Mendocino County Sheriff's Office Online Concealed Weapon Permit Application

Welcome! This is an official application for a California Concealed Carry Weapon license. You must completely and accurately fill-out this application to be considered for a Concealed Carry Weapon License. Any falsification of the information within this application is a crime and will result in the denial of the applicant’s Concealed Carry Weapon license request.

Authority

California Penal Code sections 26150 and 26155 provide that a Sheriff of a county or the Chief or other head of municipal police department of any city, or city and county, shall issue or renew a license to carry a pistol, revolver, or other firearm capable of being concealed upon the person (Concealed Carry Weapon license).

Prior to Filling Out This Application

Be prepared to scan a copy of your valid California driver’s license, or state issued ID, which has your current address in Mendocino County.
Be prepared to scan copies of documents to verify proof of residency on request.

Please be advised that if you are applying for a RENEWAL, you will enter your current Local Agency Number in the Permit # field below.

Please be advised if you are applying for a MODIFICATION, and in order to add/delete a weapon, you must upload your qualification certificate via the Order Tracker upon completion of the application.

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}

CII#:

Issuing County:

Issue Date:

Expiration Date:

Previous Names/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:

Birth City:

Birth State:

Birth Country:

Current Military Status:

Military Status:

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Physical Description:

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:

County:

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:

Time At Present Address:

^Years:

^Months:

Additional Residency Information:

Are you a resident of Mendocino County?

Yes No

How long have you lived in Mendocino County?

^Years:

^Months:

How long have you lived in California?

^Years:

^Months:

Previous Addresses: ^{if at present address for less than 10 years}

Address Line 1	Address Line 2	City	State	Zip	Country	From	To

Employment Status:

What is your current employment status?

Employed Unemployed Retired

Work Information And Address: ^{(enter your place of employment)}

Employer Name:

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Occupation Field:

Please indicate your current occupation field. Enter unemployed if you currently do not have a job.

Occupation Field:

You must enter ALL the firearms you want to appear on your CCW license: ^{Max of 3}

	Make	Model	Caliber	Serial Number

Attach Documentation: please upload the required documentation

If you need to upload documentation, please use the button below to begin the process. The maximum size of individual files is 5 MB.

Valid government issued photo ID (ex. Passport, CA Drivers/State ID)
Proof of Residency (2 items - Only required if changing address): utility bill, property tax, credit card bill, vehicle registration, voter registration

Uploaded Files:

Click here If you are unable to upload the required documents. You can bring these documents to the Sheriff's Office.

Add files...

Please select a document type then, click on the “Attach” button to complete the upload process.

Select Your Application Type:

CCW Modification Standard

CCW Modification Judicial

CCW Modification Reserve

CCW Modification Custodial

Total Fee:

$0

I accept and assume all responsibility and liability for, injury to, or death of any person, or damage to any property which may result through an act or omission of either the licensee or the agency that issued the license. In the event any claim, suit or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

I understand that the acceptance of any application by the licensing authority does not guarantee the issuance of a license and that fees and costs are not refundable if denied. I further understand that if my application is approved and I am issued a license to carry a concealed weapon, that the license is subject to restrictions placed upon it and that misuse of the license will cause an automatic revocation and possible arrest and that the license may also be suspended or revoked at the discretion of the licensing authority at any time. I am aware that any use of a firearm may bring criminal action or civil liability against me.

I have read, understand, and agree to the CCW license liability clauses, conditions, and restrictions stated in this application and Agreement to Restrictions and to Hold Harmless.

I have read and understand the applicable Penal Code sections regarding false statements on a CCW Application, manslaughter, killing in defense of self or property, limitation on self-defense and defense of property, and child access and firearm storage, stated in this application.

I have read and understand the Firearms Prohibiting Categories attachment to this application. I further acknowledge that these prohibiting categories can be amended or expanded by state or federal legislative or regulatory bodies and that any such amendment or expansion may affect my eligibility to hold a CCW license.

I herby give permission to the agency to which this application is made to conduct a background investigation of me and to contact any person or agency who may add to or aid in this investigation. I further authorize persons, firms, agencies and institutions listed on this application to release or confirm information about me and statements I have made as contained in this application.

Notwithstanding any other provision of law and pursuant to the Public Records Act (Government Code section 6250 et seq.), I understand that information contained in this application may be a matter of public record and shall be made available upon request or court order. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Please enter your e-Signature

Your Initials:

For security purposes, we logged your IP Address: 18.119.157.241, 172.71.194.205:65282, 40.1.3.141

Required signature

Application Qualification Questions:

Yes No

Are you changing your address?

Yes No

Are you changing your name?

Yes No

Are you changing the weapons on your permit?

Please provide an explanation for the reason for the modification application.

Explanation:

Permit Pick Up Location:

I have read, understand, and agree to the CCW license liability clauses, conditions, and restrictions stated in this application and Agreement to Restrictions and to Hold Harmless.

Coupon Code:

Your Initials:

^{If you are paying cash or check, please show up 15 mins early for your appointment to accommodate processing your payment.}

Back To Previous Step

Choose Your Appointment Location: ^{you cannot schedule an appointment until you choose a location}

Select a Preferred Location:

I have read, understand, and agree to the CCW license liability clauses, conditions, and restrictions stated in this application and Agreement to Restrictions and to Hold Harmless.

Coupon Code:

Your Initials:

^{If you are paying cash or check, please show up 15 mins early for your appointment to accommodate processing your payment.}

Back To Previous Step

Concealed Carry Online 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 Names/Aliases: (please list all previous aliases)

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

Information Related To Your Birth:

Select Appropriate Immigrant Classification: (only choose one)

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Current Military Status:

Demographic Information:

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)

Time At Present Address:

Additional Residency Information:

Previous Addresses: if at present address for less than 10 years

Employment Status:

Work Information And Address: (enter your place of employment)

Occupation Field:

You must enter ALL the firearms you want to appear on your CCW license: Max of 3

Attach Documentation: please upload the required documentation

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Please enter your e-Signature

Application Qualification Questions:

Choose Your Appointment Location: you cannot schedule an appointment until you choose a location

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

Donations cant be taken with cash

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

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

Select Appropriate Immigrant Classification: ^{(only choose one)}

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)}

Previous Addresses: ^{if at present address for less than 10 years}

Work Information And Address: ^{(enter your place of employment)}

You must enter ALL the firearms you want to appear on your CCW license: ^{Max of 3}

Choose Your Appointment Location: ^{you cannot schedule an appointment until you choose a location}

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}