Form VP0337A "Application for a Permit to Acquire a Longarm" - Victoria, Australia

Form VP0337A is a Victoria Police form also known as the "Application For A Permit To Acquire A Longarm". The latest edition of the form was released in September 1, 2011 and is available for digital filing.

Download a PDF version of the Form VP0337A down below or find it on Victoria Police Forms website.

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Download Form VP0337A "Application for a Permit to Acquire a Longarm" - Victoria, Australia

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VP Form 0337A
Send your completed application to:
Licensing & Regulation Division
GPO Box 2807
MELBOURNE 3001
Phone: 1300 651 645
E-mail: licensingregulation@police.vic.gov.au
Web: www.police.vic.gov.au
Application for a Permit to Acquire a Longarm
Read instruction pages carefully before completing application form.
Part 1 - Category of Licence
(All applicants must complete this part)
Specify the Firearm Licence Number that the firearm(s) will be acquired and
registered under.
(Licence Number)
Part 2 - Personal Information
(All applicants must complete this part)
Current Name
Family Name
First Given Name
Second Given Name
Sex:
Male
Female
Date of
/
/
Third Given Name
Birth:
Previous Name
Have you changed your name?
Yes
No
If “yes”, refer to instructions.
Body Corporate and/or Business Name
(if applicable)
Residential or Business/Body Corporate Address
Property name
(if applicable):
Flat / Lot etc...
Street Number
Lot Number
/
/
Street Type
Street Name
(RD, ST, AVE, etc)
Town / Suburb
State
Postcode
Postal Address
Box/Bag/Street Number
(only complete this section if you want your permit forwarded
to an address different to your residential address)
GPO Box
PO Box
Locked Bag
Private Bag
RSD
RMB
Street Type
Street Name
(RD, ST, AVE, etc)
Town / Suburb
State
Postcode
Revised 09/11
204332 VP337A Firearm Application.indd 1
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VP Form 0337A
Send your completed application to:
Licensing & Regulation Division
GPO Box 2807
MELBOURNE 3001
Phone: 1300 651 645
E-mail: licensingregulation@police.vic.gov.au
Web: www.police.vic.gov.au
Application for a Permit to Acquire a Longarm
Read instruction pages carefully before completing application form.
Part 1 - Category of Licence
(All applicants must complete this part)
Specify the Firearm Licence Number that the firearm(s) will be acquired and
registered under.
(Licence Number)
Part 2 - Personal Information
(All applicants must complete this part)
Current Name
Family Name
First Given Name
Second Given Name
Sex:
Male
Female
Date of
/
/
Third Given Name
Birth:
Previous Name
Have you changed your name?
Yes
No
If “yes”, refer to instructions.
Body Corporate and/or Business Name
(if applicable)
Residential or Business/Body Corporate Address
Property name
(if applicable):
Flat / Lot etc...
Street Number
Lot Number
/
/
Street Type
Street Name
(RD, ST, AVE, etc)
Town / Suburb
State
Postcode
Postal Address
Box/Bag/Street Number
(only complete this section if you want your permit forwarded
to an address different to your residential address)
GPO Box
PO Box
Locked Bag
Private Bag
RSD
RMB
Street Type
Street Name
(RD, ST, AVE, etc)
Town / Suburb
State
Postcode
Revised 09/11
204332 VP337A Firearm Application.indd 1
30/09/11 11:17 AM
Part 2 - Personal Information (continued)
(All applicants must complete this part)
Contact details
(All applicants must complete, if applicable)
Telephone
(Home)
(Mobile)
(Work - Optional)
E-mail Address
(indicate exact case)
Part 3 - Storage Address
(All applicants to complete this part)
Storage Address
The instruction pages describe the storage requirements of Schedule 4 of the Firearms Act 1996.
Do your storage facilities comply with Schedule 4 requirements?
Yes
No
(For storage requirements, see Part 3 of instruction pages)
If ‘no’ please explain:
.................................
Will the firearm/s you propose to purchase be ordinarily stored at the
Yes
No
.........................................................................................
residential address specified above? If your answer is “no” please specify
.........................................................................................
the ordinary storage address below.
.........................................................................................
Please Note: If you are applying for multiple firearms and these firearms are to be stored at
multiple locations, you must specify the ordinary storage address for each firearm and attach the
information to this application.
Storage Address (Please staple additional storage address details to the back of this application.)
Name of property Owner / Occupier:
Property name
(if applicable):
Flat / Lot etc...
Street Number
Lot Number
/
/
Street Type
Street Name
(RD, ST, AVE, etc)
Town / Suburb
State
Postcode
Heirlooms Licences
Your application must include a certificate of deactivation from a Licensed Firearm Dealer that the proposed firearm has been rendered
permanently inoperable in accordance with the Firearms Act 1996, Schedule 2.
Firearms to be Acquired from a Deceased Estate
If Longarm(s) are being acquired from a deceased estate, a letter from the Executor of the Will is required specifying:
• name, address and firearms licence number of deceased person;
• date of death of deceased person;
• name and firearm licence number of the firearm licence holder for whom the Longarm(s) have been left to as specified
in the deceased’s Will;
• details of all the Longarm(s) to be acquired by the firearm licence holder as specified in the deceased’s Will; and
• contact details (phone numbers and address) of the Executor of the Will.
NOTE: Making a false declaration/statement is an offence against Section 140A(1) of the Firearms Act 1996. Maximum
penalty 240 penalty units or 4 years imprisonment.
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Part 4 - Longarm(s) to be acquired
(All applicants to complete this part)
Firearm 1
Magazine/
Firearm
Firearm
Firearm
Firearm
Firearm
Category
Type
Action
Configuration
Capacity
Make
Model
You must indicate full calibre details eg. 223REM, 303BRITISH.
Calibre 1
Calibre 2
Serial Number
Calibre 3
(optional)
Police Reference
Number (optional)
Genuine Need/Reason for this Firearm -
You must explain a genuine need/reason (except Category A) for the firearm you are applying to acquire:
- Firearms collectors, please explain how this firearm fits the theme of your collection:
- If the firearm is to be used for an official purpose, you are required to supply further documentation – eg. An authority to Control
Wildlife issued by the Department of Sustainability and Environment.
Please tick the box if the firearm to be acquired is being imported from overseas:
Firearm Collectors
If you are acquiring a firearm for the purpose of collecting, you must provide your membership details below.
What is the theme of your collection?
{Cross the appropriate box(es)}:
Commemorative
Historical
Thematic
(Name of Firearm Collectors Organisation)
(Membership Number)
(Expiry Date)
Firearm 2
Magazine/
Firearm
Firearm
Firearm
Firearm
Firearm
Category
Type
Action
Configuration
Capacity
Make
Model
You must indicate full calibre details eg. 223REM, 303BRITISH.
Calibre 1
Calibre 2
Serial Number
Calibre 3
(optional)
Police Reference
Number (optional)
Genuine Need/Reason for this Firearm -
You must explain a genuine need/reason (except Category A) for the firearm you are applying to acquire:
- Firearms collectors, please explain how this firearm fits the theme of your collection:
- If the firearm is to be used for an official purpose, you are required to supply further documentation – eg. An authority to Control
Wildlife issued by the Department of Sustainability and Environment.
Please tick the box if the firearm to be acquired is being imported from overseas:
Firearm Collectors
If you are acquiring a firearm for the purpose of collecting, you must provide your membership details below.
What is the theme of your collection?
{Cross the appropriate box(es)}:
Commemorative
Historical
Thematic
(Name of Firearm Collectors Organisation)
(Membership Number)
(Expiry Date)
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Part 4 - Longarm(s) to be acquired (continued)
(All applicants to complete this part)
Firearm 3
Magazine/
Firearm
Firearm
Firearm
Firearm
Firearm
Category
Type
Action
Configuration
Capacity
Make
Model
You must indicate full calibre details eg. 223REM, 303BRITISH.
Calibre 1
Calibre 2
Serial Number
Calibre 3
(optional)
Police Reference
Number (optional)
Genuine Need/Reason for this Firearm -
You must explain a genuine need/reason (except Category A) for the firearm you are applying to acquire:
- Firearms collectors, please explain how this firearm fits the theme of your collection:
- If the firearm is to be used for an official purpose, you are required to supply further documentation – eg. An authority to Control
Wildlife issued by the Department of Sustainability and Environment.
Please tick the box if the firearm to be acquired is being imported from overseas:
Firearm Collectors
If you are acquiring a firearm for the purpose of collecting, you must provide your membership details below.
What is the theme of your collection?
{Cross the appropriate box(es)}:
Commemorative
Historical
Thematic
/
/
(Name of Firearm Collectors Organisation)
(Membership Number)
(Expiry Date)
Part 5 - Acknowledgement
(This acknowledgment must be signed and dated or your application will be returned)
(Ensure that you read the Privacy Statement before signing the Acknowledgement)
Privacy Statement: The information collected in this application is being collected by Victoria Police. It will be used in
accordance with the provisions of the Firearms Act 1996, Private Security Act 2004, Control of Weapons Act 1990 and
the Information Privacy Act 2000. Your information may be disclosed to employers, approved bodies and other statutory
authorities by Victoria Police for the purpose of law enforcement and the administration of justice. Applicants may gain
access to their information through application to the Victoria Police Freedom of Information Unit. Failure to provide
information requested in this application may result in this application being returned.
Acknowledgment:
a)
Under what type of licence are you
acquiring this Longarms permit
Individual
Go to c) and Sign Acknowledgement
Go to b)
Business/Organisation
b)
The Acknowledgement must be signed by the Nominated Responsible Person of the business/organisation. The
details on the front of this application must also reflect this person’s details. Go to c)
c)
I acknowledge that the particulars in this application and any attachments are true and correct and I make this
acknowledgement knowing that it is an offence against section 140A(1) of the Firearms Act 1996 to wilfully supply
details that are false or misleading (maximum penalty 240 penalty units or 4 years imprisonment).
/
/
Signature
Date
(Day)
(Month)
(Year)
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Instruction Pages for Application for a
Permit to Acquire a Longarm
The information contained in your application is treated as Strictly Confidential
General
This application form is to be used by current Firearms Licence holders who wish to acquire a longarm. If you do not possess a
current Firearms Licence that permits you to possess a longarm, you may submit your Firearms licence application together with this
Application for a Permit to Acquire a Firearm. However, the Permit to Acquire cannot be issued until you have received and paid (if a
fee is payable) for your Firearms Licence.
Waiting Periods for Permits
If this application is to acquire your first firearm, the Permit to Acquire cannot be issued until 28 days has elapsed from the receipt of
your application. If you already possess other registered firearms the Permit to Acquire will be issued as soon as possible.
How to use these instruction pages
There are Five Parts in the Permit to Acquire application form. You may not have to complete all parts. These instruction pages
help you decide whether you have to fill out each part, and how to fill out the parts that apply to you.
• The form is to be completed in black or blue pen only.
• Attach copies of supporting documents securely to your Application and forward to Licensing & Regulation Division,
GPO Box 2807 Melbourne 3001.
• Contact Licensing & Regulation Division on telephone number 1300 651 645 or e-mail us at: licensingregulation@police.vic.gov.au
Online Resources: http://www.police.vic.gov.au
Do not send: original identification documents; cash, cheques or money orders.
Entering Information
Please print in capital letters and avoid contact with the edge of the boxes. When you are asked to make a choice, place a cross in
the appropriate box.
Multiple Acquisition of Firearms
The application can be used to acquire multiple firearms of the same licence category. A Permit to Acquire will be issued for each
firearm proposed to be acquired. A separate fee is payable for each permit issued.
Separate Permit Applications are to be submitted if you want to acquire multiple firearms under different licence type.
Interstate Acquisition of Firearms
A person may use a Permit to Acquire issued in Victoria to acquire a firearm from, or through, a Licensed Firearms Dealer in New
South Wales or South Australia.
Part 1 - Category of Firearm and Licence Details
(All applicants must complete this part)
Firearm Categories
Firearm Categories
Descriptions
Category A
an airgun;
a rimfire rifle (other than a semi-automatic rimfire rifle;
a shotgun (other than a pump action or semi-automatic shotgun);
any combination of a shotgun and rimfire rifle;
Category B
a muzzle loading firearm;
a centre fire rifle (other than an automatic or a semi-automatic centre fire rifle);
any combination of a shotgun and centre fire rifle;
a black powder, ball firing cannon;
Category C
a semi-automatic rimfire rifle with a magazine capacity of no more than 10 rounds;
a semi-automatic shotgun with a magazine capacity of no more than 5 rounds;
a pump action shotgun with a magazine capacity of no more than 5 rounds;
a tranquilliser gun;
Category D
a semi-automatic rimfire rifle with a magazine capacity of more than 10 rounds;
a semi-automatic shotgun with a magazine capacity of more than 5 rounds;
a pump action shotgun with a magazine capacity of more than 5 rounds;
a semi-automatic centre fire rifle;
any other firearm prescribed for the purposes of this category;
any other firearm that is declared to be a Category D by the Chief Commissioner
Category E Longarm
a machine gun that is a longarm;
a tear gas gun or projector;
a shotgun or rifle with a length of less than 75 centimetres measured parallel to the barrel;
a mortar, bazooka, rocket propelled grenade or similar large calibre military firearm designed
to fire an explosive or projectile or any other similar prescribed firearm;
a cannon which is not a black powder ball firing cannon;
any other firearm prescribed for the purposes of this category;
any other firearm that is declared to be a Category E by the Chief Commissioner
Category E Handgun
a machine gun that is a handgun;
any handgun prescribed for the purposes of this category;
Paintball Marker (Category P)
any firearm that is designed to discharge a paintball
Antique Handgun
a handgun (that is not a single shot antique handgun) –
(Category Q)
 that was manufactured before 1 January 1900; and
 that uses percussion as a means of ignition; and
 that does not take commercially available cartridge ammunition;
General Category
a rimfire handgun;
Handguns
a centre fire handgun that is not a E Handgun;
(Category H)
a muzzle loading handgun;
a air pistol;
that does not exceed 65 centimetres in length
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