What is the LEOSA Retired Officers Application?

It is an application for retired Montclair Police Department officers seeking an original or duplicate identification card or a firearms certification endorsement under federal law.

Who completes this application?

A requesting retired Montclair Police Department officer completes the application, signs the waiver and eligibility declarations, and completes the required qualification process.

Do I need a notary for the LEOSA Retired Officers Application?

No. The document has no notary block; the applicant swears or affirms the information and signs and dates the declarations.

Montclair, CA · San Bernardino County

No notary required

LEOSA Retired Officers Application and Certification

Retired Montclair Police Department officers use this application to request a federal concealed-carry identification card or firearms certification.

What this form is

This application lets a retired Montclair Police Department officer request an original or duplicate identification card or a firearms certification endorsement under federal law. The applicant completes personal and retirement information, initials and signs eligibility and waiver declarations, and completes firearms qualification before the department certifies eligibility. The form also includes sections for a firearms instructor and department certification.

Who needs it

Former Montclair Police Department officers seeking LEOSA identification or firearms certification complete this application and the required qualification process.

How to submit it

The form lists the Montclair Police Department at 4870 Arrow Highway, Montclair, CA 91763, and says applicants may complete qualification at the department. Contact the Administrative Secretary at (909) 448-3601 for related forms.

About notarization

This document is signed without a notary; the applicant swears or affirms the application information and signs and dates the declarations.

How to submit this form

1
Download The Application
Download the LEOSA Retired Officers Application PDF.
2
Complete The Application
Fill in the requested personal and retirement details, initial the declarations, and sign and date the form.
3
Gather Related Forms
Contact the Administrative Secretary for the Retiree Handgun Qualification Form and any other applicable form.
4
Complete Qualification And Submit
Complete the required firearms qualification, then provide the application to the Montclair Police Department for its certification process.

Frequently asked questions

What is the LEOSA Retired Officers Application?: It is an application for retired Montclair Police Department officers seeking an original or duplicate identification card or a firearms certification endorsement under federal law.
Who completes this application?: A requesting retired Montclair Police Department officer completes the application, signs the waiver and eligibility declarations, and completes the required qualification process.
Do I need a notary for the LEOSA Retired Officers Application?: No. The document has no notary block; the applicant swears or affirms the information and signs and dates the declarations.
How do I submit the LEOSA Retired Officers Application?: The form lists the Montclair Police Department at 4870 Arrow Highway. It says applicants may complete qualification at the department; contact the Administrative Secretary for related forms.

Need something notarized?

This LEOSA Retired Officers Application and Certification doesn’t need a notary — but if you have another Montclair form that does, a commissioned online notary can help.