Polk County Sheriff's Office Concealed Handgun Permit Director

Welcome! This is an official application for a concealed handgun permit. You must completely and accurately fill-out this application to be considered for a permit. Any falsification of the information within this application will result in the refusal of this application for a concealed handgun permit.

A non-refundable processing fee is required. In addition, a online service fee is required to process payment. These fees will be charged even if your application is denied. This service is provided by a third party vendor and the Sheriff's Office only collects the fees provided in the North Carolina General Statute.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

Permit #:

Issuing County:

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name	City Where Changed	State	Court File #

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Information Related To Your Birth:

Date of Birth:

Current Age:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Select Your Application Type:

Duplicate Concealed Handgun Permit

Total Fee:

$0

I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY FALSIFICATION OF THE ABOVE INFORMATION WILL RESULT IN THE REFUSAL OF MY APPLICATION FOR A CONCEALED HANDGUN PERMIT. IN ADDITION, BY SUBMITTING THIS APPLICATION, I AUTHORIZE THE POLK COUNTY CLERK OF COURTS TO RELEASE MENTAL HEALTH INFORMATION TO THE POLK COUNTY SHERIFF'S OFFICE. CAUTION: FEDERAL LAW AND STATE LAW ON THE POSSESSION OF HANDGUNS AND FIREARMS DIFFER.

Your Initials:

YES! I would like to make a donation to support the Sheriffs across North Carolina by donating to the NC Sheriffs' Association.

Through your donation you will receive timely e-mail updates from the North Carolina Sheriffs’ Association on important gun law changes on both the state and federal levels that affect you.

Donation Amount:

Coupon Code:

Your Initials:

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You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

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Coupon Code:

Your Initials:

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Polk County Sheriff's Office

Concealed Handgun Permit Application Please Enter All Information

Please read the following before proceeding:

Applicant Information:

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Information Related To Your Birth:

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Select Your Application Type:

Total Fee:

$0

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Concealed Handgun Permit Application Please Enter All Information

Add An Address

Add An Alias

Add a reference

Update a reference

Please read the following before proceeding:

Applicant Information:

Current Concealed Permit Information: enter your existing permit # and the issuing county

Previous Aliases: (please list all previous aliases)

Driver's License / Non-Operator ID: (or other State Issued ID)

Information Related To Your Birth:

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Select Your Application Type:

Total Fee:

$0

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Your signature is required.

Error processing application

Error processing application

You must be a US Citizen

Required field missing

Required field missing

Permit Expired

Permit Expired

Permit Expired

No Appointments Available

Permit Expires Soon

Permit Expired

Attention:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}