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Wayne County, NY · Wayne County

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Pistol / Revolver License Recertification Form

This form lets pistol or revolver license holders provide license, personal, and firearm information for recertification and request a public records exemption.

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
Machine-readable
JSON record · about the forms index

What this form is

Pistol or revolver license holders use this form to provide information for license recertification. It asks about license history, personal details, license type, firearms, and whether the signer requests a public records exemption. The form also includes a certification and signature section. Mail the completed form to the New York State Police Pistol Permit Bureau at the address printed on the form.

Who needs it

Pistol or revolver license holders completing recertification and, if desired, requesting an exemption from public records disclosure need this form.

How to submit it

Mail the completed form to the New York State Police, Pistol Permit Bureau, Building 22, 1220 Washington Avenue, Albany, New York 12226-2252. Check recertification status at the website listed on the form.

About notarization

This form is signed and dated without a notary; the signer certifies the information and affirms they are not prohibited from possessing firearms.

How to submit this form

  1. 1

    Download the Form

    Download the Pistol / Revolver License Recertification Form.

  2. 2

    Complete the Form

    Fill in your license, personal, and firearm information, and complete the public records exemption section if applicable.

  3. 3

    Gather Any Attachments

    Attach Form PPB-2A if additional space is needed for firearm data.

  4. 4

    Mail the Form

    Mail completed forms to the New York State Police Pistol Permit Bureau at the address printed on the form.

Frequently asked questions

Do I need a notary for the Pistol / Revolver License Recertification Form?
No. The form is signed and dated without a notary; the signer certifies the information and affirms they are not prohibited from possessing firearms.
How do I submit the recertification form?
Mail the completed form to the New York State Police Pistol Permit Bureau at the Albany address printed on the form.
What information does the form ask for?
It asks for license and personal details, license type, firearm information, and whether you are requesting a public records exemption.

Need something notarized?

This Pistol / Revolver License Recertification Form doesn’t need a notary, but if you have another Wayne County form that does, a commissioned online notary can help.