What is the Wayne County Pistol Permit Transfer Request Form for?

It lets a permit holder request that their Wayne County pistol permit file be transferred to a new county.

Do I need a notary for the Pistol Permit Transfer Request Form?

No. The applicant signs and dates this form; it lists no notarized or sworn attachment.

How do I submit the Pistol Permit Transfer Request Form?

Send it with the required amendment form and $5 fee to the Wayne County Clerk, 9 Pearl Street, PO Box 608, Lyons, NY 14489-0608.

Wayne County, NY · Wayne County

No notary required

Pistol Permit Transfer Request Form

Wayne County pistol permit holders use this form to request transfer of their permit file to a new county.

At a glance

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

What this form is

Use this form to request that the Wayne County Clerk transfer your pistol permit file to a new county. It asks for your permit number, issue date, date of birth, phone number, previous and new addresses, and details of guns registered on your permit. The form says to submit it with a pistol/revolver license amendment form and a $5 transfer fee.

Who needs it

A Wayne County pistol permit holder requesting transfer of their permit file to another county needs to complete this form.

How to submit it

Submit the form with a pistol/revolver license amendment form and the $5 transfer fee to the Wayne County Clerk, 9 Pearl Street, PO Box 608, Lyons, NY 14489-0608.

About notarization

This document is signed without a notary; the applicant signs and dates the form, and it lists no notarized or sworn attachment.

How to submit this form

1
Download the Form
Download the Wayne County Pistol Permit Transfer Request Form.
2
Complete the Request
Enter your contact and permit details, previous and new addresses, and information about guns registered on your permit.
3
Gather the Required Items
Include a pistol/revolver license amendment form and the $5 transfer fee.
4
Submit to the County Clerk
Send the form and required items to the Wayne County Clerk at 9 Pearl Street, PO Box 608, Lyons, NY 14489-0608.

Frequently asked questions

What is the Wayne County Pistol Permit Transfer Request Form for?: It lets a permit holder request that their Wayne County pistol permit file be transferred to a new county.
What must I submit with the transfer request?: The form says to submit a pistol/revolver license amendment form and a $5 transfer fee along with the completed request.
Do I need a notary for the Pistol Permit Transfer Request Form?: No. The applicant signs and dates this form; it lists no notarized or sworn attachment.
How do I submit the Pistol Permit Transfer Request Form?: Send it with the required amendment form and $5 fee to the Wayne County Clerk, 9 Pearl Street, PO Box 608, Lyons, NY 14489-0608.

Need something notarized?

This Pistol Permit Transfer Request Form doesn’t need a notary, but if you have another Wayne County form that does, a commissioned online notary can help.