Dutchess County, NY · Dutchess County
NYS Firearms License Request for Public Records Exemption
Applicants and current firearms license holders use this form to request that information about their application or license not be a public record.
At a glance
- Issued by
- City of Dutchess County · Dutchess County, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dutchessny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets an applicant for a firearms license or a current license holder request that information about their application or license not be a public record. It asks for identifying and license details, the grounds for requesting an exemption, and any supporting information. The signer must sign and date the request and acknowledges the form's warning about false statements.
Who needs it
A firearms license applicant or current license holder who wants to request that information about their application or license not be a public record may use this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates it, and the form mentions no notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the NYS Firearms License Request for Public Records Exemption.
- 2
Complete the Form
Provide your identifying and license details, select the applicable grounds, and add supporting information if needed.
- 3
Sign and Date
Sign and date the request. The form does not call for a notary.
- 4
Submit to the County
Submit the completed form to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What does the firearms license exemption request do?
- It lets an applicant or current firearms license holder request that information about their application or license not be a public record.
- What information does the form ask for?
- It asks for your name, date of birth, address, license details if applicable, the grounds for requesting an exemption, and any supporting information.
- Do I need a notary for the firearms license exemption request?
- No. This document is signed and dated without a notary, and it mentions no notarized or sworn attachment.
- How do I submit the firearms license exemption request?
- Submit it to the county department named on the form; check the county website for current contact details.