Do I need a notary for the NYS Firearms License Request for Public Records Exemption?

No. The form asks you to sign and date the request, and it does not identify any notarized or sworn attachment.

Who can use this firearms license exemption form?

The form is for a person applying for a firearms license or someone currently licensed to possess a firearm. It allows them to request that information about their application or license not be public.

How do I submit the firearms license exemption form?

Complete and return the form to the Ulster County Clerk's Office, 244 Fair Street, Kingston, NY 12401.

What information does the form ask for?

It asks for your name, date of birth, address, and firearms license details if applicable, along with the grounds for requesting an exemption and any supporting information.

Ulster County, NY · Ulster County

No notary required

NYS Firearms License Request for Public Records Exemption

Firearms license applicants and license holders use this form to ask that information about their application or license not be made public.

At a glance

Issued by: City of Ulster County · Ulster County, Ulster County, New York
Notarization: Not required: file this form without a notary.
Official source: clerk.ulstercountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form lets a firearms license applicant or current license holder request that information about their application or license not be a public record. It asks for identifying and license details, the reasons for requesting an exemption, and any supporting information. The form says failure to apply leaves the person’s name and address as public records.

Who needs it

Firearms license applicants or current license holders who want to request that information about their application or license not be publicly disclosed need this form.

How to submit it

Complete the form and return it to the Ulster County Clerk's Office at 244 Fair Street, Kingston, NY 12401.

About notarization

This request is signed and dated without a notary; the document does not identify any notarized or sworn attachment.

How to submit this form

1
Download the Form
Download the NYS Firearms License Request for Public Records Exemption form.
2
Complete the Form
Provide your identifying and license information, select the applicable grounds, and add supporting information as needed.
3
Sign and Date
Sign and date the request.
4
Return the Form
Return it to the Ulster County Clerk's Office at 244 Fair Street, Kingston, NY 12401.

Frequently asked questions

Do I need a notary for the NYS Firearms License Request for Public Records Exemption?: No. The form asks you to sign and date the request, and it does not identify any notarized or sworn attachment.
Who can use this firearms license exemption form?: The form is for a person applying for a firearms license or someone currently licensed to possess a firearm. It allows them to request that information about their application or license not be public.
How do I submit the firearms license exemption form?: Complete and return the form to the Ulster County Clerk's Office, 244 Fair Street, Kingston, NY 12401.
What information does the form ask for?: It asks for your name, date of birth, address, and firearms license details if applicable, along with the grounds for requesting an exemption and any supporting information.

Need something notarized?

This NYS Firearms License Request for Public Records Exemption doesn’t need a notary, but if you have another Ulster County form that does, a commissioned online notary can help.