTON HEALTH CARE AUTHORITY, AS WELL AS MENTAL-HEALTH INSTITUTIONS AND OTHER HEALTH-CARE FACILITIES, TO RELEASE INFORMATION RELEVANT TO YOUR FIREARMS DEALER EMPLOYEE BACKGROUND CHECK TO AN INQUIRING COURT OR LAW-ENFORCEMENT AGENCY. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.

Please enter your e-Signature

Your Initials:

For security purposes, we logged your IP Address: 216.73.217.71, 104.23.197.206:46085, 40.1.2.175

Required signature

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

SIGNING THIS APPLICATION AUTHORIZES THE WASHINGTON HEALTH CARE AUTHORITY, AS WELL AS MENTAL-HEALTH INSTITUTIONS AND OTHER HEALTH-CARE FACILITIES, TO RELEASE INFORMATION RELEVANT TO YOUR ELIGIBILITY FOR A CONCEALED PISTOL LICENSE TO AN INQUIRING COURT OR LAW-ENFORCEMENT AGENCY. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.

CAUTION: ALTHOUGH STATE AND LOCAL LAWS DO NOT DIFFER, FEDERAL LAW AND STATE LAW ON THE POSSESSION OF FIREARMS DIFFER. IF YOU ARE PROHIBITED BY FEDERAL LAW FROM POSSESSING A FIREARM, YOU MAY BE PROSECUTED IN FEDERAL COURT. A STATE LICENSE IS NOT A DEFENSE TO FEDERAL PROSECUTION

Coupon Code:

Your Initials:

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Longview Police Department - Firearms Dealer Employee Background Check

Gun Permit Online Application Please Enter All Information

Please read the following before proceeding:

Applicant Information:

Previous Names/Aliases: ^{(please list all previous aliases)}

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

Information Related To Your Birth:

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

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

Demographic Information:

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

Email:

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

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

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

Work Information And Address: ^{(enter your place of employment)}

Attach Documentation/Photo ID:

Uploaded Files:

Select Purchase Option:

Total Fee:

$0

Please enter your e-Signature

Survey Questions:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Gun Permit Online Application Please Enter All Information

Add An Address

Please read the following before proceeding:

Applicant Information:

Previous Names/Aliases: (please list all previous aliases)

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

Information Related To Your Birth:

Select Appropriate Immigrant Classification: (only choose one)

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

Demographic Information:

Telephone Number: (###-###-####)

Email:

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

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

Present Mailing Address: (if different from residence address)

Work Information And Address: (enter your place of employment)

Attach Documentation/Photo ID:

Uploaded Files:

Select Purchase Option:

Total Fee:

$0

Please enter your e-Signature

Survey Questions:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Your signature is required.

Additional Information Required

Error processing application

Donations cant be taken with cash

Previous Names/Aliases: ^{(please list all previous aliases)}

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

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

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

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

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

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

Work Information And Address: ^{(enter your place of employment)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}