Firearm Dealer License Renewal Request Form
Dealer Information
Dealer/Business Name
Current License Number
Business Address
City
State
ZIP Code
Phone Number
Email Address
License Details
License Type
Type 1 - Dealer in Firearms
Type 2 - Pawnbroker in Firearms
Type 7 - Manufacturer of Firearms
Type 8 - Importer of Firearms
Current License Expiration Date
Owner/Responsible Person
Name
Title/Position
Additional Information
Relevant Changes/Comments