The MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY

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Revised February 20, 2018

The MISSISSIPPI

DEPARTMENT OF PUBLIC SAFETY

FIREARM PERMIT APPLICATION

INDIVIDUAL FIREARM PERMIT

FIRST TIME AND RENEWAL INSTRUCTIONS

1. All parts of the application must be completed. Failure to complete this application may result in the denial

of the application.

2. Once the application is completed and notarized, the individual making the application must bring it to

the Department of Public Safety Headquarters in Jackson, or a Mississippi Highway Patrol District

Substation in Greenwood, Batesville, New Albany, Starkville, Meridian, Hattiesburg, Biloxi, or

Brookhaven and be fingerprinted at that time.

3. The applicant must present two current forms of identification when returning the application.

One must be a photo identification, either Mississippi Driver’s License or Mississippi Identification Card.

The second may be:

(a) Social Security Card (f) Military Identification Card

(b) Birth Certificate (g) Passport

(d) Divorce Decree (i) Other Official Government Identification

(e) Military Discharge (DD214) (j) Current Firearm Permit

4. The applicant must have a photograph attached to the application. The photograph should form a pose

straight forward and should not drop below the level of the chest; must fit in the designated box on pg.12. The

photograph may be black and white or color, but must be of such quality as to make all facial features readily

discernible. The photograph must be no more than (30) days prior to the application. No hats, shades, or

earpieces should be worn while taking the photo.

5. The fee for a first time firearm permit is One Hundred Twelve dollars ($112), non-refundable. The fee may be

paid in any one of the following methods: (1)CASH; (2.) CASHIER’S CHECK; (3.) VISA; (5.) MASTERCARD;

(6.)DEBIT CARD. Cashier’s Check should be made payable to the Department of Public Safety.

6. Retired Law Enforcement must provide a letter on the retiring agency letterhead stating that such officer has

honorably retired and has completed a certified law enforcement training academy. Honorably retired law

enforcement officers shall be exempt from payment of the license fee; there will be a $32.00 charge for the

processing of fingerprints.

7. Disabled Veterans must have a stamped copy of the Disabled Veteran verification form that is obtained through the

Veteran Affairs Regional Office (instructions on pg.4) and shall be exempt from payment of the license fee; there

will be a $32.00 charge for fingerprint processing. You may also use the service-connected disability letter obtained

through ebenefits to receive the fee exemption.

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Revised February 20, 2018

8. The total fee for an individual firearm permit renewal is Seventy-Two Dollars ($72.00); for an individual 65 years and

older the total fee is fifty-two dollars ($52.00) non-refundable. This fee may be paid in any one of the following

methods: (1.) CASH; (2.) CASHIER’S CHECK; (3.) VISA; (4.) MASTERCARD; (5) DEBIT CARD. There will be

an additional $15.00 late fee for all firearm permit renewals submitted after the expiration of the firearm permit.

Permits expired longer than 6 months cannot be renewed; the permit will start over as new and all fees associated with

a new permit will be assessed.

Senate Bill 2619

 Allows active duty military including active reserve to obtain the enhanced carry permit

(copy of orders with the application).

 Allows Veterans to obtain the the enhanced carry permit; must present a DD214 with

Honorable Discharge, “vet” on the Driver’s License or the MS Veterans Affairs Board

Form with the red stamp used to get the “vet” designation on the driver’s license.

 Disabled Veterans may obtain the enhanced carry permit. Documentation must be

presented stating that you receive service-connected disability compensation if the DAV

status is not already in the system.

 Allows retired military from any branch or component to obtain the enhanced carry

permit. Will present retired military ID or official documentation. Please include a copy

with the application.

If the 8hr safety course has not been taken, the Military/Retired Law Enforcement affidavit must be signed and

notarized along with documentation listed above to receive the enhanced carry endorsement.

Mail in Process

The renewal application for a Firearm Permit may be mailed to the Firearm Permit Division at P.O. Box 958

Jackson, MS 39205 on the first renewal and then every other time of renewal. The applicant must provide a full

set of fingerprints administered by any law enforcement agency on the standard FD-258 FBI card and must

“NOT” be folded in any manner. The card must be completely filled out in all applicable places. A photo must

be attached as stated prior in # 4 listed above to the notarized and completed application. The renewal has to be

processed by the expiration date to avoid a late charge. Failure to submit the application in a timely manner

could result in a late fee of $15 that must be paid before the application can be processed. Only cashier’s checks

for the exact amount are accepted when renewing by mail.

Disclaimer

The MS Department of Public Safety is not responsible for Firearm Permits that are lost in the mail. Failure to

follow procedures for the mail in process will yield one return of your application with a letter of instruction.

Please note that any subsequent submissions that fail to follow procedures for the mail in process will not be

returned.

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Revised February 20, 2018

Hours of Operation

Jackson Headquarters

1900 E. Woodrow Wilson Jackson, MS 39205 {601} 987-1593

*Enhanced endorsements are added to existing permits Monday - Friday

*Fingerprint cards for job related background checks are done Monday - Friday

Monday & Thursday Tuesday & Wednesday Friday

Security Guard Processing Firearm Permit Processing No permits are processed

8:00 a.m. – 4:30 p.m. 8:00 a.m. – 4:30 p.m. 8:00 a.m. – 4:30 p.m.

Troop D

1301 Cypress Avenue Greenwood, MS 38930 {662} 453-4515

Wednesday

Firearm Permits & Security Guard Permits

8:00 a.m. – 3:00 p.m.

Troop E

22000 A Hwy 35 N Batesville, MS 38606 {662} 563-6400

Monday & Tuesday

Firearm Permits & Security Guard Permits

Morning Hours - 8:00 a.m. – 11:30 a.m. Afternoon Hours 1:00 p.m. – 3:30p.m.

Troop F

1103 Bratton Road New Albany, MS 38652 {662} 534-8619

Wednesday & Thursday

Firearm Permits & Security Guard Permits

Morning Hours - 8:00 a.m. – 11:30 a.m. - Afternoon Hours - 1:00 p.m. – 3:30 p.m.

Troop G

987 Hwy 182 E Starkville, MS 39759 {662} 323-5316

Thursday - Firearm Permits & Security Guard Permits

8:00 a.m. – 11:30 a.m.

Troop H

910 Hwy 11/80 E Meridian, MS 39301 {601} 693-1926

Monday - Firearm Permits & Security Guard Permits

8:00 a.m. – 11:30 a.m.

Troop J

36 J.M Tatum Ind. Dr. Hattiesburg, MS 39401 {601} 582-4744

Monday - Wednesday - Firearm Permits & Security Guard Permits

8:00 a.m. – 11:30 a.m.

Troop K

16741 Hwy 67 S Biloxi, MS 39532 {228} 396-7400

Monday – Thursday - Firearm Permits & Security Guard Permits

Morning Hours - 8:00 a.m. – 11: 00 a.m. - Afternoon Hours - 1:00 p.m. – 3:00 p.m.

Troop M

160 Hwy 84 E Brookhaven, MS 39601 {601} 833-0808

Monday - Firearm Permits & Security Guard Permits

8:00 a.m. – 11:30 a.m.

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Revised February 20, 2018

DISABLED VETERAN VERIFICATION INSTRUCTIONS

Instructions for Veterans in Obtaining A Firearm Letter from the U.S. Department of Veterans

Affairs

1. Report to the Jackson Regional Office located at 1600 Woodrow

Wilson Drive, Jackson, MS 39216 between the hours of 8am

and 4pm and ask to speak to a Veterans Service Representative in the Public Contact

Area.

2. The Veterans Service Representative will ask you some questions to verify your

eligibility to obtain the concealed carry permit letter. Please make sure you bring a

picture ID with you.

3. If you do not wish to travel to the VA Regional Office to obtain this letter, you can request

a letter to be mailed or faxed to you at https://iris.va.gov. You must make application

for a firearm permit through the MS Department of Public Safety after obtaining the

verification letter.

For Other Questions Concerning VA Benefits Please Review the Following Information:

What Is eBenefits?

eBenefits provides electronic resources in a self-service environment to Service members,

Veterans, and their families. Use of these resources often helps us serve you faster!

Through the eBenefits website you can:

 Submit claims for benefits and/or upload documents directly to the VA

 Request to add or change your dependents

 Update your contact and direct deposit information and view payment history

 Request a Veterans Service Officer to represent you

 Track the status of your claim or appeal

 Obtain verification of your military service, civil service preference, or VA benefits

 And much more!

Enrolling in eBenefits is easy. Just visit www.eBenefits.va.gov for more information. If you

submit a claim in the future, consider filing through eBenefits. Filing electronically, especially

if you participate in our fully developed claim program, may result in faster decision than if

you submit your claim through the mail.

If You Have Questions or Need Assistance

If you have any questions, you may contact us by telephone, e-mail, or letter.

If you

Here is what to do.

Telephone

Call us at 1-800-827-1000. If you use a Telecommunications Device for

the Deaf (TDD), the Federal number is 711.

Use the Internet

Send electronic inquiries through the Internet at https://iris.va.gov.

Write

Put your full name and VA file number on the letter. Please send all

correspondence to the address at the top of this letter.

If you are looking for general information about benefits and eligibility, you should visit our

website at https://www.va.gov, or search the Frequently Asked Questions (FAQs) at

https://iris.va.gov.

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Revised February 20, 2018

TITLE 45. PUBLIC SAFETY AND GOOD ORDER

CHAPTER 9. WEAPONS

LICENSE TO CARRY CONCEALED PISTOL OR REVOLVER

Miss. Code Ann. § 45-9-101 (2016)

§ 45-9-101. License to carry stun gun, concealed pistol or revolver

(1) (a) Except as otherwise provided, the Department of Public Safety is authorized to issue licenses

to carry stun guns, concealed pistols or revolvers to persons qualified as provided in this section.

Such licenses shall be valid throughout the state for a period of five (5) years from the date of

issuance. Any person possessing a valid license issued pursuant to this section may carry a stun

gun, concealed pistol or concealed revolver.

(b) The licensee must carry the license, together with valid identification, at all times in which the

licensee is carrying a stun gun, concealed pistol or revolver and must display both the license and

proper identification upon demand by a law enforcement officer. A violation of the provisions of

this paragraph (b) shall constitute a noncriminal violation with a penalty of Twenty-five Dollars

($25.00) and shall be enforceable by summons.

(2) The Department of Public Safety shall issue a license if the applicant:

(a) Is a resident of the state. However, this residency requirement may be waived, if the applicant

possesses a valid permit from another state, is active military personnel stationed in Mississippi, or

is a retired law enforcement officer establishing residency in the state;

(b) (i) Is twenty-one (21) years of age or older; or

(ii) Is at least eighteen (18) years of age but not yet twenty-one (21) years of age and the

applicant:

1. Is a member or veteran of the United States Armed Forces, including National Guard or

Reserve, and

2. Holds a valid Mississippi driver's license or identification card issued by the Department of

Public Safety;

or revolver;(d) Is not ineligible to possess a firearm by virtue of having been convicted of a felony

in a court of this state, of any other state, or of the United States without having been pardoned for

same;

(e) Does not chronically or habitually abuse controlled substances to the extent that his normal

faculties are impaired. It shall be presumed that an applicant chronically and habitually uses

controlled substances to the extent that his faculties are impaired if the applicant has been

voluntarily or involuntarily committed to a treatment facility for the abuse of a controlled substance

or been found guilty of a crime under the provisions of the Uniform Controlled Substances Law or

similar laws of any other state or the United States relating to controlled substances within a three-

year period immediately preceding the date on which the application is submitted;

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Revised February 20, 2018

(f) Does not chronically and habitually use alcoholic beverages to the extent that his normal

faculties are impaired. It shall be presumed that an applicant chronically and habitually uses

alcoholic beverages to the extent that his normal faculties are impaired if the applicant has been

voluntarily or involuntarily committed as an alcoholic to a treatment facility or has been convicted

of two (2) or more offenses related to the use of alcohol under the laws of this state or similar laws

of any other state or the United States within the three-year period immediately preceding the date

on which the application is submitted;

(g) Desires a legal means to carry a stun gun, concealed pistol or revolver to defend himself;

(h) Has not been adjudicated mentally incompetent, or has waited five (5) years from the date of his

restoration to capacity by court order;

(i) Has not been voluntarily or involuntarily committed to a mental institution or mental health

treatment facility unless he possesses a certificate from a psychiatrist licensed in this state that he

has not suffered from disability for a period of five (5) years;

(j) Has not had adjudication of guilt withheld or imposition of sentence suspended on any felony

unless three (3) years have elapsed since probation or any other conditions set by the court have

been fulfilled;

(k) Is not a fugitive from justice; and

(l) Is not disqualified to possess a weapon based on federal law.

(3) The Department of Public Safety may deny a license if the applicant has been found guilty of

one or more crimes of violence constituting a misdemeanor unless three (3) years have elapsed

since probation or any other conditions set by the court have been fulfilled or expunction has

occurred prior to the date on which the application is submitted, or may revoke a license if the

licensee has been found guilty of one or more crimes of violence within the preceding three (3)

years. The department shall, upon notification by a law enforcement agency or a court and

subsequent written verification, suspend a license or the processing of an application for a license if

the licensee or applicant is arrested or formally charged with a crime which would disqualify such

person from having a license under this section, until final disposition of the case. The provisions of

subsection (7) of this section shall apply to any suspension or revocation of a license pursuant to the

provisions of this section.

(4) The application shall be completed, under oath, on a form promulgated by the Department of

Public Safety and shall include only:

(a) The name, address, place and date of birth, race, sex and occupation of the applicant;

(b) The driver's license number or social security number of applicant;

(d) A statement that the applicant is in compliance with criteria contained within subsections (2)

and (3) of this section;

(e) A statement that the applicant has been furnished a copy of this section and is knowledgeable of

its provisions;

(f) A conspicuous warning that the application is executed under oath and that a knowingly false

answer to any question, or the knowing submission of any false document by the applicant, subjects

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Revised February 20, 2018

the applicant to criminal prosecution; and

(g) A statement that the applicant desires a legal means to carry a stun gun, concealed pistol or

revolver to defend himself.

(5) The applicant shall submit only the following to the Department of Public Safety:

(a) A completed application as described in subsection (4) of this section;

(b) A full-face photograph of the applicant taken within the preceding thirty (30) days in which the

head, including hair, in a size as determined by the Department of Public Safety, except that an

applicant who is younger than twenty-one (21) years of age must submit a photograph in profile of

the applicant;

fingerprints as required in paragraph (d) of this subsection shall be borne by the applicant.

Honorably retired law enforcement officers, disabled veterans and active duty members of the

Armed Forces of the United States shall be exempt from the payment of the license fee;

(d) A full set of fingerprints of the applicant administered by the Department of Public Safety; and

(e) A waiver authorizing the Department of Public Safety access to any records concerning

commitments of the applicant to any of the treatment facilities or institutions referred to in

subsection (2) and permitting access to all the applicant's criminal records.

(6) (a) The Department of Public Safety, upon receipt of the items listed in subsection (5) of this

section, shall forward the full set of fingerprints of the applicant to the appropriate agencies for state

and federal processing.

(b) The Department of Public Safety shall forward a copy of the applicant's application to the

sheriff of the applicant's county of residence and, if applicable, the police chief of the applicant's

municipality of residence. The sheriff of the applicant's county of residence and, if applicable, the

police chief of the applicant's municipality of residence may, at his discretion, participate in the

process by submitting a voluntary report to the Department of Public Safety containing any readily

discoverable prior information that he feels may be pertinent to the licensing of any applicant. The

reporting shall be made within thirty (30) days after the date he receives the copy of the application.

Upon receipt of a response from a sheriff or police chief, such sheriff or police chief shall be

reimbursed at a rate set by the department.

items listed in subsection (5) of this section:

(i) Issue the license;

(ii) Deny the application based solely on the ground that the applicant fails to qualify under the

criteria listed in subsections (2) and (3) of this section. If the Department of Public Safety denies the

application, it shall notify the applicant in writing, stating the ground for denial, and the denial shall

be subject to the appeal process set forth in subsection (7); or

(iii) Notify the applicant that the department is unable to make a determination regarding the

issuance or denial of a license within the forty-five-day period prescribed by this subsection, and

provide an estimate of the amount of time the department will need to make the determination.

(d) In the event a legible set of fingerprints, as determined by the Department of Public Safety and

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Revised February 20, 2018

the Federal Bureau of Investigation, cannot be obtained after a minimum of two (2) attempts, the

Department of Public Safety shall determine eligibility based upon a name check by the Mississippi

Highway Safety Patrol and a Federal Bureau of Investigation name check conducted by the

Mississippi Highway Safety Patrol at the request of the Department of Public Safety.

(7) (a) If the Department of Public Safety denies the issuance of a license, or suspends or revokes a

license, the party aggrieved may appeal such denial, suspension or revocation to the Commissioner

of Public Safety, or his authorized agent, within thirty (30) days after the aggrieved party receives

written notice of such denial, suspension or revocation. The Commissioner of Public Safety, or his

duly authorized agent, shall rule upon such appeal within thirty (30) days after the appeal is filed

and failure to rule within this thirty-day period shall constitute sustaining such denial, suspension or

revocation. Such review shall be conducted pursuant to such reasonable rules and regulations as the

Commissioner of Public Safety may adopt.

(b) If the revocation, suspension or denial of issuance is sustained by the Commissioner of Public

Safety, or his duly authorized agent pursuant to paragraph (a) of this subsection, the aggrieved party

may file within ten (10) days after the rendition of such decision a petition in the circuit or county

court of his residence for review of such decision. A hearing for review shall be held and shall

proceed before the court without a jury upon the record made at the hearing before the

Commissioner of Public Safety or his duly authorized agent. No such party shall be allowed to

carry a stun gun, concealed pistol or revolver pursuant to the provisions of this section while any

such appeal is pending.

(8) The Department of Public Safety shall maintain an automated listing of license holders and such

information shall be available online, upon request, at all times, to all law enforcement agencies

through the Mississippi Crime Information Center. However, the records of the department relating

to applications for licenses to carry stun guns, concealed pistols or revolvers and records relating to

license holders shall be exempt from the provisions of the Mississippi Public Records Act of 1983,

and shall be released only upon order of a court having proper jurisdiction over a petition for release

of the record or records.

(9) Within thirty (30) days after the changing of a permanent address, or within thirty (30) days

after having a license lost or destroyed, the licensee shall notify the Department of Public Safety in

writing of such change or loss. Failure to notify the Department of Public Safety pursuant to the

provisions of this subsection shall constitute a noncriminal violation with a penalty of Twenty-five

Dollars ($25.00) and shall be enforceable by a summons.

(10) In the event that a stun gun, concealed pistol or revolver license is lost or destroyed, the person

to whom the license was issued shall comply with the provisions of subsection (9) of this section

and may obtain a duplicate, or substitute thereof, upon payment of Fifteen Dollars ($15.00) to the

Department of Public Safety, and furnishing a notarized statement to the department that such

license has been lost or destroyed.

(11) A license issued under this section shall be revoked if the licensee becomes ineligible under the

criteria set forth in subsection (2) of this section.

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Revised February 20, 2018

(12) (a) No less than ninety (90) days prior to the expiration date of the license, the Department of

Public Safety shall mail to each licensee a written notice of the expiration and a renewal form

prescribed by the department. The licensee must renew his license on or before the expiration date

by filing with the department the renewal form, a notarized affidavit stating that the licensee

remains qualified pursuant to the criteria specified in subsections (2) and (3) of this section, and a

full set of fingerprints administered by the Department of Public Safety or the sheriff of the county

of residence of the licensee. The first renewal may be processed by mail and the subsequent renewal

must be made in person. Thereafter every other renewal may be processed by mail to assure that the

applicant must appear in person every ten (10) years for the purpose of obtaining a new photograph.

(i) Except as provided in this subsection, a renewal fee of Forty Dollars ($40.00) shall also be

submitted along with costs for processing the fingerprints;

(ii) Honorably retired law enforcement officers, disabled veterans and active duty members of

the Armed Forces of the United States shall be exempt from the renewal fee; and

(iii) The renewal fee for a Mississippi resident aged sixty-five (65) years of age or older shall be

Twenty Dollars ($20.00).

(b) The Department of Public Safety shall forward the full set of fingerprints of the applicant to

the appropriate agencies for state and federal processing. The license shall be renewed upon

receipt of the completed renewal application and appropriate payment of fees.

his license by paying a late fee of Fifteen Dollars ($15.00). No license shall be renewed six (6)

months or more after its expiration date, and such license shall be deemed to be permanently

expired. A person whose license has been permanently expired may reapply for licensure;

however, an application for licensure and fees pursuant to subsection (5) of this section must be

submitted, and a background investigation shall be conducted pursuant to the provisions of this

section.

(13) No license issued pursuant to this section shall authorize any person to carry a stun gun,

concealed pistol or revolver into any place of nuisance as defined in Section 95-3-1, Mississippi

Code of 1972; any police, sheriff or highway patrol station; any detention facility, prison or jail;

any courthouse; any courtroom, except that nothing in this section shall preclude a judge from

carrying a concealed weapon or determining who will carry a concealed weapon in his

courtroom; any polling place; any meeting place of the governing body of any governmental

entity; any meeting of the Legislature or a committee thereof; any school, college or professional

athletic event not related to firearms; any portion of an establishment, licensed to dispense

alcoholic beverages for consumption on the premises, that is primarily devoted to dispensing

alcoholic beverages; any portion of an establishment in which beer or light wine is consumed on

the premises, that is primarily devoted to such purpose; any elementary or secondary school

facility; any junior college, community college, college or university facility unless for the

purpose of participating in any authorized firearms-related activity; inside the passenger terminal

of any airport, except that no person shall be prohibited from carrying any legal firearm into the

terminal if the firearm is encased for shipment, for purposes of checking such firearm as baggage

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Revised February 20, 2018

to be lawfully transported on any aircraft; any church or other place of worship; or any place

where the carrying of firearms is prohibited by federal law. In addition to the places enumerated

in this subsection, the carrying of a stun gun, concealed pistol or revolver may be disallowed in

any place in the discretion of the person or entity exercising control over the physical location of

such place by the placing of a written notice clearly readable at a distance of not less than ten

(10) feet that the "carrying of a pistol or revolver is prohibited." No license issued pursuant to

this section shall authorize the participants in a parade or demonstration for which a permit is

required to carry a stun gun, concealed pistol or revolver.

(14) A law enforcement officer as defined in Section 45-6-3, chiefs of police, sheriffs and

persons licensed as professional bondsmen pursuant to Chapter 39, Title 83, Mississippi Code of

1972, shall be exempt from the licensing requirements of this section. The licensing

requirements of this section do not apply to the carrying by any person of a stun gun, pistol or

revolver, knife, or other deadly weapon that is not concealed as defined in

Section 97-37-1.

(15) Any person who knowingly submits a false answer to any question on an application for a

license issued pursuant to this section, or who knowingly submits a false document when

applying for a license issued pursuant to this section, shall, upon conviction, be guilty of a

misdemeanor and shall be punished as provided in Section 99-19-31, Mississippi Code of 1972.

(16) All fees collected by the Department of Public Safety pursuant to this section shall be

deposited into a special fund hereby created in the State Treasury and shall be used for

implementation and administration of this section. After the close of each fiscal year, the balance

in this fund shall be certified to the Legislature and then may be used by the Department of

Public Safety as directed by the Legislature.

(17) All funds received by a sheriff or police chief pursuant to the provisions of this section shall

be deposited into the general fund of the county or municipality, as appropriate, and shall be

budgeted to the sheriff's office or police department as appropriate.

(18) Nothing in this section shall be construed to require or allow the registration, documentation

or providing of serial numbers with regard to any stun gun or firearm.

(19) Any person holding a valid unrevoked and unexpired license to carry stun guns, concealed

pistols or revolvers issued in another state shall have such license recognized by this state to

carry stun guns, concealed pistols or revolvers. The Department of Public Safety is authorized to

enter into a reciprocal agreement with another state if that state requires a written agreement in

order to recognize licenses to carry stun guns, concealed pistols or revolvers issued by this state.

(20) The provisions of this section shall be under the supervision of the Commissioner of Public

Safety. The commissioner is authorized to promulgate reasonable rules and regulations to carry

out the provisions of this section.

(21) For the purposes of this section, the term "stun gun" means a portable device or weapon

from which an electric current, impulse, wave or beam may be directed, which current, impulse,

wave or beam is designed to incapacitate temporarily, injure, momentarily stun, knock out, cause

mental disorientation or paralyze.

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Revised February 20, 2018

(22) (a) From and after January 1, 2016, the Commissioner of Public Safety shall promulgate

rules and regulations which provide that licenses authorized by this section for honorably retired

law enforcement officers and honorably retired correctional officers from the Mississippi

Department of Corrections shall

(i) include the words “retired law enforcement officer” on the front of the license and

(ii) that the license itself have a red background to distinguish it from other licenses issued under

this section.

(b) An honorably retired law enforcement officer and honorably retired correctional officer shall

provide the following information to receive the license described in this section:

(i) a letter, with official letterhead of the agency or department from which such officer is

retiring, which explains that such officer is honorably retired,

(ii) and a letter with the official letterhead of the agency or department, which explains that such

officer has completed a certified law enforcement training academy.

(23) A disabled veteran who seeks to qualify for an exemption under this section shall be

required to provide, as proof of service-connected disability, verification from the United States

Department of Veterans Affairs.

(24) A license under this section is not required for a loaded or unloaded pistol or revolver to be

carried upon the person in a sheath, belt holster or shoulder holster or in a purse, handbag,

satchel, other similar bag or briefcase or fully enclosed case if the person is not engaged in

criminal activity other than a misdemeanor traffic offenses, is not otherwise prohibited from

possessing a pistol or revolver under state or federal law, and is not in a location prohibited from

possessing a pistol or revolver under state of federal law, and is not in a location prohibited under

subsection (13) of this section.

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Revised February 20, 2018

AFFIDAVIT

THIS APPLICATION AND REQUIRED SUPPORTING DOCUMENTS ARE EXECUTED UNDER OATH. FALSIFICATION OR

MISREPRESENTATION OF ANY PART OR ANY DOCUMENT SUBJECTS THE APPLICANT TO CRIMINAL PROSECUTION UNDER MISSISSIPPI

STATUES AND DENIAL OF A FIREARM PERMIT.

STATE OF MISSISSIPPI

COUNTY OF __________________________

Before me this day appeared __________________________________________________________, who, being duly sworn, deposes and says I DO SWEAR

OR AFFIRM THAT I have been furnished a copy of Mississippi Code 45-09-101, that I desire a legal means to carry a concealed weapon to defend myself,

that the information contained in this application and all attached supporting documents are true and correct to the best of my knowledge.

_______________________________________

Signature of Applicant

Sworn to and subscribed before me, this _____________ day of ____________, 20 _______.

My Commission Expires: _________________________________________

_______________________________________ Notary Public, State of Mississippi

MISSISSIPPI DEPARTMENT

OF PUBLIC SAFETY

FIRST TIME APPLICANT □

APPLICATION FOR A CONCEALED

CARRY FIREARM PERMIT

RENEWAL APPLICANT □

(ATTACH PHOTO HERE)

NO STAPLES

DISABLED VETERAN □ ACTIVE DUTY MILITARY □ RETIRED LAW ENFORCEMENT □

THIS APPLICATION WILL NOT BE PROCESSED UNLESS ALL APPLICABLE

QUESTIONS HAVE BEEN ANSWERED, and all supporting documents are attached, current photo, if paying in person,

you may pay with Cash, Debit Card, Master Card, Visa, or Cashier’s Check made payable to the Mississippi Department

of Public Safety. First time Concealed Carry Firearm Permit fee is $112.00. Renewal fee under 65 years of age is $72.00.

The Concealed Carry Firearm Permit first time and Renewal fee for a Retired Law Enforcement Officer / Disabled

Veteran is $32.00. Renewal Payment for applicants 65 years of age and older is $52.00.

Name Last

First

Middle (full name)

Driver’s License Number

State

Residence Address Street

City

County

State

Zip Code

Mailing Address Street (Only if different)

City

County

State

Zip Code

Date of Birth

Sex

Race

Place of Birth

Occupation:

Personal Contact Number:

List Chronologically all of your residences for the past two years

Date

Street Address

Apt. Number

City

State

From To

Page 13 of 18

Revised February 20, 2018

QUALIFYING QUESTIONAIRE FOR ALL APPLICANTS

 YES  NO 1. Are you a United States Citizen?

 If No, see page 18

 YES  NO 2. Have you been a resident of Mississippi for one (1) year immediately preceding the date of this application?

 YES  NO 3. Are you ineligible to own, possess, or receive a firearm under the provisions of state or federal law?

 YES  NO 4. Have you ever been convicted of a felony offense?

 Failure, to acknowledge a conviction may be interpreted as making a false statement

 YES  NO 5. Do you have any criminal charges pending?

 Failure, to acknowledge a conviction may be interpreted as making a false statement

 YES  NO 6. Are you presently on parole or probation for a criminal offense pending trial, appeal, or sentencing for a crime

that would prevent you from obtaining a firearm permit or security guard permit?

 YES  NO 7. Have you ever received a pardon or expungement for a criminal offense?

 YES  NO 8. Have you ever been found guilty of, or entered a plea of guilty or nolo contendere to any criminal / felony charge?

 YES  NO 9. Are you suffering from any mental or physical infirmity due to disease, illness, which could prevent the safe

handling of a handgun?

 YES  NO 10. Do you chronically or habitually abuse controlled substance?

 YES  NO 11. Have you ever been committed involuntarily, or voluntarily admitted to any treatment facility, institution, or

hospital for the abuse of a controlled dangerous substance?

 YES  NO 12. Have you been committed to a mental institution or mental health treatment facility within five years prior to the

date of this application?

 YES  NO 13. Have you ever been hospitalized for any form of mental illness or infirmity? SEC.45-9-101 2 (h)(i)(j)

 If Yes, attach documentation from the treating mental health professional / treatment center

 YES  NO 14. Have you ever been adjudicated mentally incompetent?

 YES  NO 15. Have you ever been denied a concealed handgun permit or had a permit suspended or revoked?

 YES  NO 16. Do you currently hold a valid or expired handgun / security guard permit?

 If you answered, “YES,” to questions 3-15, please provide details below and attach any applicable

disposition, pardon or expungement orders.

MILITARY SERVICE

 YES  NO 17. Have you ever served in the United States Armed Forces?

 YES  NO 18. Are you currently serving in the United States Armed Forces?

 YES  NO 19. Have you ever been dishonorably discharged from the United States Armed Forces? ____________________________

 If Yes, attach documentation

20. If Discharged indicate the type of discharge. _________________________

Page 14 of 18

Revised February 20, 2018

AFFIDAVIT OF FACT

STATE OF MISSISSIPPI COUNTY OF ______________________

__________________________________

Affiant’s Name (Printed)

__________________________________

Affiant’s Address (Printed)

I, _________________________, having been duly sworn, depose and say that I have read the foregoing

application, and the contents thereof, and do hereby certify that my responses and information contained

within this application are true and correct and they are an accurate account of the requested information.

In addition, I have also read, understand, and agree to comply with the statutes contained in Mississippi

Code 45-9-101, 97-37-7, and 97-3-15. I have executed this statement voluntarily with the knowledge that

any failure to provide truthful information is cause for denial of my application or revocation of a permit.

Any person who knowingly submits a false answer to any question on an application for a license, or who

knowingly submits a false document when applying for a license issued pursuant to Section 45-9-101,

shall upon conviction, be guilty of a misdemeanor and shall be punished as provided in Section 99-19-31,

Mississippi Code of 1972.

____________________________________

Affiant’s Signature

Sworn to and subscribed before me on this _______________ day of _________________,

________________.

___________________________________ ____ ___________________________________

Print, Type, or Stamp Name of Notary Public Notary Public, State of Mississippi

My Commission Expires__________________

Page 15 of 18

Revised February 20, 2018

DOMESTIC VIOLENCE AFFIDAVIT

The law. Title 18, U.S.C., Section 922 (g) (9) makes it against the law for anyone who has been convicted of a misdemeanor

crime of domestic violence to possess any firearm or ammunition. “Misdemeanor crime of domestic violence” is generally

defined as any offense-whether or not explicitly described in a statute as a crime of domestic violence – which has, as its factual

basis, the use or attempted use of physical force, or the threatened use of a deadly weapon, committed by the victim’s current or

former domestic partner, parent, or guardian. As defined in the Gun Control Act, a misdemeanor crime of domestic violence

means an offense that:

(1) Is a misdemeanor under federal or state law; and

(2) Has, as an element, the use or attempted use of physical force, or the threatened use of a deadly weapon,

committed by a current or former spouse, parent, or guardian of the victim, by a person with whom the victim shares a

child in common, by a person who is cohabiting with or has cohabited with the victim as a spouse, parent, or guardian,

or by a person similarly situated to a spouse, parent, or guardian of the victim.

The law further provides that a person shall not be considered to have been convicted of such an offense for

purposes of this chapter, unless:

(1) the person was represented by counsel in the case, or knowingly and intelligently waived the right to counsel in the

case; and

(2) in the case of a prosecution for an offense described in the paragraph for which a person was entitled to a jury trial in

the jurisdiction in which the case was tried, either the case was tried by a jury, or the person knowingly and

intelligently waived the right to have the case tried by a jury, by guilty plea or otherwise.

The law further states that “A person shall not be considered to have been convicted of such an offense for purposes of this chapter if

the conviction has been expunged or set aside, or is an offense for which the person has been pardoned or has had civil rights

restored… unless the pardon, expungement or restoration of civil rights expressly provides that the person may not ship, transport,

possess or receive firearms.”

HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR CRIME OF DOMESTIC VIOLENCE WITHIN THE MEANING OF

THE STATUTE? YES__________NO ___________

If you answered “yes” to this question, please provide the following information with respect to the conviction:

Court/Jurisdiction_____________________________________________________

Docket/Case Number___________________________________________________

Statute/Charge________________________________________________________

Date Sentenced________________________________________________________

(Note: Any person who makes any false affidavit or knowingly swears or affirms falsely to any matter or thing required by the terms

of this application to be sworn to or affirmed, is guilty of perjury and upon conviction, shall be punishable by fine or imprisonment

for a term not exceeding ten years.)

I hereby certify that all of the information provided by me in this rider is true, correct, complete, and made in good faith. I

understand that false or fraudulent information provided herein is criminally punishable pursuant to federal and state law.

Name: _____________________________________________ Date: ________________________

Signature

STATE OF MISSISSIPPI

COUNTY OF ______________________________

Before me this day personally appeared _________________________________________________, who being duly sworn, deposes and says that the

information contained in this rider is true and correct to the best of his/her knowledge.

Sworn and subscribed before me, this ______________day of _______________, 20 _____.

My Commission Expires: _____________________________________ ___________________________________________________

Notary Public, State of Mississippi

Page 16 of 18

Revised February 20, 2018

AUTHORITY TO RELEASE INFORMATION

Please read the following release form carefully and enter your name, signature and date in the designated

spaces.

THIS FORM MUST BE NOTARIZED

TO WHOM IT MAY CONCERN:

Having made application for a firearm permit to the Mississippi Department of Public Safety and desiring

them to be informed of my past record; I the undersigned, being under no disability whatsoever, hereby

authorize the Department of Public Safety access to any records concerning commitments of the applicant

to any of the treatment facilities or institutions referred to in MS Code 45-9-101 (2) and permitting access

to all the applicant’s criminal records. I understand that the Mississippi Department of Public Safety and

its representatives, and all contributing parties are indemnified in this process. I further understand that

this release will only be used to obtain information for the purpose of determining my eligibility for a

Mississippi Concealed Carry Firearm Permit.

This release shall be and remain valid from the date of execution until the expiration or revocation of any

concealed carry firearm permit issued to me pursuant to this application, or until my application for a

concealed carry firearm permit has been denied pursuant to a final judicial decision.

Signature: _____________________________ Date: ________________________________

STATE OF MISSISSIPPI

COUNTY OF _____________________

Personally came and appeared before me, the undersigned authority in and for said county and state, the

within named _________________________________, who acknowledged to me that he/she signed and

delivered the above foregoing waiver on the date therein mentioned and for the purpose therein expressed.

Given under my hand and seal of this office, this _______day of ___________, 20____

__________________________________

Notary Public, State of Mississippi

My Commission Expires_______________________

Page 17 of 18

Revised February 20, 2018

MILITARY/ RETIRED LAW ENFORCEMENT

ENHANCED CARRY AFFIDAVIT

Please read the following Statute to verify that one or more of the statements pertaining to your

military or law enforcement background apply. You must have completed law enforcement or

combat training with pistols or other handguns in order to qualify for the enhanced carry permit

under this provision.

97-37-7 (2) (b) is a member or veteran of any active or reserve component branch of the United States

of America Armed Forces having completed law enforcement or combat training with pistols or other

handguns as recognized by such branch after submitting an affidavit attesting to have read, understand

and agree to comply with all provisions of the enhanced carry law, or (c) is an honorably retired law

enforcement officer or honorably retired member or veteran of any active or reserve component branch

of the United States of America Armed Forces having completed law enforcement or combat training

with pistols or other handguns, after submitting affidavit attesting to have read, understand and agree to

comply with all provisions of Mississippi enhanced carry law.

I, _____________________________________, having been duly sworn, depose and say that I do

qualify for the Mississippi enhanced carry endorsement in accordance with section 97-37-7 (2)(b)(c).

Name: _____________________________________ Date: ____________________

Signature

STATE OF MISSISSIPPI

COUNTY OF _____________________

Before me this day personally appeared _____________________________________, who being

duly sworn, deposes and says that the information contained in this rider is true and correct to the best of

his/her knowledge.

Sworn and subscribed before me, this ___________day of___________, and 20____.

My Commission Expires: ___________________ __________________________________

Notary Public, State of Mississippi

Page 18 of 18

Revised February 20, 2018

RIDER TO ALL FIREARM PERMIT APPLICATIONS

(To be completed by all applicants NOT BORN in the United States)

Prohibitions Applicable to Certain Aliens

Federal law makes it unlawful for aliens who are illegally or unlawfully in the United States to receive or possess firearms. In addition,

subject to certain exceptions, aliens who are non-immigrant status are prohibited from possessing or receiving firearms in the United

States. A non-immigrant alien is not subject to this prohibition if the alien (1) is in possession of a valid hunting license or permit

lawfully issued in the United States; (2) is an official representative of a foreign government who is accredited to the United States or his

or her government’s mission to an international organization having its headquarters in the United States; or (3) has received a waiver

from the prohibition from the Attorney General of the United States. See 18 U.S.C. 992(y)(2) for additional exceptions. In order to

determine whether applicants who are not U.S. citizens are prohibited from possessing firearms under Federal law, it is necessary to

obtain answers to the following questions.

1. Name of Applicant_____________________________________________________________________________________

2. Place of Birth (City and Country) ________________________________________________________________________

3. Are you a citizen of the United States? Yes_______ No_________

If the answer to Question 3 is “yes,” please provide your Certificate of Naturalization, Birth Certificate of U.S. Citizen Born Abroad

Questions 4-8 are not applicable to you. Go directly to the certification statement at the bottom of this form.

4. What is your country of citizenship? List more than one if applicable.

____________________________________________________________________________________________________

5. What is your INS-issued alien number or admission number?________________________________________________

Please provide your INS documents.

6. Are you an alien illegally in the United States? Yes______ No______

7. Are you a non-immigrant alien? Yes_____ No______

If the answer to 7 is “no,” there is no need to answer question 8. Go directly to the certification statement at the

bottom of this form.

8a. Do you fall within any of the exemptions to the non-immigrant alien prohibition set forth in 18 U.S.C. 922(y)?

Yes_____ No_____

8b. If you answered “yes” to question 8a, under which exemption do you fall? Please provide documentation to support

your entitlement of the claimed exemption, if applicable.

________________________________________________________________________________________________

I hereby certify that all of the information provided by me in this rider is true, correct, complete, and made in good faith. I understand that

false or fraudulent information provided herein is criminally punishable pursuant to federal and state law.

Signature: ________________________________________________ Date_________________________________________

STATE OF MISSISSIPPI

COUNTY OF_________________________________________

Before me this day personally appeared____________________________________________________, who, being duly sworn, deposes

and says that the information contained in this rider is true and correct to the best of my knowledge.

Sworn and subscribed before me, this _______________day of ____________________________, 20________.

My Commission Expires:

_____________________________

______________________________________________

Notary Public, State of Mississippi