SOUTH CAROLINA CONCEALED WEAPONS PERMIT APPLICATION

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					                         SOUTH CAROLINA CONCEAL ED WEAPONS PERMIT APPLICATION


        NEW APPLICATION                     RENEWAL                                  CWP #


FULL NAME (LAST, FIRST, MIDDLE, MAIDEN, SUFFIX):

RESIDENCE ADDRESS (STREET NUMBER, STREET, APT OR LOT #):


CITY:                                        COUNTY:                                      STATE:               ZIP CODE:

SOCIAL SECURITY #:                     -              -                        DRIV ER’S LICENSE OR ID CARD #:

DATE OF BIRTH ( MO, DAY, YR):                -             -                       PLACE OF BIRTH:

RACE:         SEX:           HEIGHT:             FT            IN   WEIGHT:        LBS   EYE COLOR:              HAIR COLOR:

HOME TELEPHONE: (             )              -                         BUSINESS TELEPHONE: (          )            -

ARE YOU A DISABLED VETERAN:                YES            NO        ARE YOU A RETIRED LAW ENFORCEMENT OFFICER:               YES   NO

                            YOU MUST ANSWER YES OR NO TO EACH OF THE FOLLOWING QUESTIONS

    YES            NO       ARE YOU A UNITED STATES CITIZ EN? IF “YES”, SKIP THE FOLLOWING FOUR QUESTIONS.

    YES           NO        ARE YOU AN ALIEN RESIDING IN THE UNITED STATES? COUNTRY OF CITIZENSHIP:

                            PLACE OF BIRTH: INS- ISSUED ALIEN OR ADMISSION NUMBER:

    Note: Provide documentation that supports residency for 90 consecutive days (i.e. utility bill, lease agreement, etc.)

    YES           NO        ARE YOU A NONIMMIGRANT ALIEN? (IF “YES”, YOU MUST ANSWER NEXT QUESTION).

    YES           NO        ARE YOU EXEMPT FROM NONIMMIGRANT ALIEN PROHIBITIONS IN 18 U.S.C. 922(y)? (IF “YES”, ATTACH A
                            SEPARATE SHEET EXPLAINING EXEMPTION UNDER WHICH YOU FALL. ATTACH DOCUMENTATION TO
                            SUPPORT YOUR EXEMPTION, IF APPLICABLE).

    YES           NO        ARE YOU ILLEGALLY IN THE UNITED STATES?

    YES           NO        HAVING BEEN A UNITED STATES CITIZ EN, HAVE YOU RENOUNCED YOUR UNITED STATES CITIZENSHIP?

    YES           NO        ARE YOU TWENTY-ONE YEARS OLD OR OLDER?

    YES           NO        ARE YOU CURRENTLY CHARGED OR UNDER INDICTMENT FOR A CRIME?

    YES           NO        IF THIS IS A NEW APPLICATION: HAVE YOU EV ER PLEAD GUILTY, BEEN FOUND GUILTY, PAID A FINE,
                            FORFEITED BOND, BEEN JAILED OR PLACED ON PROBATION FOR ANY OFFENSE? . If “YES”, furnish full
                            details on a separate sheet.

    YES           NO        IF THIS IS A RENEWAL APPLICATION: HAVE YOU PLEAD GUILTY, BEEN FOUND GUILTY, PAID A FINE,
                            FORFEITED BOND, BEEN JAILED OR PLACED ON PROBATION FOR ANY OFFENSE SINCE YOUR LAST
                            APPLICATION? CAREFULLY REVIEW INSTRUCTIONS ON REVERSE SIDE OF THIS APPLICATION. If
                            “YES”, furnis h full details on a separate sheet.

    YES           NO        HAS A CIRCUIT JUDGE ADJUDGED YOU AS UNFIT TO POSSESS A FIREARM?

    YES           NO        ARE YOU A FUGITIVE FROM JUSTICE?

    YES           NO        HAVE YOU EVER BEEN ADJUDICATED MENTALLY INCAPACITATED OR COMMITTED TO A MENTAL INSTITUTION?

    YES           NO        WERE YOU DISCHARGED FROM MILITARY SERVICE WITH A DISCHARGE OTHER THAN HONORABLE?

    YES           NO        ARE YOU AN UNLAWFUL USER OF, OR ADDICTED TO, UNLAWFUL DRUGS, ALCOHOL OR ANY CONTROLLED
                            SUBSTANCE?

    YES           NO        ARE YOU A MEMBER OF ANY GROUP WITH A PURPOSE TO CONTROL, SEIZ E OR OVERTHROW THE
                            GOVERNMENT OF THE UNITED STATES, ANY STATE OR POLITICAL SUBDIVISION BY ANY MEANS?
CHECK THE APPROPRIATE BOX?     I CURRENTLY RESIDE FULL-TIME IN SC; I AM PRESENTLY IN SC WITH INTENT TO BECOME
A PERMANENT RESIDENT;   I AM A QUALIFIED NON-RESIDENT; I I AM A MEMBER OF THE MILITARY AND STATIONED IN SC ON
PERMANENT CHANGE OF STATION ORDERS.
IF YOU ARE A QUALIFIED NON-RESIDENT, YOU ARE REQUIRED TO SUBMIT A REAL PROPERTY TAX FORM (SLED FORM R-168)
COMPLETED BY THE COUNTY ASSESSOR OF THE COUNTY IN WHICH THE PROPERTY IS LOCATED IN SOUTH CAROLINA, VERIFYING
OWNERSHIP OF REAL PROPERTY. THIS FORM MAY BE OBTAIN ONLINE at www.sled.sc.gov , or by calling (803) 896-7014.
Documentation of Training: (To be completed by the training instructor)
This will certify that this applicant has satisfactorily completed a training program, lasting not less than eight (8) hours and has met all
requirements of Section 23-31-210, related statutes and SLED Regulations concerning Concealable Weapons Permit training.
EXEMPTION FROM TR AINING REQUIREMENTS: An applicant is exempt from the training requirement if he or she: (a) is an
instructor certified by the NRA or another SLED-approved national organization promoting safe use of handguns; (b) is an active duty
police handgun instructor; (c) has a SLED-certified or approved competitive handgun shooting classification; (d) is a member of the
active or reserve military, or of the National Guard who has had handgun training in the last 3 years; (e) can demonstrate to the Chief
of SLED or his designee a proficiency in both the use of handguns and state laws pertaining to handguns. No other exemptions exist.


Applicant Scores:              Written Test:                                             Range:


Date of Applicant’s Training:                                                    _____________________________________________

SLED Training Instructor Certification Number:                                           -
My Trainer Certification Expires:     ______________________________________________________________________________

Training Instructor Name (print or type):

Training Instructor’s Signature:


Certification of Information: (To be completed by the applicant)
This will certify that all information on this application is true and correct. I understand that any false information reported on this form is
reason for denial of my application and constitutes a crime of perjury, punishable by a fine of not less than $100.00 (one hu ndred
dollars) and imprisonment for up to six months, or both.

Signature of Applicant:                                                                              Date:



R-078 (Revised 9/15/06)
                         SOUTH CAROLINA CONCEAL ED WEAPONS PERMIT APPLICATION


                                                             INSTRUCTIONS
Completing This Application: Failure to answer all questions on this application will result in your application being rejected.
Eligibility: The applicant must:
     1. be lawfully present in the United States;
     2. not be a nonimmigrant alien;
     3. not be prohibited by federal, state or local law from possessing firearms;
     4. be a resident of South Carolina (residing permanently in SC or presently in SC with intent to become a permanent resident); a
          qualified non-resident who owns real property in South Carolina, but resides in another state; or military personnel in SC on
          permanent change of station orders;
     5. be at least 21 years old;
     6. have completed,within the last 3 years, a minimum 8-hour training course presented by a SLED-certified CWP instructor which
          must have covered the following topics: (a) statutory and case law of SC relating to handguns and use of deadly force;
          (b) handgun use and safety; (c) proper storage practices for handguns that reduce possibility of accidental injury to childre n;
          and (d) actual firing of the handgun in the presence of the instructor; and
     7. have a favorable background.


Reporting Criminal Record: You must answer “YES” if you have been arrested or charged with an offense for which you plead guilty,
were found guilty, paid a fine, forfeited bond, were placed in jail or placed on probation. Failure to report such incidents will result in
your application being denied. Full details concerning all offenses for which you have ever plead guilty, been found guilty, paid a fine,
forfeited bond, were placed in jail or placed on probation, must be reported on a separate sheet, attached to this applica tion. Traffic
offenses are crimes and must be reported. A minor traffic violation record will not result in denial of your application. H owever, six (6)
multiple traffic offenses within a five (5) year period will be considered a basis of denial. You are not required to report parking
offenses. If you are unsure of your record, you should call the arresting agency and secure details of the arrest, to include a final
disposition of charges to be included with this application form. False, inaccurate or incomplete information reported on this
application form will result in denial of your application.


PLEASE CHECK THE FOLLOWING TO INS URE YOU HAV E ENCLOS ED ALL REQUIRED DOCUMENTATION


NEW APPLICATION

_____ Completed application, including signature and date
_____ A cashier’s check, certified check, money order, or personal check in the amount of $50.00 made payable to the South Carolina
       Law Enforcement Division (SLED); or proof applicant is a Disabled Veteran, or a Retired Law Enforcem ent
       Officer. (APPLICATION FEE IS NON-REFUNDABLE)
_____ Photocopy of your Driver’s License or Identification Card (Application and DL/ID address must match)
_____ One face 1”x1” color photograph
_____ Two (2) complete sets of fingerprints (card(s) attached or available by calling (803) 896-7014)
_____ Training documentation is noted on application (written and range scores, instructor certification number, instructor expiration
       date, instructor name and signature). If training is exempt, include documentation of proof.
_____ If non-resident, a Real Property Ta x Form (Sled Form R-168), must be completed by the County Assessor in which the
      the property is located in South Carolina, verifying ownership of real property.


RENEWAL APPLICATION

Permits, and the authority under this program to carry a concealed firearm, expire on the expiration date printed on the face of the
permit. It is the responsibility of each permittee to ensure that application for renewal is received by SLED prior to the date of
expiration. Permittees who fail to apply for renewal, prior to the expiration date of their permit, might be required to repeat the
minimum 8-hour required training, as defined in South Carolina Code Section 23 -31-210.

_____ Completed application, including signature and date
_____ A cashier’s check, certified check, money order, or personal check in the amount of $50.00 made payable to the South Carolina
      Law Enforcement Division (SLED); or proof applicant is a Disabled Veteran, or a Retired Law Enforcement
      Officer. (APPLICATION FEE IS NON-REFUNDABLE)
_____ ONLY Qualified Non-Resident must submit a face color photograph no larger than 1”x1”; a photocopy of your current Driver’s
      License or Identification Card from the state in which you reside; and, a Real Property Ta x Form (Sled Form R -168) must be
      completed by the County Assessor in which the property is located in South Carolina, verifying ownership of real property.