Shelby County Sheriff's Office - Sheriff Chris Curry

 

 

 

 

 

 

 

 

 


 



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Shelby County Sheriff's Office, Alabama
Pistol Permits
  1. Fill out all of the following fields.
  2. Click "Preview Form" at the bottom of the page.
  3. Review Your Information for Accuracy.
    If you need to make a modification, close the preview and modify your information on this page.
  4. Print Your Form on your printer.
  5. Sign printed form where stated.
  6. Mail form along with payment to the information provided.
Last Name: First Name: Middle Name:
Mailing Address: City: Zip:
Street Address: City: Zip:
Home Telephone:
Place of Birth: United States Citizen? Yes No
Employer: Address:
Work Phone: Occupation:
Race: Ethnicity:
Sex: Date of Birth: Driver License #:
Social Security #: Height: Weight:
Hair Color: Eye Color:
Marital Status:
Scars, Marks, Tattoos:
3 References REQUIRED (DO NOT LIST RELATIVES)
Reference #1:Name Telephone
Reference #2:Name Telephone
Reference #3:Name Telephone
Reason for carrying a pistol:
Have you ever had a permit refused or revoked? Yes
Date: Location: Charge:

Have you ever been arrested?
Yes No
If Yes, list date, charge, and disposition of each arrest:

Have you ever been adjudicated mentally defective (which includes having been adjudicated incompetent to manage your own affairs) or have you ever been committed to a mental institution?
Yes No
Any other names you have been known by:

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