SHERIFF OF LEE COUNTY
P.O. Box 688
Opelika, AL. 36803-0688
PISTOL PERMIT APPLICATION
NEW: PLEASE DO NOT SUBMIT THIS PERMIT APPLICATION ON-LINE, PRINT IT OUT AND MAIL IT IN OR BRING IT TO THE SHERIFF'S OFFICE AT 1900 FREDERICK ROAD IN OPELIKA. WE ARE NO LONGER ACCEPTING ON-LINE APPLICATIONS BECAUSE OF A SECURITY RISK TO YOUR INFORMATION. Read the following carefully and provide complete and accurate information. It is a CRIME to make a false statement or report to law enforcement. (Title 13A-10-109 Alabama Code). A criminal history background check will be conducted on each applicant.
Please list the reason you are applying for a permit:
Last Name: First Name: Middle Initial:
City: State: Zip code:
Home Phone: Cell Phone:
Social Security Number: --
Age: Date of Birth: / / Race: Sex: Male Female
Height: Weight: Hair Color: Eye Color:
Drivers License Number: State:
Place of Birth: Employer:
Occupation: Work Phone Number:
Make of Gun: Serial Number: Caliber:
Have you ever had a pistol permit? Yes No If so, where?
*** Have you ever had a pistol permit revoked? Yes No Where?
1. Have you ever been taken into custody by a law enforcement agency? Yes No
2. Have you ever been arrested or charged with a crime? Yes No
3. Have you ever been treated for mental illness? Yes No
4. Have you ever been treated for substance abuse (drugs/alcohol)? Yes No
5. Are you addicted to alcohol, prescription medicine or illegal drugs? Yes No
6. Are you on probation or under a restraining order from ANY court? Yes No
7. Are you awaiting trial as a defendant in any criminal case? Yes No
If you answered YES to any of the questions above, please use the space below to provide dates and places of arrest or treatment, charges, agency involved and dispositions.
I certify that my answers are true and correct to the best of my knowledge:
Name: Date: / /
IF THIS APPLICATION IS SUBMITTED SUCCESSFULLY YOU WILL BE TAKEN TO OUR HOMEPAGE.