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

Authority

California Penal Code sections 26150 and 26155 provide that a Sheriff of a county or the Chief or other head of a municipal police department of any city, or city and county, may issue a license to carry a pistol, revolver, or other firearm capable of being concealed upon the person (Concealed Carry Weapon license).

Prior to Filling Out This Application

  • Be prepared to scan a copy of your valid California driver’s license, or state issued ID, which has your current address in San Mateo County.
  • Be prepared to scan copies of two (2) of the following “proof of residency” documents (dated within the last 60 days) showing your current address in San Mateo County (i.e. Utility bill, Lease/Rental Agreement, Telephone Bill, or Tax Bill).
  • Be sure that each firearm you are listing on your Concealed Carry Weapon license is registered to you or your spouse/registered domestic partner. The firearm cannot be registered to any other family member. The firearm also cannot be registered as a “single shot.”

 

Please be advised that if you are applying for a RENEWAL, you will enter your current Local Agency Number in the Permit # field below.

Please be advised if you are applying for a MODIFICATION, you will need to upload a copy of your qualification cetificate via the Order Tracker upon completion of the application.

Please read the following before proceeding:

Applicant Information:


: enter your existing permit # and the issuing county


Previous Names/Aliases: (please list all previous aliases)

Previous Last Name Previous First Name City Where Changed State Court File #

Information Related To Your Birth:



Current Military Status:

Please bring in your DD214 with you for the appointment. If you were dishonorably discharged, you will be denied.

Demographic Information:


feet inches

Telephone Number: (###-###-####)


Driver's License / Non-Operator ID: (or other State Issued ID)


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)


Time At Present Address:


Additional Residency Information:


Previous Addresses</p>: if at present address for less than 10 years</p>

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

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


Occupation Field:

Please indicate your current occupation field. Enter unemployed if you currently do not have a job.


You must enter ALL the firearms you want to appear on your CCW license: Max of 3

Make Model Caliber Serial Number

Select Your Application Type:



Total Fee:

$0

I accept and assume all responsibility and liability for, injury to, or death of any person, or damage to any property which may result through an act or omission of either the licensee or the agency that issued the license. In the event any claim, suit or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

I understand that the acceptance of any application by the licensing authority does not guarantee the issuance of a license and that fees and costs are not refundable if denied. I further understand that if my application is approved and I am issued a license to carry a concealed weapon, that the license is subject to restrictions placed upon it and that misuse of the license will cause an automatic revocation and possible arrest and that the license may also be suspended or revoked at the discretion of the licensing authority at any time. I am aware that any use of a firearm may bring criminal action or civil liability against me.

I have read, understand, and agree to the CCW license liability clauses, conditions, and restrictions stated in this application and Agreement to Restrictions and to Hold Harmless.

I have read and understand the applicable Penal Code sections regarding false statements on a CCW Application, manslaughter, killing in defense of self or property, limitation on self-defense and defense of property, and child access and firearm storage, stated in this application.

I have read and understand the Firearms Prohibiting Categories attachment to this application. I further acknowledge that these prohibiting categories can be amended or expanded by state or federal legislative or regulatory bodies and that any such amendment or expansion may affect my eligibility to hold a CCW license.

I herby give permission to the agency to which this application is made to conduct a background investigation of me and to contact any person or agency who may add to or aid in this investigation. I further authorize persons, firms, agencies and institutions listed on this application to release or confirm information about me and statements I have made as contained in this application.

Notwithstanding any other provision of law and pursuant to the Public Records Act (Government Code section 6250 et seq.), I understand that information contained in this application may be a matter of public record and shall be made available upon request or court order. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Please enter your e-Signature

This field is required.


For security purposes, we logged your IP Address: 54.198.246.116, 162.158.79.229, 10.43.136.92
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Application Qualification Questions:

Do you now have, or have you ever had, a license to carry a concealed weapon (CCW)? If yes, please enter the issuing agency name, issue date and CCW license number.

Have you ever applied for and been declined a CCW license?

Have you ever held and subsequently renounced your United States citizenship?

Are you Active or Former Military?

If you served with the Armed Forces, were you ever convicted of any charges or was your discharge other than honorable?

 

Are you now, or have you been, a party to a lawsuit in the last five years?

Are you now, or have you been, subject to a restraining order(s) form any court?

Are you on probation or parole from any state for conviction of any offense including traffic?

List all traffic violations (moving violations only) and motor vehicle accidents you have had in the last five years.

Have you ever been convicted of any criminal offense (Civilian or Military) in the U.S. or any other country?

Have you withheld any fact that might affect the decision to approve this license?

Have you ever been in a mental institution, treated for mental illness, or been found not-gulity by reason of insanity?

Are you now, or have you ever been, addicted to a controlled substance of alcohol, or have you ever utilized an illegal controlled substance, or have you ever reported to a detoxification or drug treatment program.

Have you ever been involved in an incident involving firearms?

Have you ever been involved in a domestic violence incident?

List any arrest or formal charges, with or without disposition, for any criminal offenses within the U.S. or any other country (civilian or military)

Please explain the reasons why you wish to carry a concealed firearm.


I accept and assume all responsibility and liability for, injury to, or death of any person, or damage to any property which may result through an act or omission of either the licensee or the agency that issued the license. In the event any claim, suit or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

I understand that the acceptance of any application by the licensing authority does not guarantee the issuance of a license and that fees and costs are not refundable if denied. I further understand that if my application is approved and I am issued a license to carry a concealed weapon, that the license is subject to restrictions placed upon it and that misuse of the license will cause an automatic revocation and possible arrest and that the license may also be suspended or revoked at the discretion of the licensing authority at any time. I am aware that any use of a firearm may bring criminal action or civil liability against me.

I have read, understand, and agree to the CCW license liability clauses, conditions, and restrictions stated in this application and Agreement to Restrictions and to Hold Harmless.

I have read and understand the applicable Penal Code sections regarding false statements on a CCW Application, manslaughter, killing in defense of self or property, limitation on self-defense and defense of property, and child access and firearm storage, stated in this application.

I have read and understand the Firearms Prohibiting Categories attachment to this application. I further acknowledge that these prohibiting categories can be amended or expanded by state or federal legislative or regulatory bodies and that any such amendment or expansion may affect my eligibility to hold a CCW license.

I herby give permission to the agency to which this application is made to conduct a background investigation of me and to contact any person or agency who may add to or aid in this investigation. I further authorize persons, firms, agencies and institutions listed on this application to release or confirm information about me and statements I have made as contained in this application.

Notwithstanding any other provision of law and pursuant to the Public Records Act (Government Code section 6250 et seq.), I understand that information contained in this application may be a matter of public record and shall be made available upon request or court order. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

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