Form FDACS-16036 "Application for Concealed Weapon or Firearm License" - Florida

What Is Form FDACS-16036?

Form FDACS-16036, Application for Concealed Weapon or Firearm License, is a formal document Florida residents and eligible non-residents need to file to obtain permission to carry a weapon of their choice in a concealed manner. Before any individual may have a concealed gun in their possession, they must apply for a specific license at the regional office of the Florida Division of Licensing, send an application by traditional mail, or send their request electronically via mylicensesite.com. Florida is a so-called "shall-issue" state which means the license is subject to meeting certain criteria - you need to submit to the authorities the information about your military history and potential criminal issues you might have had in the past.

Alternate Name:

  • Florida Concealed Firearm License Application.

This form was issued by the Florida Department of Agriculture and Consumer Services (FDACS) on July 1, 2017, with all previous editions obsolete. A fillable Florida Concealed Firearm License Application is available for download below.

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FDACS-16036 Instructions

Follow these steps to fill out Florida Application for Concealed Weapon:

  1. Enter your social security number or alien registration number.
  2. Write down your full name, address, and telephone number. If your mailing address is different, add it to the application.
  3. Record your sex, race, eye and hair color, date and place of birth, weight and height, and email address.
  4. Answer several questions about your life - whether you have ever been a servicemember or a law enforcement officer, whether you have given up citizenship, and are you living in the U.S. permanently. You need to put an X in the appropriate box to certify that you have never had a felony or misdemeanor charge.
  5. Confirm you are aware of the existing state laws that relate to firearms and weapons, you need a license for self-defense, you do not have a physical condition that would prevent you from using the firearm or weapon safely, and all the statements you have provided in the application are true and accurate.
  6. Sign and date the form.

To apply for a license, you can appear personally at a local FDACS office or mail the documentation to the FDACS Division of Licensing, PO Box 6687, Tallahassee, Florida 32314-6687. If the latter option is preferable, you have to attach photocopies of your fingerprints obtained from the county sheriff and a color photograph. Within ninety days you will receive a license in the mail or, in the event of refusal, you will get a document that denies your request. You can find more about the filing process at mylicensesite.com.

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Download Form FDACS-16036 "Application for Concealed Weapon or Firearm License" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Licensing
APPLICATION FOR CONCEALED WEAPON OR FIREARM LICENSE
Chapter 790, Florida Statutes
Post Office Box 6687sTallahassee, FL 32314-6687s(850) 245-5691
www.mylicensesite.com
NICOLE “NIKKI” FRIED
COMMISSIONER
S M I T H
1 2 3
SECTION I
APPLICANT INFORMATION
Read application instructions before you begin. Place letter/number inside each box as shown above.
SOCIAL SECURITY NUMBER
ALIEN REGISTRATION NUMBER
If you are an alien, provide your 8- or
VOLUNTARY
9-digit Alien Registration Number.
See APPLICATION INSTRUCTIONS
LAST NAME
FIRST NAME
MI
RESIDENCE ADDRESS
PHONE NUMBER
RESIDENCE ADDRESS CONTINUED (SUITE, BLDG., APT., ETC.)
CITY
STATE
ZIP CODE
-
MAILING ADDRESS IF DIFFERENT FROM ABOVE
MAILING ADDRESS CONTINUED (SUITE, BLDG., APT., ETC.)
CITY
STATE
ZIP CODE
-
SEX
RACE
EYE COLOR
HAIR COLOR
DATE OF BIRTH (
)
WEIGHT
HEIGHT
mmddyyyy
LBS
FT
IN
PLACE OF BIRTH - (INCLUDE STATE OR PROVINCE --- AND COUNTRY)
EMAIL ADDRESS
Are you an active-duty United States military servicemember, as defined in Section 250.01, Florida Statutes, or
an honorably discharged United States veteran, as defined in Section 1.01, Florida Statutes, and are requesting
YES
NO
expedited processing of your application?
SECTION II
QUALIFYING DATA
(SHAdE IN THE APPROPRIATE CIRCLE)
1.
Are you applying for this license as a consular security official of a foreign government which meets the
YES
NO
standards defined in Section 790.06(2)(a), Florida Statutes?
2.
Do you hold an active certification from the Florida Criminal Justice Standards and Training Commission as a
YES
NO
law enforcement officer, correctional officer, or correctional probation officer as defined in Section 943.10(1),
(2), (3), (6), (7), (8) or (9), Florida Statutes?
3a. Are you a retired Florida law enforcement officer, correctional officer, or correctional probation officer as
YES
NO
defined in Section 943.10 (1), (2) or (3), Florida Statutes?
3b. If you answered YES to Question 3a., have you been retired for one year or less?
YES
NO
FDACS-16036 Rev. 07/17
Page 1 of 2
LICCW02
Florida Department of Agriculture and Consumer Services
Division of Licensing
APPLICATION FOR CONCEALED WEAPON OR FIREARM LICENSE
Chapter 790, Florida Statutes
Post Office Box 6687sTallahassee, FL 32314-6687s(850) 245-5691
www.mylicensesite.com
NICOLE “NIKKI” FRIED
COMMISSIONER
S M I T H
1 2 3
SECTION I
APPLICANT INFORMATION
Read application instructions before you begin. Place letter/number inside each box as shown above.
SOCIAL SECURITY NUMBER
ALIEN REGISTRATION NUMBER
If you are an alien, provide your 8- or
VOLUNTARY
9-digit Alien Registration Number.
See APPLICATION INSTRUCTIONS
LAST NAME
FIRST NAME
MI
RESIDENCE ADDRESS
PHONE NUMBER
RESIDENCE ADDRESS CONTINUED (SUITE, BLDG., APT., ETC.)
CITY
STATE
ZIP CODE
-
MAILING ADDRESS IF DIFFERENT FROM ABOVE
MAILING ADDRESS CONTINUED (SUITE, BLDG., APT., ETC.)
CITY
STATE
ZIP CODE
-
SEX
RACE
EYE COLOR
HAIR COLOR
DATE OF BIRTH (
)
WEIGHT
HEIGHT
mmddyyyy
LBS
FT
IN
PLACE OF BIRTH - (INCLUDE STATE OR PROVINCE --- AND COUNTRY)
EMAIL ADDRESS
Are you an active-duty United States military servicemember, as defined in Section 250.01, Florida Statutes, or
an honorably discharged United States veteran, as defined in Section 1.01, Florida Statutes, and are requesting
YES
NO
expedited processing of your application?
SECTION II
QUALIFYING DATA
(SHAdE IN THE APPROPRIATE CIRCLE)
1.
Are you applying for this license as a consular security official of a foreign government which meets the
YES
NO
standards defined in Section 790.06(2)(a), Florida Statutes?
2.
Do you hold an active certification from the Florida Criminal Justice Standards and Training Commission as a
YES
NO
law enforcement officer, correctional officer, or correctional probation officer as defined in Section 943.10(1),
(2), (3), (6), (7), (8) or (9), Florida Statutes?
3a. Are you a retired Florida law enforcement officer, correctional officer, or correctional probation officer as
YES
NO
defined in Section 943.10 (1), (2) or (3), Florida Statutes?
3b. If you answered YES to Question 3a., have you been retired for one year or less?
YES
NO
FDACS-16036 Rev. 07/17
Page 1 of 2
LICCW02
4a. Do you qualify for exemption from the public records law as provided by s. 119.071, Florida Statutes?
YES
NO
4b. If YES, do you wish to have the specified information kept confidential?
YES
NO
5a. Have you ever renounced or formally given up United States citizenship?
YES
NO
If YES, you are not eligible for licensure.
5b. Are you currently residing in the United States?
YES
NO
If NO, you are not eligible for licensure unless you are serving overseas in the United States Armed Forces.
5c. Are you a United States citizen? If YES, proceed to question 6. If NO, proceed to question 5d.
YES
NO
5d. Are you deemed a lawful permanent resident alien by the Department of Homeland Security, U.S. Citizenship and
Immigration Services? If you are neither a U.S. citizen nor a permanent resident alien, you are not eligible for
YES
NO
licensure.
6.
Have you received training with a firearm as required by Section 790.06(2)(h), Florida Statutes, relating to
YES
NO
competency with a firearm?
7.
Have you ever been convicted of a felony?
YES
NO
YES
NO
8.
Have you had adjudication of guilt withheld or imposition of sentence suspended on any felony charge?
9.
Have you had adjudication of guilt withheld or imposition of sentence suspended on a misdemeanor crime of
YES
NO
domestic violence?
10. Have you been convicted, found guilty of, or had adjudication withheld on one or more misdemeanor crimes of
YES
NO
violence?
11. Have you been convicted or found guilty of a misdemeanor crime of domestic violence?
YES
NO
If YES, you are not eligible for licensure.
12. Have you been issued an injunction that is currently in force and effect that restrains you from committing acts of
YES
NO
domestic violence or acts of repeat violence? If YES, you are not eligible for licensure.
13. Have you ever been adjudicated incapacitated, committed to a mental institution, or adjudicated mentally
YES
NO
defective?
14. During the three years preceding the date of this application, have you been:
a.
Committed for the abuse of controlled substances, or been found guilty or convicted of a crime under the
YES
NO
provisions of Chapter 893, Florida Statutes, or similar laws of any other state, or had multiple arrests for such
offenses within the past five years with the most recent arrest occurring within the past year?
b
Committed for the abuse of alcoholic beverages or other substances under the provisions of Chapter 397,
or under the provisions of former Chapter 396, Florida Statutes, or convicted under Section 790.151, Florida
YES
NO
Statutes, or been deemed a habitual offender under the provisions of Section 856.011(3), Florida Statutes, or
similar laws of any other state?
c.
Convicted two or more times under Section 316.193, Florida Statutes, or similar laws of any other state for
YES
NO
driving under the influence of alcohol or a controlled substance?
If you answered YES to any of these questions, you are not eligible for licensure.
15. Are you under arrest or currently charged in any court with a felony, any crime punishable by imprisonment for
YES
NO
more than one year, or any crime of violence, including crimes of domestic violence?
YES
NO
16. Are you a fugitive from justice?
17. Have you been discharged from the Armed Forces under dishonorable conditions?
YES
NO
If YES, you are not eligible for licensure.
SECTION III
OATH OF APPLICANT
THIS APPLICATION IS EXECUTED UNDER OATH. FALSIFICATION OR MISREPRESENTATION OF ANY PART OR ANY
DOCUMENT SUBJECTS THE APPLICANT TO CRIMINAL PROSECUTION UNDER SECTION 837.06, FLORIDA STATUTES.
I DO SWEAR AND AFFIRM THAT:
a) I have been provided a website link to Chapter 790, Florida Statutes, relating to weapons and firearms, and that I am knowledgeable of the provisions contained therein.
b) I desire a legal means to carry a concealed weapon or firearm for lawful self-defense.
c) I do not suffer from a physical infirmity that would prevent my safely handling a weapon or firearm.
d) The information contained in this application and all attached documents is true and correct to the best of my knowledge.
Signature of Applicant
Date Signed
FDACS-16036 Rev. 07/17
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