Concealed Pistol License Application Process-

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					Concealed Pistol License Application Process-
1. Read this entire packet PRIOR to filling it out.
2. PRINT CLEARLY in blue or black ink.
3. Fill out packet. USE FULL NAMES - including
   middle, maiden, and all former last names.
4. Use your current residential street address.
5. Complete all pages of the packet.

STEP 2- You need to return the packet to the:
1. Sheriffs Office is at 2000 Lakeridge DR. SW,
     Olympia, Building 3 between:
2. 9AM to 3PM Monday through Friday, excluding
     legal holidays and weekends and:
3. Be sure to bring a valid Washington State driver's
     license or identification card bearing your current
     address. Also note:
3. If this is an original, you will be fingerprinted at this
     time. Children are not allowed in this area.

FEEs: CASH or CHECK (NO Credit or Debit Cards)
      (ALL fees are Non-Refundable – per RCW 9.41.070 (5)
1.   ORIGINAL: $55.25 ($56.00 Laminated) Cash or Check
2.   EARLY RENEWAL: Up to 90 days PRIOR to the current
      expiration date: $32.00 ($33.00 Laminated) Cash or Check
3.   LATE RENEWAL: Up to 90 days PAST the current
      expiration date: $42.00 ($43.00 Laminated) Cash or Check.
4. Expired CPL’s over 90 days PAST the expiration
    date: $55.25 ($56.00 Laminated) Cash or Check
5. REPLACEMENT for lost, stolen or damaged
   CPL’s: $10.00 ($11.00 Laminated) Cash or Check.
                                          TCSO Office CPL Form 2009-02
1.   Thurston County resident or Out-Of-State resident.
2.   21 years of age at time of application.
3.   United States Citizenship or have a valid Washington State Alien Firearms License.
4.   No convictions of any crimes listed on the back of the application form.
5.   No court order or injunction against possessing firearms.
6.   Eligible to own firearms under RCW 9.41.040 and 9.41.045
7.   Not pending trial, appeal or sentencing on a felony offense.
8.   No outstanding warrants for ANY charge, from ANY court.
9.   No order to forfeit firearms within the last year.

1. Up to 60 days for current county and state residents, up to 90 days for all others.
2. The approved CPL will be mailed to the applicant at that time.
1. With few exception others states are not legally bound to honor Washington State CPL.
     See: Ref: for a complete list.
2. Your CPL is NOT valid on any federal government lands.
3. Your CPL is NOT valid outside of the United States.
4. You can go to the internet sites listed below for additional information:
   Federal Laws: (Firearms Laws)
   Washington State: (Forms & laws)
   County Codes: (Title 10, Chapter 10.04)
   Additional information:
HOW LONG IS THE CPL GOOD FOR? - 5 (five) years.

CARRYING FIREARMS :             RCW 9.41.050 (In Washington State only)

(1) Except in the person's place of abode or fixed place of business, a person shall not
carry a pistol concealed on his or her person without a license to carry a concealed pistol.
(2) A person shall not carry or place a loaded pistol in any vehicle unless the person has a
license to carry a concealed pistol and: The pistol is on the licensee's person, the licensee
is within the vehicle at all times that the pistol is there, or the licensee is away from the
vehicle and the pistol is locked within the vehicle and concealed from view from outside
the vehicle.
 (3) A person at least eighteen years of age who is in possession of an unloaded pistol shall
not leave the unloaded pistol in a vehicle unless the unloaded pistol is locked within the
vehicle and concealed from view from outside the vehicle.
                                                                     TCSO Web Page
                                                                     CPL Form 2009-02

Reference: RCW 9.41.050 (1)(b)
“Every licensee shall have his or her concealed pistol license in his or her
immediate possession at all times that he or she is required by this section to
have a concealed pistol license and shall display the same upon demand to
any police officer or any other person when and if required by law to do so.
Any violation of this subsection (1)(b) shall be a class 1 civil infraction
under chapter 7.80 RCW and shall be punished accordingly pursuant to
chapter 7.80 RCW and the infraction rules for the courts of limited
jurisdiction.” Reference: RCW 9.41.050 (1)(b)
I have read and fully understand the forgoing statement.
Signed:___________________________________           Date: ___________________

A. A person who knowingly makes false statement regarding citizenship or
   identity is guilty of false swearing under RCW 9A.72.040.
B. In addition to any other penalty provided for by the law, the concealed
   pistol license of a person who knowingly makes a false statement shall be
   revoked, and the person shall be permanently ineligible for a Concealed
   Pistol Licensee.
I have read and fully understand the forgoing statement.
Signed: __________________________________________________    Date: ______________________


REFERENCE: RCW 9.41.070 PARAGRAPHS (5),(6) AND (7).
A. All fees for any type of Concealed Pistol License will be paid upon
B. All fees for any type of Concealed Pistol License are
I have read and fully understand the forgoing statement.
Signed: _______________________________                  Date:________________
                                                             TCSO Web Page Feb 2009
                                                 STATE OF WASHINGTON

                                          DEPARTMENT OF LICENSING

                                                  Notice for
                                       Concealed Pistol License Applicant

State law: On July 1, 1993, Washington State made it unlawful for you to possess a firearm or
concealed pistol license if you have been convicted in any court for domestic violence assault.
Federal law: Federal law makes it unlawful for you to possess a firearm if you have been convicted
in any court of domestic violence assault (felony or misdemeanor), regardless of the date of

                                          Domestic Violence Assault Conviction

                                                         Possession of a      Possession of a
                                    Conviction                                Concealed Pistol
                                      Date               Firearm Allowed      License Allowed
                        Prior to July 1, 1993
                        Felony Conviction                      NO                   NO

                        Prior to July 1, 1993
                        Non-Felony Conviction                  NO                  YES

                        After July 1, 1993
                        Felony Conviction                      NO                   NO

                        After July 1, 1993
                        Non-Felony Conviction                  NO                   NO

A person is not considered convicted if the person has received a pardon or has had his/her firearms
rights restored by the appropriate court. This does not include ‘Certificates of Rehabilitation’
issued by Washington courts.
Caution: Although state and local laws do not differ, federal law and state law on the possession of
firearms may differ. You may be prosecuted in federal court if prohibited under federal law from
possessing a firearm. A state license is not a defense to a federal prosecution.
The application fees for a Concealed Pistol License are non-refundable. If you are not sure you are
eligible to possess a firearm, we encourage you to contact an attorney before to submitting an
application for a Concealed Pistol License.

I have read and fully understand this Notice for Concealed Pistol License Applicant.

Signature                                                              Date

FIR-652-007 (R/5/07)W PAGE 1 OF 3
                                                                                                                                   OFFICE USE ONLY
                                                                                                                              IDENTIFICATION NO.
                                                          State of Washington
                                                                                                                              SID NO.
                                           Concealed Pistol License Application
                                                                                                                              FBI NO.

                                                                                                                              CPL NO.

    Original Application                    Renewal of License              Late Renewal of License                        Replacement License
                                             CPL License No.                                              Exp. Date

Last Name                                                   First                                         Middle
List any other names by which you have been known (e.g.,Maiden Name)
Physical Address                                                            City                                   State                Zip

Mailing Address                                                             City                                   State                Zip
Telephone No. (             )                    Date of Birth                     Birthplace
                                OPTIONAL                                                          CITY                 STATE OR PROVINCE      COUNTRY

   GENDER                            RACE                        HEIGHT        WEIGHT                    EYES                              HAIR

      Male        W–White; B–Black; U–Unknown                           Feet                Amber        Black     Blue  Bald              Black   Blonde
                  A–Asian/Pacific Islander                                                  Brown        Gray      Green Brown             Gray    Red
      Female      I–American Indian/Alaskan Native                   Inches        Lbs.     Hazel        Multi     Pink  Silver            White

Driver’s License/Identification No.                                                                               State
Have you been a resident of Washington State for the last consecutive 90 days?                                   Yes          No
List type and location of all marks, scars, and tattoos

Are you a U.S. citizen?              Yes      No

Note: If you are not a U.S. citizen, you are required by law (RCW9.41.170) to obtain an Alien Firearms License from the
Department of Licensing allowing you to possess a firearm. If applicable, do you possess such a license?    No          Yes
If yes, enter your Alien Firearms License No.               Exp. Date              Alien Registration/I-94 No.

1. Have you ever been convicted in adult court or adjudicated in a juvenile court in this state or elsewhere
    of one of the prohibitive crimes described on page 2 of this form?                                            Yes      No
2. Are you now on bond or personal recognizance pending trial, appeal, or sentence for any serious offense,
    as defined in RCW 9.41.010?                                                                                   Yes      No
3. Are you the subject of an outstanding arrest warrant from any court for any crime?                             Yes      No
4. Have you been convicted of three or more violations of Washington’s firearms laws within any five-year period? Yes      No
5. Have you had a firearm forfeited within the past year for a drug or alcohol incident pursuant to RCW
    9.41.098(1)(e)?                                                                                               Yes      No
6. Are you under a court order or an injunction concerning the possession of a firearm?                           Yes      No
7. Is your concealed pistol license, if any, in a revoked status?                                                 Yes      No
8. Have you ever been confined in a mental health facility for more than fourteen days for treatment, or
    committed as criminally insane?                                                                               Yes      No
If you answered yes to any of the eight questions above, but believe you are nonetheless eligible for a license, attach a list
of dates and circumstances including copies of any applicable pardons, certificates of rehabilitation, or court orders.

 Note: A signed application for a concealed pistol license shall constitute a waiver of confidentiality and written request that
 the Department of Social and Health Services, as well as mental health institutions and other health care facilities, release
 information relevant to the applicant’s eligibility for a concealed pistol license to an inquiring court or law enforcement agency.
 I certify, or declare under penalty of perjury under the laws of the state of Washington, that the foregoing is true and accurate.

 Applicant’s signature                                                                                                 Date
                                                                 The Department of Licensing has a policy of providing equal access to its services. If
FIR-652-007 (R/5/07)W PAGE 2 OF 3                                you need special accommodation, please call (360) 664-6616 or TTY (360) 664-8885.
1.   Conviction or adjudication for any felony offense committed in this state or elsewhere.

2. Any of the following crimes when committed by one family or household member against another, committed
      on or after July 1, 1993:

         * Assault in the fourth degree              * Coercion                           * Stalking
         * Reckless endangerment in the second degree               *Criminal trespass in the first degree
         * Violation of the provisions of a protection order or no-contact order restraining the person or excluding
         the person from a residence.

CAUTION: Although state and local laws do not differ, federal law and state law on the possession of Firearms
differ. If you are prohibited by federal law from possession of a firearm, you may be prosecuted in federal court. A
state license is not a defense to a federal prosecution. Federal law additionally prohibits the receiving of a firearm
by persons who are unlawful users of, or addicted to, narcotics, or other controlled substances; persons of unsound
mind, adjudicated as mentally defective, or who have been committed to a mental institution. Federal law also
prohibits persons receiving firearms who have been dishonorably discharged from the Armed Forces, aliens
illegally in the U.S., or anyone convicted of, or under indictment for, a felony crime punishable by imprisonment
for a term exceeding one year, to the extent that the law of the state of conviction bars possession of a firearm.
Local laws and ordinances on firearms are preempted by state laws and must be consistent with state law.

                           LOCAL LAW ENFORCEMENT USE ONLY
DATE BASE                   DATE    CHECKED BY:_______________________________
Juvenile Checks            __________        ______________________________________________
DSSI Checks                __________ ______________________________________________
DOL QN Checks              __________ ______________________________________________
DOL F/A Checks             __________ ______________________________________________
Prints – SID               __________ ______________________________________________
Prints – FBI               __________        ______________________________________________
NICS Checks                __________ ______________________________________________
NCIC III Checks            __________         ______________________________________________
JIS Checks                 __________         ______________________________________________
Supervisor Review __________                  ______________________________________________
Civil Accounting           __________         ______________________________________________
DSSI Entry                 __________         ______________________________________________
Lamination/Mail            __________          _____________________________________________
Approved _____           Denied _____ BY: __________________________DATE: __________