Application For Handgun License
Online State Form
Approved by State Board of Accounts, 2008
Instructions:
1.
All questions must be answered.
2.
THE INDIANA STATE POLICE IS NOT RESPONSIBLE FOR INCORRECT INFORMATION.
3.
The applicant
must visit
his/her
local law enforcement agency
with payment to complete.
County of License:
MIAMI
WELLS
Name:
Last
First
Middle
Address:
(line 2)
City:
State:
ZIP code:
EMail:
Date of Birth:
Sex:
Male
Female
Height:
1
2
3
4
5
6
7
Ft.
0
1
2
3
4
5
6
7
8
9
10
11
In.
Telephone number:
Weight:
Lbs.
Build:
Small
Medium
Large
Scars, Marks, or Tattoos:
None
Race:
Hair Color:
Eye Color:
AMERICAN INDIAN OR ALASKAN
ASIAN OR PACIFIC ISLANDER
BLACK
MULTI-RACIAL
UNKNOWN
WHITE
BALD/UNKNOWN
BLACK
BLONDE
BLUE
BROWN
GRAY
GREEN
ORANGE
PINK
PURPLE
RED
SANDY
WHITE
BLACK
BLUE
BROWN
GRAY
GREEN
HAZEL
MAROON
MULTICOLORED
PINK
UNKNOWN
Employer/Business
Occupation:
Name:
Address:
City:
State:
ZIP code:
Place of Birth
City:
State:
Additional Questions
Are you a U.S. Citizen?
Yes
No
If non U.S. Citizen, enter your INS registration number:
I have been a resident of Indiana
from
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
To
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
Have you had a previous
handgun license?
Yes
No
Year:
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
Previous License
number:
Has your handgun license ever been
suspended/revoked?
Yes
No
Year:
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
State Charges:
Have you ever been convicted of any
misdemeanor or felony violation, including DUI?
Yes
No
Charges:
Have you ever been treated for psychiatric
health care or an emotional or mental illness?
Yes
No
a. Year of recent treatment:
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
b. Submit documentation/recommendation from treating mental health professional or treatment center.
Are you prohibited by court order from possessing a firearm?
Yes
No
Type of Handgun License
4 Year Hunting and Target $5
4 Year Personal Protection $30
Firearms Dealer - Fee Exempt
Lifetime Hunting and Target / No Current License $25
Lifetime Hunting and Target/Current Valid License $20
Lifetime Personal Protection / No Current License $75
Lifetime Personal Protection/Current Valid License $60
Retired Corrections Officer - Fee Exempt
Retired Police Officer - Fee Exempt
Validation Errors
X
Please correct the following:
Confirmation
X
I affirm under the penalty for perjury as specified by IC 35-44-2-1 that the foregoing provided information is true to the best of my knowledge and belief. Any person giving false information or offering false evidence to obtain a firearms license may be deemed guilty of a felony and upon conviction may be punished by imprisonment up to three (3) years, to which may be added a fine of not more than $10,000.
HANDGUN LICENSING FEE SCHEDULE
Effective July 1, 2006
License Type
Local Fee
State Fee
Four Year Hunting and Target
$10/$5 Refundable*
$5
Four Year Personal Protection
$10/$5 Refundable*
$30
Lifetime Hunting and Target/No Current License
$50/$30 Refundable*
$25
Lifetime Hunting and Target/Current Valid License
$40/$30 Refundable*
$20
Lifetime Personal Protection/No Current License
$50/$30 Refundable*
$75
Lifetime Personal Protection/Current Valid License
$40/$30 Refundable*
$60
Retired Law Enforcement Officer
Not Provided in Law
Fee Exempt
Corrections Officer
Not Provided in Law
Firearms Dealer
Not Provided in Law
Fee Exempt
*A portion of the local fee is refundable if a license is not issued. The entire state fee is refundable if no license is issued.
Note: If you have been arrested and convicted but do not document this on the application, you can be arrested for a "CLASS C FELONY". In some cases, having minor arrests and convictions may not be sufficient grounds to deny your application.
County of License
X
IMPORTANT:
Currently, online submissions of Indiana Handgun Applications are not accepted in all counties. Before continuing, ensure (and click) that the county you are applying to exists in the following list:
MIAMI
WELLS