Polk County Sheriff's Office Online Concealed Handgun License

Welcome! This is an official application for an Oregon Concealed Handgun License. You must completely and accurately fill-out this application to be considered for a Concealed Handgun License. Any falsification of the information within this application is a crime and will result in the denial of the applicant’s Concealed Handgun License request.

A non-refundable processing fee is required. In addition, an online service fee is required to process payment. These fees will be charged even if your application is denied or withdrawn. Your application will be withdrawn after 45 days from the submission date if we have not been provided all required documents and you will need to reapply. This service is provided by a third-party vendor and the Sheriff's Office only collects the fees provided in the Oregon Revised Statute.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

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

SSN:

SSN: ^(confirm)

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

Previous Last Name	Previous First Name	Previous Middle Name

Personal References - You can not be a personal reference for yourself: ^{Please enter two (2) references}

Title	Last Name	First Name	Middle Name	Address	City	State	Zip	Phone Number	Email	Relationship

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 City:

Birth State:

Birth Country:

Current Military Status:

Military Status:

Demographic Information:

Race:

Gender:

Male

Female

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

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:

Spouse Residence Address:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Time At Present Address:

^Years:

^Months:

Previous Addresses: Other than current address, please list all addresses for the last three (3) years (if any).: ^{(please list all previous addresses within the last 5 years)}

Address Line 1	Address Line 2	City	State	Zip	Country	From	To

Employment Status:

What is your current employment status?

Employed Unemployed Retired

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:

Occupation Field:

Please indicate your current occupation field. Enter UNEMPLOYED, STUDENT, or RETIRED if applicable.

Occupation Field:

Attach Documentation: please upload the required documentation.

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.

Identification: Two pieces of current identification in your legal name are required. One must be government issued, include your full legal name and bear a photograph: drivers license, state issued identification card, passport. Examples of a second form of identification include a social security card, voter registration card, credit card, hunting/fishing license, school, or work ID.
Proof of Citizenship: Original Birth Certificate, Official Passport, FFS240 Military Foreign Birth, Original Naturalized Citizenship Certificate or Tribal ID from Federally Recognized Tribe Recent N-300 Form (Intent to become Citizen) with 6 Months Polk County Residency.
Proof of Residency: Current ODL-With Current Address, Recent Oregon Tax Return (Form OR-40), Current Rent/Lease Agreement, Real Property Ownership, Current Voter Registration Card Adjoining State-Has Sheriff's Approval -Washington Idaho California Nevada.
Proof of firearm safety. Your current CHL will be accepted as proof.

Uploaded Files:

Add files...

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

Select Your Application Type:

New Concealed Handgun License

Total Fee:

$0

I have read the entire text and understand this application and the statements therein are correct and true. I further understand that making false statements on the application is a misdemeanor and I am subject to prosecution and automatic denial or revocation. All payments are non-refundable.

Your Initials:

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

Coupon Code:

Your Initials:

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Concealed Handgun License Application Please Enter All Information

Add An Address

Add a reference

Update a reference

Please read the following before proceeding:

Applicant Information:

Previous Aliases: (please list all previous aliases)

Personal References - You can not be a personal reference for yourself: Please enter two (2) references

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?:

Current Military Status:

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)

Spouse Residence Address:

Time At Present Address:

Previous Addresses: Other than current address, please list all addresses for the last three (3) years (if any).: (please list all previous addresses within the last 5 years)

Employment Status:

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

Occupation Field:

Attach Documentation: please upload the required documentation.

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Application Qualification 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.

Error processing application

Error processing application

You must be a US Citizen

Required field missing

Required field missing

Permit Expired

Permit Expired

Permit Expired

No Appointments Available

Permit Expires Soon

Permit Expired

NOTICE

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

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

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

Personal References - You can not be a personal reference for yourself: ^{Please enter two (2) references}

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)}

Previous Addresses: Other than current address, please list all addresses for the last three (3) years (if any).: ^{(please list all previous addresses within the last 5 years)}

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

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

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

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