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. 

Please read the following before proceeding:

Applicant Information:


Previous Aliases: (please list all previous aliases)

Previous Last Name Previous First Name

Information Related To Your Birth:


Demographic Information:


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


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


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)


Request for Gun Purchase Permit.


Select Purchase Option:


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.

The intent of this authorization is to give my consent for full and complete disclosure of records of psychiatric treatment, substance abuse treatment, consultation and/or court ordered involuntary committal for treatment including those records held by hospitals, clinics, private practitioners, the U.S. Veteran’s Administration and clerks of court, as necessary to verify that I meet the requirements of the state of Iowa and the United States for the acquisition and possession of a firearm. I understand that the information contained in these records will be used for no purpose other than those stated above, and will be kept strictly confidential by the office of the issuing official.

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 pistols/revolvers 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 all information provided on this application form is considered public record and may be disclosed upon request.

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.

Clear Form

Survey Questions:

Do you have charges pending for a felony?

Have you ever been convicted of a felony?

Have you ever been adjudicated delinquent for an offense that would be a felony if committed by an adult?

Have you ever been convicted of an offense involving a firearm or explosive that is classified as a misdemeanor AND is punishable by more than one year of imprisonment (such as an Iowa aggravated misdemeanor)?

Have you ever been convicted of a misdemeanor crime of domestic violence?

Are you subject to a court order restraining you from harassing, stalking, or threatening your intimate partner, your child, or the child of your intimate partner?

Are you currently on probation for any offense? IF YES list the offense for which you are serving probation

Are you a fugitive from justice?

Have you been dishonorably discharged from the Armed Forces?

Have you ever renounced your United States citizenship?

Has a court, board, commission, or other lawful authority ever found you to be a danger to yourself or others?

Has a court, board, commission, or other lawful authority ever ordered you to receive treatment for mental health reasons, or for other reasons, such as drug abuse?

Has a court, board, commission, or other lawful authority ever found you to be incompetent to conduct your affairs?

Have you ever been found incompetent to stand trial for any offense?

Have you ever been found not guilty by reason of insanity for any offense?



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.

The intent of this authorization is to give my consent for full and complete disclosure of records of psychiatric treatment, substance abuse treatment, consultation and/or court ordered involuntary committal for treatment including those records held by hospitals, clinics, private practitioners, the U.S. Veteran’s Administration and clerks of court, as necessary to verify that I meet the requirements of the state of Iowa and the United States for the acquisition and possession of a firearm. I understand that the information contained in these records will be used for no purpose other than those stated above, and will be kept strictly confidential by the office of the issuing official.

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 pistols/revolvers 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 all information provided on this application form is considered public record and may be disclosed upon request.

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.

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