MALHEUR COUNTY SHERIFF’S OFFICE 151 B Street W, Vale, Oregon (541) 473-5126

Brian E. Wolfe, Sheriff

Concealed Handgun License Information (Please Read Carefully!)

Both new applications and renewals are by appointment only. Please call 541-473-5126 to schedule your appointment.

New Applicants: At your appointment you will submit this application, be photographed, fingerprinted and fees will be collected. Please have a check or money order in the amount of $65.00 made payable to MCSO. Exact cash can also be accepted. You will need to bring two current forms of Identification and one must be photo ID such as a driver’s license. You will also need to bring proof of citizenship.

Renewal Applicants: At your appointment you will submit your application, be photographed and pay your renewal fee. Please have a check or money order in the amount of $50.00 made payable to MCSO. Exact cash can also be accepted. You will also need to bring your previous handgun license and a current photo ID.

All fees are non-refundable and cover the cost of the background investigation and processing required by law.

In addition, at the time of application, new applicants must be able to demonstrate competence by any of the methods provided by law as follows:

1. Completion of any NRA firearms safety or training course if handgun safety was a component of the course.

2. Completion of any hunter education or hunter safety course approved by the State Department of Fish and Wildlife or a similar agency of another state if handgun safety was a component of the course.

3. Completion of any handgun safety or training course or class available to the general public offered by law enforcement, community college or private institution or organization utilizing instructors certified by the NRA or a law enforcement agency. (Local Instructors: Neil Goodfellow at 541-889-3165 or Jim Warren at 541-881-0059.)

4. Completion of any law enforcement firearms safety or training course offered for security guards, investigators, reserve law enforcement officers or any other law enforcement officers if handgun safety was a component of the course.

5. Presents written evidence of equivalent experience with a handgun through participation in organized shooting competitions or military service. This would include official score sheets, a DD214 that specifies handgun training, and military training records.

6. Is licensed or has been licensed to carry a firearm in this state, unless license has been revoked.

IF YOU CANNOT DO SO, YOUR APPLICATION WILL NOT BE ACCEPTED.

MALHEUR COUNTY SHERIFF’S OFFICE 151 B Street W, Vale, Oregon (541) 473-5126

Brian E. Wolfe, Sheriff

CONCEALED HANDGUN LICENSE APPLICATION

Full Legal Name:

_____________________________________________________________ First Full Middle Last

Other Names Used (Maiden, etc.)___________________________________________________________

Current Residence Address: How Long: ______ Mailing Address (If Different):

_______________________________________ __________________________________________

_______________________________________ __________________________________________ City State Zip City State Zip

Home Number: ________________ Cell Number: ______________ Work Number: __________________

Employer: ______________________________________________________________________________

Address: ________________________________________ Occupation: ____________________________

Sex: _____ Race: _____ Height: ________ Weight: _______ Eye Color: _________ Hair Color: __________

Place of Birth: ____________________________ Date of Birth: ____________________________ All applicants must provide proof of citizenship. A US Birth Certificate, US Passport, FFS240 (Military Service

Foreign Birth Form) or Naturalization paperwork will work for proof of citizenship. If you are a legal resident alien who can document continuous residency in Malheur County for at least 6 months, and have declared in writing to the Immigration and Naturalization Service of your intent to become a citizen and can provide our office proof of receipt (the N-300 or N-400 form) this will be accepted as your citizenship requirement.

Drivers License Number: ____________________________ State: ____ Expiration Date: ______________

Social Security Number: __________ - _______-____________ Disclosure of your social security number is voluntary. Solicitation of the number is authorized by ORS

166.291(3)(a). It will be used only as a means of identification.

List other states you have resided in as an adult (18 years or older):

______________________________________________________________________________________

List residence addresses for the past three years:

______________________________________________________________________________________

(NEW APPLICANTS ONLY)

Please list two character references who are not related to you and who do not reside at your residence:

1. Name and complete mailing address:

______________________________________________________________________________________

2. Name and complete mailing address:

______________________________________________________________________________________

Initial each line indicating that you have read each statement. Please read Carefully!

I HEREBY DECLARE AS FOLLOWS:

_____ I am a citizen of the United States. If I am not a citizen, I am a legal resident alien who can document continuous residency in Malheur County, or a bordering state, for at least six months and have declared in writing to the Citizenship and Immigration Services my intention to become a citizen and can present proof of the written declaration to the Sheriff at the time of this application.

_____ I am now at least 21 years of age.

_____ I have NOT been under the jurisdiction of the juvenile department for the last four years for committing an act, that if committed by an adult, would constitute a felony or a misdemeanor involving violence.

_____ I have NEVER been convicted or found guilty of a felony in the State of Oregon or elsewhere.

_____ I have NOT been convicted of a misdemeanor or found guilty of a misdemeanor in the State of Oregon or elsewhere in the last four years.

_____ There are no outstanding warrants for my arrest.

_____ I do not have any charges pending in any court resulting from a citation or arrest.

_____ I have not been mentally committed by a court nor have I been found mentally ill and presently subject to an order prohibiting me from purchasing a firearm because of mental illness.

_____ I am not subject to a citation or court order restraining me from contacting or stalking another.

_____ I have not received a dishonorable discharge (enlisted members) or received a dismissal

(commissioned officers) from the U.S. Armed Forces.

_____ I am not required to register as a sex offender in any state.

_____ I understand that I will be photographed and if I am a new applicant I will be fingerprinted.

Privacy Questions:

(___) Yes (___) No I am requesting that my application and information be maintained as confidential and not be released to the public.

(___) Yes (___) No I am applying for a Concealed Handgun License as a personal safety measure; I do not want any information about my application of CHL status released to the public.

I have read the entire text of this application and understand it completely. All information I have submitted on this application is correct and true. I understand placing false information or making false statements on this application is a crime. If I have made false statements I am subject to prosecution and my application will automatically be denied or revoked.

Signature: ______________________________________________________ Date: ________________________

Print Name: ____________________________________________________