Gun Permit Director

Welcome! This is an official application for an annual permit to purchase a pistol or handgun. This online application is for residents of Polk County, Iowa only. You must completely and accurately fill-out this application to be considered for a permit. Any falsification of the information within this application will result in the denial of this application for a purchase permit.

A permit to acquire weapons requires a fee of $25 and a valid driver's license or non-operator I.D. that contains your photograph and current address issued by the Iowa Department of Transportation. A permit to acquire is valid for five years from the date of issue.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth Country:

Demographic Information:

Gender:

Male

Female

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Attach Documentation: please upload the required documentation

If you need to upload documentation, please use the 'Add Files' button below to begin the process. The maximum size of individual files is 5 MB. The address on government issued IDs must match the address on this application.

Valid government issued photo ID ^{(ex. Passport, IA Drivers License / State ID)}

Uploaded Files:

Click here if you are unable to upload the required documentation and will deliver them, in-person, to the Sheriff's Office address below:

Polk County Sheriff's Office
  5995 NE 14th Street
  Des Moines, Iowa 50313
  Office Hours: 8:00 AM - 4:15 PM, Monday through Friday

Important Permit will not be issued if this information is not received within 30 days.

Add files...

Please select a document type then, click on the “Attach” button to complete the upload process.

Select Purchase Option:

1 FIVE YEAR PERMIT TO ACQUIRE PISTOLS / REVOLVERS Duplicate FIVE YEAR PERMIT TO ACQUIRE PISTOLS / REVOLVERS

Total Fee:

$0

I do hereby authorize a review and full disclosure of all records concerning myself, as required by Iowa Code Ch. 724 and Iowa Administrative Code 661—Ch 91, to any duly authorized agent of an Iowa sheriff or the Commissioner of the Iowa Department of Public Safety, whether the said records are of a public, private or confidential nature.

I understand that any information obtained which is developed directly or indirectly, in whole or part, upon this release authorization will be considered in determining my qualification for obtaining a permit to acquire a pistol or revolver in the state of Iowa. I also certify that any person(s) who may furnish such information concerning me shall not be held accountable for providing accurate information, and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information.

I understand that information provided on this form is generally confidential and may be released as provided by law. I certify that all information, including supporting documentation, provided in this application is true and correct, and I understand that I may be convicted of a class “D” felony pursuant to Iowa Code section 724.17 if I make what I know to be a false statement of material fact on this application or if I submit what I know to be any materially falsified or forged documentation in connection with this application.

Your Initials:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

I understand that any information obtained which is developed directly or indirectly, in whole or part, upon this release authorization will be considered in determining my qualification for obtaining a permit to carry weapons in the state of Iowa. I also certify that any person(s) who may furnish such information concerning me shall not be held accountable for providing accurate information, and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information.

I understand that information provided on this form is generally confidential and may be released as provided by law. I certify that all information, including supporting documentation, provided in this application is true and correct, and I understand that I may be convicted of a class “D” felony pursuant to Iowa Code section 724.10(3) if I make what I know to be a false statement of material fact on this application or if I submit what I know to be any materially falsified or forged documentation in connection with this application.

Coupon Code:

Your Initials:

Back To Previous Step

Polk County Sheriff's Office

Gun Permit Online Application Please Enter All Information

Please read the following before proceeding:

Applicant Information:

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Information Related To Your Birth:

Demographic Information:

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Attach Documentation: please upload the required documentation

Uploaded Files:

Select Purchase Option:

Total Fee:

$0

Survey Questions:

Select Appropriate Immigrant Classification: ^{(only choose one)}

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Gun Permit Online Application Please Enter All Information

Add An Address

Please read the following before proceeding:

Applicant Information:

Previous Aliases: (please list all previous aliases)

Driver's License / Non-Operator ID: (or other State Issued ID)

Information Related To Your Birth:

Demographic Information:

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Current Residence Address: (this may be different than your mailing address)

Attach Documentation: please upload the required documentation

Uploaded Files:

Select Purchase Option:

Total Fee:

$0

Survey Questions:

Select Appropriate Immigrant Classification: (only choose one)

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Your signature is required.

Additional Information Required

Error processing application

Donations cant be taken with cash

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Select Appropriate Immigrant Classification: ^{(only choose one)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}