IDAHOENHANCEDCONCEALEDWEAPONSLICENSE APPLICATIONINFORMATION TwinFallsCountySheriffsOfficeConcealedWeaponsLicenseSection(CWL) (attheDMVDriversLicenseside) 630AddisonAve.W.,TwinFalls,Idaho83301 P.O.BoxAE,TwinFalls,Idaho83303 SSgt.

DougSugden,2087354866

ApplicantspleasereadallinstructionspriortofillingoutyourCWLapplication.
DONOTABBREVIATEanyofyourpersonalinformationonyourapplication.Useyourfulllegalname.Listyouphysicalresidence,not yourmailingaddress. DONOTSIGNORDATEYOURAPPLICATION.TheDeputywillneedtowitnessyoursignature. 1stTIMEAPPLICANTSNEEDTOPROVIDEPROOFOFFAMILIARITYWITHFIREARMSTRAINING. Forexamples,seeIdahoCode183303(13)(ag)foracceptableproofs,orgototheTwinFallsSheriffsOfficewebsite@ www.twinfallscoso.comunderConcealedWeaponsPermit. 1. FIRSTTIMEAPPLICANTS: Allfirsttimeapplicantswillneedanappointmenttosubmittheirapplicationandsupportingdocuments.Besureto readalltheinformationprovidedandfilloutrequiredinformation.(DONOTSIGNORDATE.)ContactSSgt.Doug Sugdenat2087354866foranappointment. Youwillbefingerprintedatthetimeofyourappointment.PLEASEBESUREYOURHANDSAREINGOODCONDITION ATTHETIMEOFYOURAPPOINTMENTTOMINIMIZECHANCESOFREJECTIONFROMTHEFBI. Atthetimeofyourappointment,youwillsubmityourapplicationandsupportingdocumentsandyouwillbe fingerprinted.Afeeof$75.00willbecollectedatthetimeofyourappointment.Youmaypaywithcash,localpersonal check,orcredit/debitcard(extra$1+3%feewithcredit/debit).ShouldyouberejectedforyourCWL,therewillbe norefunds. Newapplicantswillbecontactedwithin90daysafterthedatetheapplicationwassubmitted.Applicantswillbe advisedoftheirapplicationstatusandanappointmentwillbemade,ifthepermitistobeissued. 2. RENEWALAPPLICANTS: Anappointmentisnotneeded.AcompletedCWLapplicationcanbesubmittedtoaclerkatDriversLicensefor renewalwithin90daysbeforeoraftertheexpirationdatelistedontheCWL.Afeeof$45.00willbecollectedwhen yousubmityourrenewalapplication.Youmaypaywithcash,localpersonalcheck,orcredit/debitcard(extra$1+3% feewithcredit/debit).ShouldyouberejectedforyourCWL,therewillbenorefunds. AnyCWLexpired91daysormorewillpayalatefeeof$10.00. Theapplicantwillbecontactedwithin30daysandadvisedonthestatusoftheirapplication.Anappointmentwillbe madeifapplicationisapproved. PERMITSEXPIRED181DAYSORMOREWILLHAVETOAPPLYASANEWAPPLICANT.Keeptrackofyourexpiration date! CARRYINGYOURCONCEALEDWEAPONLICENSE YouarerequiredtohaveyourCWLinpossessionwhencarryingaconcealedweapon. IfyourCWLislostorstolen,pleasecontactSSgt.DougSugden@2087354866. Itissuggestedthatyoukeepyourweaponconcealed.Ifyouaccidentallyorintentionallydisplayyourweaponto others,youshouldexpectthatapoliceofficerwillcontactyou. NAMECHANGEORADDRESSCHANGE IfyourlegalnamechangesoryoumoveandyouraddressischangedpleasecontactDriversLicense. CARRYINGINOTHERSTATES ItistheresponsibilityoftheLicenseetoseekotherStatesrulesandregulationregardingIdahosConcealed WeaponsLicenses.DONOTASSUMEitwillbehonoredinotherstates.ContacteachindividualStatesAttorney GeneralsOfficeformoreinformation. PLEASEREFERTOIDAHOCODE183302AThttp://www.legislature.idaho.gov/idstat/TOC/IDStatutesTOC.htmANDFEDERAL RULESANDREGULATION18USCSECTION921922FORCOMPLETECONCEALEDWEAPONLAWS.

STATE OF IDAHO
CONCEALED WEAPONS LICENSE APPLICATION
COUNTY OF ISSUE Name Address City, State Zip CAUTION: Federal and state laws on the possession of weapons and firearms differ. If you are prohibited by federal law from possessing a weapon or a firearm, you may be prosecuted in federal court. A state permit is not a defense to a federal prosecution. Application Type: Initial Renewal License: 18-3302 Concealed 18-3302K Enhanced Concealed Date of Birth Place of Birth SSN (optional) Sex Weight Height Hair Eyes

D/L or ID Card Number Military Status: Citizenship Status:

List previous firearms training including the date completed:

NOTE: According to Federal Code, 18 USC Sec. 921-922, the following persons are prohibited from receiving a firearm: fugitives from justice; persons who are unlawful users of or are addicted to narcotics or any other controlled substances; persons adjudicated as a mental defective or who have been committed to a mental institution; persons who have been convicted in any court of a crime punishable by imprisonment for a term exceeding one (1) year; persons who are under indictment for a crime punishable by imprisonment for a term exceeding one (1) year; military veterans discharged under dishonorable conditions; persons who have renounced U.S. citizenship; aliens illegally in the U.S.; persons subject to a court order that restrains them from harassing, stalking, or threatening an intimate partner or child of such intimate partner; and persons convicted in any court of misdemeanor crime of domestic violence. APPLICANTS MUST ANSWER THE FOLLOWING QUESTIONS (check appropriate box) Have you previously applied for a concealed weapon permit in Idaho? If so, when ______ where _________________. Have you been a legal resident of the state of Idaho for at least six (6) consecutive months, or hold a current concealed weapons license or permit in the state of residency, before filing this application? (For Enhanced Concealed Carry only) Are you eligible to own, possess or receive a firearm under the provisions of federal law? Are you formally charged with a crime punishable by imprisonment for a term exceeding one (1) year? Have you ever been adjudicated guilty in any court of a crime punishable by imprisonment for a term exceeding one (1) year? Are you a fugitive from justice? Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant or narcotic drugs, or any other controlled substance as defined in 21 U.S.C. 802? Are you currently suffering from any of the following conditions or have you been adjudicated as follows, based on substantial evidence: (1) lacking mental capacity as defined in Section 18-210, Idaho Code; (2) mentally ill as defined in Section 66-317(m), Idaho Code; (3) gravely disabled as defined in Section 66-317(n), Idaho Code; or (4) an incapacitated person as defined in Section 15-5-1-1(a), Idaho Code? Have you been discharged from the armed forces under dishonorable conditions? Have you been adjudicated guilty of or received a withheld judgment or suspended sentence for one (1) or more crimes of violence constituting a misdemeanor in the last three (3) years? Have you ever had an entry of a withheld judgment for a criminal offense which would disqualify you from obtaining a concealed weapon license? Are you an alien illegally in the United States? Have you, having been a citizen of the United States, renounced your citizenship? Are you under twenty-one (21) years of age? Are you free on bond or personal recognizance pending trial, appeal or sentencing for a crime which disqualifies you from obtaining a concealed weapon license? Are you a respondent to a civil protection or no contact order? Have you ever been convicted in any court of a misdemeanor crime of domestic violence? List all states you have lived in during the past ten (10) years: Under penalty of Idaho Code 18-3302 C (2), I certify I have read the entire text of this form and my statements set forth are true and correct. This application may take a minimum of ninety (90) days to process. SIGNATURE OF APPLICANT DATE YES NO

Do not write in this space This applicant has provided completion documentation of the required training for the license type. Approved Denied Reason for denial ________________________________________ SIGNATURE OF SHERIFF OR DESIGNEE _____________________________ DATE____________________
Prepared by Idaho State Police 6/2013

STATE OF IDAHO
Training Certificate of Completion Note: All sections must be completed and signed. This certificate must accompany an application for the I.C. 183302K Idaho Enhanced License to Carry Concealed Weapons.

Applicant
Name Address Date of Birth City, State Zip Sex

I certify under penalty of perjury pursuant to the law of the State of Idaho that the forgoing is true and correct. SIGNATURE OF APPLICANT DATE

Firearms Instruction
Course Completed Course Date(s) Course Location(s) Instructor Credential(s) Instructor Name NRA Certified Instructor Idaho POST Firearms Instructor Other personal protection credential The applicant named above successfully completed a qualifying handgun course meeting the requirements of Idaho Code 183302K(4)(b)(i)-(iv). I certify under penalty of perjury pursuant to the law of the State of Idaho that the forgoing is true and correct. Number Agency

INSTRUCTOR SIGNATURE

DATE

LEGAL INSTRUCTION
Course Date: Course Location: Instructor Credential(s) Instructor Name Idaho State Bar (Active) Idaho law enforcement officer with a POST Intermediate or higher training certificate License Number Agency

I certify under penalty of perjury that the applicant named below successfully completed instruction in Idaho law relating to firearms and the use of deadly force. I certify under penalty of perjury pursuant to the law of the State of Idaho that the forgoing is true and correct.

INSTRUCTOR SIGNATURE
Prepared by Idaho State Police

DATE
6/2013

Verification of Compliance With THE LAUTENBERG AMENDMENT [18 USC 922(d)(9)] The Lautenberg Amendment to the Gun Control Act of 1968 makes it a felony for any convicted of a misdemeanor crime of domestic violence to ship, transport, possess, or receive firearms or ammunition. A person has a conviction of a misdemeanor crime of domestic violence if: the person was convicted of a misdemeanor crime; the offense had as an element the use or attempted use of physical force, or threatened use of a deadly weapon; and the convicted offender was at the time of the offense: a current or former spouse, parent, or guardian of the victim; or a person with whom the victim shared a child in common; or a person who was cohabitating with or has cohabitated with the victim as a spouse, parent or guardian; or a person who was similarly situated to a spouse, parent, or guardian of the victim; and the convicted offender was represented by counsel, or knowingly and intelligently waived the right to counsel; and if entitled to have the case tried by jury, the case was actually tried by jury or the person knowingly and intelligently waived the right to have the case tried by a jury; and the conviction has not been expunged or set aside, or the convicted offender has not been pardoned for the offense or had civil rights restored, unless the pardon, expungement, or restoration of civil rights provides that the person may not ship, transport, possess, or receive firearms. The undersigned applicant for an Idaho concealed weapons permit makes the following statement: After having read the above, I verify that I have not been convicted of a misdemeanor crime of domestic violence. Applicants Signature:___________________________________________________ Applicants Address:____________________________________________________ City/State/Zip:_________________________________________________________

FOR OFFICIAL USE ONLY Police Verification: A record search was done on the above-named Applicant and there are no records showing a conviction of a misdemeanor crime of domestic violence. Signature: _____________________________________________________ Date: _______________ Printed Name: TFSO #: Agency: Twin Falls County Sheriffs Office (CWL), 630 Addison Ave. W., Twin Falls, ID, 83301 Phone: 208-735-4866