Arkansas State Police

1. Have you ever been adjudicated as mentally defective or mentally incompetent? If yes, please explain further by clicking on Explain.

Yes No

Explain

2. Have you ever been voluntarily committed (overnight stay) at a mental institution or mental health treatment facility? If yes, please explain further by clicking on Explain.

Yes No

Explain

3. Have you ever been involuntarily committed (overnight stay) to a mental institution or mental health treatment facility? If yes, please explain further by clicking on Explain.

Yes No

Explain

4. Do you suffer from a mental or physical infirmity that prevents the safe handling of a handgun?

Yes No

5. Have you ever threatened or attempted suicide?

Yes No

6. In the last three (3) years, have you ever been voluntarily or involuntarily committed (overnight stay) to a treatment facility for the abuse of a controlled substance? If yes, please provide the name of the facility, its address, city and state in the Explain area.

Yes No

Explain

7. Have you ever been convicted of a crime relating to a controlled substance? If yes, enter the date of the conviction in the Explain area.

Yes No

Explain

8. Do you chronically or habitually abuse a controlled substance to the extent that your normal faculties are impaired? (This includes any discharge from the military for drug usage.)

Yes No

9. Are you currently an unlawful user of any controlled substance? If yes, list the last date that you used the controlled substance in the explain area.

Yes No

Explain

10. Do you chronically and habitually use any alcoholic beverage to the extent that your normal faculties are impaired?

Yes No

11. In the last three (3) years, have you ever been voluntarily or involuntarily committed (overnight stay) to an alcohol abuse treatment facility? If yes, give name and address of the treatment facility and discharge date in the explain area.

Yes No

Explain

12. Within the three (3) years immediately preceding this application, have you been convicted of two (2) or more offenses related to the use of alcohol? If yes, explain further by clicking on Explain.

Yes No

Explain

13. In the last five years, have you been found guilty of an alcohol related offense while you were carrying a handgun? If yes, explain further by clicking on Explain.

Yes No

Explain

14. Have you been convicted of a crime(s) that involves physical contact or threat of physical contact with a family member, intimate partner, your child or a child of the intimate partner? If yes, explain further by clicking on Explain.

Yes No

Explain

15. Have been convicted of a crime of violence? If yes, explain further by clicking on Explain.

Yes No

Explain

16. Have you been convicted of any crime involving the use of a weapon?

Yes No

17. Have you ever been convicted of a felony? NOTE - if you have been arrested and convicted of a felony in Arkansas after March 13, 1995, you must have a Governor's pardon with firearms rights restored. A seal/expungement order will not necessarily restore your firearms rights.

Yes No

18. Within the last five (5) years have you ever been convicted of the offense of carrying a weapon? If yes, give the court and date of conviction in the explain area.

Yes No

Explain

19. Are you the subject of an active criminal warrant?

Yes No Unknown

20. Have you ever been denied a concealed handgun carry license in any state? If yes, list the state in the explain area.

Yes No

Explain

21. Have you ever been denied for the purchase of a firearm through a federal firearms licensee (gun dealer)? If yes, explain further by clicking on Explain.

Yes No

Explain

22. Have you ever been convicted in any court of a crime punishable by imprisonment for a term exceeding one (1) year? If yes, explain further by clicking on Explain.

Yes No

Explain

23. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? If yes, explain further by clicking on Explain.

Yes No

Explain

24. Have you recently been arrested for or are you under indictment or information for a crime punishable by imprisonment for a term exceeding one year? If yes, explain further by clicking on Explain.

Yes No

Explain

25. Have you ever served in the Armed Forces and been discharged under dishonorable conditions (dishonorable discharge or dismissal)?

Yes No

26. Have you ever been convicted of an offense at an Armed Forces General Court Martial? If so, provide the offense by clicking on Explain.

Yes No

Explain

27. Are you a fugitive from justice?

Yes No

28. Are you subject to any law that makes it unlawful to receive, possess or transport any firearm?

Yes No

29. Have you ever submitted information to the FBI for the Voluntary Appeal File (VAF)? If yes, was a VAF number issued to you? If yes, list that number in the explain area.

Yes No

Explain

30. Are you an illegal or unlawful alien?

Yes No

31. Are you the subject of a court order, such as a restraining order or protection order that restrains you from harassing, stalking or threatening your child, intimate partner or child of the intimate partner? If yes, please provide a copy of the court order to the Arkansas State Police, 1 State Police Plaza Drive, Little Rock, AR 72209.

Yes No

32. Have you ever renounced your United States Citizenship?

Yes No

33. Are you a citizen of the United States? (Also answer #34 or #35 below and continue rest of questions)

Yes No

34. If Yes to Question #33, do you declare allegiance to the United States Constitution and the Arkansas Constitution?

Yes No N/A

35. If No to Question #33, are you a permanent legal resident of the United States? If yes, please attach proof of your current status.

If you were born outside the United States - Please send a copy of your United States Passport; United States birth certificate US citizen born abroad certificate; OR Permanent resident card issued by the United States to the Arkansas State Police, Attn: CHCL, 1 State Police Plaza Drive, Little Rock, AR 72209, or Fax to (501) 618-8555, or email to CHCLINFO@asp.arkansas.gov.

Yes No N/A

36. Have you been a resident of Arkansas continuously for at least ninety (90) days prior to the signing of this application (does not apply to transfers)?

Yes No

37. Have you been furnished with a copy of ACA §§5-73-301 et seq. (the Arkansas Concealed Handgun Carry Licensing law, available on our website) and are you acquainted with the truth and understanding of this subchapter?

Yes No

38. Are you at least twenty-one (21) years of age at the time of signing this application? If no, are you at least eighteen (18) years of age and a current or former active-duty member of the United States military? Please provide proof of that status.

Yes
No and Yes
No and No

Explain

39. Do you desire a legal means to carry a concealed handgun to defend yourself?

Yes No

40. Are you applying for an unrestricted license (live-fire qualification was done with a semi-automatic handgun) or restricted license (live-fire qualification was done with a revolver)?

Restricted Unrestricted

Application Questions