Retired Officer Firearms Certification Form
Submit your certification details for retired officer firearms qualification review and processing.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Retired Officer Status / Agency Affiliation
*
Certification and Firearms Qualification Details
Current Certification / Qualification Status
*
Please Select
Current and valid
Recently expired
Not yet qualified
Pending renewal
Other
Firearms Qualification Type / Course Requested
*
Please Select
Pistol qualification
Revolver qualification
Shotgun qualification
Rifle qualification
Annual recertification
Advanced proficiency course
Other
Date of Last Qualification
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Relevant Training or Proficiency Details
Submission Details
Preferred Next Step
*
Submit for Review
Request Follow-Up Assistance
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Schedule Additional Verification
Supporting Documents
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