Application For Handgun License
Online State Form
Approved by State Board of Accounts, 2008
Instructions:
1.All questions must be answered.
2.THE INDIANA STATE POLICE IS NOT RESPONSIBLE FOR INCORRECT INFORMATION.
3.The applicant must visit his/her local law enforcement agency with payment to complete.

County of License:  
Name:
LastFirstMiddleSuffixAlias
Address:
(line 2)
City: State:  ZIP code:
 
EMail:  
Date of Birth:   Sex: Height: Ft.  In.
Telephone number: Weight: Lbs.   
Build:
Scars, Marks, or Tattoos: 
Race: Hair Color: Eye Color:


















Employer/Business
Occupation:
Name:
Address:
City: State:   ZIP code:
 
Place of Birth
City: State:  
Additional Questions
Are you a U.S. Citizen? If non U.S. Citizen, enter your INS registration number:
I have been a resident of Indiana from To
Have you had a previous
handgun license?		 Year: Previous License
number:
Has your handgun license ever been
suspended/revoked?		 Year: State Charges:
Have you ever been convicted of any
misdemeanor or felony violation, including DUI?		 Charges:
Have you ever been treated for psychiatric
health care or an emotional or mental illness?
  a. Year of recent treatment:
  b. Submit documentation/recommendation from treating mental health professional or treatment center.
Are you prohibited by court order from possessing a firearm?

Type of Handgun License
Mailing Address
Same as Permit Address:
Mailing Address:
(line 2)
City: State:   ZIP code: