Manchester Police Department - Application for Resident Pistol/Revolver Permit

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STATE OF NEW HAMPSHIRE
APPLICATION FOR RESIDENT PISTOL/REVOLVER PERMIT

ONLY MANCHESTER RESIDENTS CAN APPLY FOR A PISTOL/REVOLVER PERMIT AT THE MANCHESTER POLICE DEPARTMENT.

If you were to come into the Police Station to obtain a permit to carry a concealed weapon (AKA Pistol Permit), you would be required to complete a State Application and provide positive identification at the time. Two weeks later, you would have to return to the Station to pick up your permit.

What follows is the form that you would be required to fill out. By filling in this form and submitting it to us, you will be saving yourself a trip to the Manchester Police Department. Two weeks from now, you can come to the Station and your background check will be completed and you will be able to pick up your permit. Before doing so though, you MUST complete the actual application and sign it. Also, make certain that you have positive ID.

Please complete the following application and when you are finished press the "SUBMIT" button.


*Fields marked with an asterisk are required.
*Type:**	Original Renewal
*Email:**
*Last Name:**
*First Name:**
Middle Name:
*Street Address:**
*City:**
*State:**
*ZIP:**
Date of Birth:	**Must be six (6) numbers with no spaces, for example: 010558 (MMDDYY).
Place of Birth:
Social Security Number:	***Please note: This is not a secure web form.
Driver's License Number:
Previous Pistol Permit #:
Sex:
Height:
Weight:
Hair Color:
Eye Color:
Occupation:
Present Employer:
Present Employer's Address:
Previous Employer:
Previous Employer's Address:



Have you ever had a pistol permit denied in this or any other state?:	No Yes (If yes, please explain)
Have you ever been convicted of a felony, in this state or any other state, which has not been annulled?:	No Yes (If yes, please explain)
Are you an unlawful user of or addicted to any controlled substance?:	No Yes (If yes, please explain)
Have you ever been adjudicated as a mental defective by a court or committed by a court to any mental institution?:	No Yes (If yes, please explain)
Have you ever been convicted in any court of a misdemeanor of domestic violence?:	No Yes (If yes, please explain)



*For what reason(s), do you make an application to carry a pistol in New Hampshire?:**



Name and Mailing Address of three (3) references:
*Reference 1:**
*Reference 2:**
*Reference 3:**



The following is found on the bottom of the application you will be required to complete when you come in to pick up your permit. It is presented here merely for your information, since obviously there is nothing for you to sign at this point!
SIGNATURE, CERTIFICATION, AND RELEASE OF INFORMATION YOU MUST SIGN THIS APPLICATION: Read the following carefully before you sign. A false statement on any part of this application will be just cause for refusal of any application of any license issued under the provisions of RSA:159 and is punishable under RSA:641:3. - I understand that any information I give may be investigated as allowed by law. - I consent to the release of information about my ability and fitness to carry a pistol/revolver by employers, schools, medical/psychiatric services, law enforcement agencies, and other individuals and organizations, to my local police chief, his designess, and/or authorized employees of the State of New Hampshire. - I certify that, to the best of my knowledge and belief, All of my statements are true, correct, complete and made in good faith.

	If everything above is correct
	If you've changed your mind or want to start over

Click the link to the right to return to the Police Department homepage.

STATE OF NEW HAMPSHIRE APPLICATION FOR RESIDENT PISTOL/REVOLVER PERMIT

STATE OF NEW HAMPSHIRE
APPLICATION FOR RESIDENT PISTOL/REVOLVER PERMIT