What does this license amendment form report?

It can report license changes and firearm transactions, including acquisitions, dispositions, loss, theft, or destruction.

Who uses the amendment form?

Holders of pistol, revolver, or semi-automatic rifle licenses use it to provide amendment and transaction information.

Do I need a notary for this license amendment?

No. The signer signs and dates this form; it asks for details on the reverse for certain yes answers but does not specify a sworn attachment.

How do I submit the license amendment?

Submit it to the county department named on the form. The form does not provide an address or portal, so check the county website for current contact details.

Wayne County, NY · Wayne County

No notary required

Pistol / Revolver License Amendment / Semi-Automatic Rifle License Amendment

This amendment form lets pistol, revolver, and semi-automatic rifle license holders report license changes and firearm transactions to Wayne 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 amend a pistol or revolver license or a semi-automatic rifle license. It asks for licensee details, license type, transaction types, and information about changes to names or addresses and firearms acquired, disposed of, lost, stolen, or destroyed. The form also asks for details on the reverse if the licensee answers yes to its question about certain events since issuance.

Who needs it

A holder of a pistol, revolver, or semi-automatic rifle license who needs to report an amendment or transaction uses this form.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details. The form does not provide a submission address or portal.

About notarization

This document is signed and dated without a notary; the signer provides details on the reverse if answering yes, but no sworn attachment is specified.

How to submit this form

1
Download the Amendment Form
Download the form for a pistol, revolver, or semi-automatic rifle license.
2
Complete the License Details
Fill in the licensee and license information, then select the applicable transaction types and amendment details.
3
Add Any Required Details
Provide details on the reverse if answering yes to the form's question about events since the license was issued.
4
Sign and Submit
Sign and date the form, then submit it to the county department named on the form.

Frequently asked questions

What does this license amendment form report?: It can report license changes and firearm transactions, including acquisitions, dispositions, loss, theft, or destruction.
Who uses the amendment form?: Holders of pistol, revolver, or semi-automatic rifle licenses use it to provide amendment and transaction information.
Do I need a notary for this license amendment?: No. The signer signs and dates this form; it asks for details on the reverse for certain yes answers but does not specify a sworn attachment.
How do I submit the license amendment?: Submit it to the county department named on the form. The form does not provide an address or portal, so check the county website for current contact details.

Need something notarized?

This Pistol / Revolver License Amendment / Semi-Automatic Rifle License Amendment doesn’t need a notary, but if you have another Wayne County form that does, a commissioned online notary can help.