[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-305625-105":53,"doc-detail-305625-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","rifle-shotgun-permit-application-pd-641-040","RIFLE / SHOTGUN PERMIT Application - PD 641-040","","Rifle and shotgun permit application requirements for New York City, License Division, Rifle/Shotgun Section. Instructions specify completing the form clearly in ink or by typing, minimum age of 21, and obligations to disclose arrests or convictions with court dispositions and notarized statements. Applicants must provide physician review (when applicable), separation papers if a veteran, required fees, fingerprinting, recent color photos, address proof, birth or citizenship evidence, and notarized affidavits related to firearm safety and co-habitation.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/rifle-shotgun-permit-application-pd-641-040/305625/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/rifle-shotgun-permit-application-pd-641-040/305625.png","ImageObject",442,249,{"name":88,"@type":89},"Mack Lee","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the basic instructions for completing the rifle/shotgun permit application?","Question",{"text":108,"@type":109},"Complete each form as directed and answer all questions. Entries must be clearly printed in ink (Blue or Black) or typed.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What must be submitted if you have ever been arrested or convicted?",{"text":113,"@type":109},"Submit a certificate of disposition from the court for any arrest, including cases dismissed or sealed, plus a notarized statement explaining the circumstances. If convicted of a felony or serious offense, apply for a Certificate of Relief from Forfeitures and Disabilities.",{"name":115,"@type":106,"acceptedAnswer":116},"Which documents are required with the application for identification and residency?",{"text":117,"@type":109},"Provide proof of your present address (utility bill within 60 days or notarized lease). Provide birth proof if born in the U.S., naturalization papers or citizenship evidence if born outside the U.S., and include four full face color photos taken within the last 30 days.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},305625,1790253611,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":47},1236954509970,"https://us-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| | APPLICATION—\u003Cbr>RIFLE / SHOTGUN PERMIT\u003Cbr>PD 641-040 (Rev. 03-13) | LICENSE DIVISION RIFLE / SHOTGUN SECTION 120-55 Queens Blvd, B-11 Kew Gardens, New York 11424 718-520-9300 |\n| --- | --- | --- |\n| 1. Complete each form as directed and answer all questions. All entries must be clearly printed in ink (Blue or Black) or typed.\u003Cbr>2. The minimum age to receive a permit is 21.\u003Cbr>3. If you were ever arrested for any crime or violation you must submit a certificate of disposition from the court concerned indicating the offense and the final disposition of the charges. You must do this even if the case was dismissed, the record sealed or the case nullified by operation of law (i.e. Youthful Offender status) . The New York State Division of Criminal Justice Services will report to us every instance involving the arrest of an applicant. Do not rely on anyone’s representation that you need not list a previous arrest. ANY OMISSION OF A PREVIOUS ARREST MAY RESULT IN THE DENIAL OF YOUR APPLICATION. You must submit a notarized statement explaining the circumstances of the arrest.\u003Cbr>4. If you were ever convicted of a felony, before your application can be considered, you must apply for a Certificate of Relief from Forfeitures and Disabilities from New York State.\u003Cbr>5. If you were ever convicted of a Serious Offense you must get a New York State Certificate of Relief from Forfeitures and Disabilities. Serious Offenses are listed in Section 265.00(17) of the Penal Law. They include any offense involving drugs or narcotics, any sex offense, any violation of the laws pertaining to the illegal use or possession of a pistol or other dangerous weapon, possession of burglars tools and receiving stolen property.\u003Cbr>To apply for a New York State Certificate of Relief contact either the Division of Probation, the Department of Parole or the Court in which you were convicted.\u003Cbr>6. If you served in the Armed Forces of the United States, you must submit your separation papers (DD 214) and your discharge. If you were issued other than an honorable discharge, you must submit a notarized statement explaining the reason for discharge.\u003Cbr>7. If your answer to any of Questions 3, 4 or 5 on the application is YES you must submit a letter from a licensed physician stating that he/she has examined you within the last 30 days, that the examination included a review of your past medical history and all pertinent hospital and institutional records, and must conclude that you are capable of possessing a rifle and or shotgun without presenting a danger of harm to yourself (applicant) or to others. Further evidence may be requested.\u003Cbr>8. Two separate fees are required. These are payable by certified check, bank check, money order or credit card. All fees are non-refundable.\u003Cbr>– $140.00 Made payable to New York City Police Department.\u003Cbr>– $91.50 Made payable to New York City Police Department. (for fingerprints)\u003Cbr>9. You will be fingerprinted at the Rifle/Shotgun Section.\u003Cbr>10. Four color photographs,(Taken from the chest up, 1½ x 1½), of the applicant must accompany the application. (Taken within last 30 days)\u003Cbr>11. You must submit proof of your present address. Proof must consist of a utility bill ( gas, electric or phone) showing your name and current address and not more than sixty (60) days old, or a notarized lease. If you do not have a lease or a utility bill in your name, a notarized statement from the person with whom you reside, accompanied by a utility bill in their name showing the same address is acceptable. Further documentation may be required.\u003Cbr>12. If you were born in the United States, you must submit your birth certificate. If there is no record of your birth on file with the Department of Health or the Bureau of Vital Statistics, some other proof of your birth date, e.g. , a military record, or U.S. Passport must be submitted.\u003Cbr>13. If you were born outside of the United States, you must submit your naturalization papers, valid U.S. Passport or ot","cbCaidsyq1oCcSP9","https://ap.wps.com/l/cbCaidsyq1oCcSP9","pdf",470271,13,"English","# Application requirements\n## Eligibility and disclosures\n## Supporting documents, fees, and photos\n## Address and identity proof\n## Arrest history and firearm safety statements","[{\"question\":\"What are the basic instructions for completing the rifle/shotgun permit application?\",\"answer\":\"Complete each form as directed and answer all questions. Entries must be clearly printed in ink (Blue or Black) or typed.\"},{\"question\":\"What must be submitted if you have ever been arrested or convicted?\",\"answer\":\"Submit a certificate of disposition from the court for any arrest, including cases dismissed or sealed, plus a notarized statement explaining the circumstances. If convicted of a felony or serious offense, apply for a Certificate of Relief from Forfeitures and Disabilities.\"},{\"question\":\"Which documents are required with the application for identification and residency?\",\"answer\":\"Provide proof of your present address (utility bill within 60 days or notarized lease). Provide birth proof if born in the U.S., naturalization papers or citizenship evidence if born outside the U.S., and include four full face color photos taken within the last 30 days.\"}]","RIFLE / SHOTGUN PERMIT Application - PD 641-040 | PDF",1789826675]