Submit this form by bringing it to your local police department. Ensure all sections are completed and required documents are attached. For additional contact details and instructions, visit mass.gov/cjis or contact the Department of Criminal Justice Information Services at 200 Arlington Street, Suite 2200, Chelsea, MA 02150, TEL: 617-660-4600.

This form is valid for applications in 2024 and 2025. Ensure you submit your form within the valid period to avoid delays.

The purpose of this form is to facilitate the application or renewal process for firearms identification cards and licenses in Massachusetts. It is essential for residents who wish to carry, possess, or own firearms or machine guns. Completing this form accurately helps in maintaining public safety and compliance with state regulations.

• 1. Last Name: Enter your last name as it appears on your legal documents.
• 2. First Name: Enter your first name.
• 3. Middle Name: Enter your middle name or initial.
• 4. Suffix: Provide any suffix associated with your name, such as Jr., Sr., etc.
• 5. Residential Address: Enter your current residential address.
• 6. City: Enter the city you reside in.
• 7. State: Enter the state you reside in.
• 8. Zip Code: Enter your postal zip code.
• 9. Telephone Number: Provide your current telephone number.
• 10. Mailing Address: If different from residential, enter your mailing address.
• 11. City/Town: Enter the city or town for your mailing address.
• 12. State: Enter the state for your mailing address.
• 13. Zip Code: Enter the postal zip code for your mailing address.
• 14. Date of Birth: Provide your date of birth in MM/DD/YYYY format.
• 15. Place of Birth: Enter the city, state, and country where you were born.
• 16. Mother's First Name: Enter your mother's first name.
• 17. Mother's Maiden Name: Provide your mother's maiden name.
• 18. Father's First Name: Enter your father's first name.
• 19. Father's Last Name: Enter your father's last name.
• 20. Height: Provide your height in feet and inches.
• 21. Weight: Provide your weight in pounds.
• 22. Build: Describe your build (e.g., slender, average, heavy).
• 23. Complexion: Describe your complexion (e.g., fair, medium, dark).
• 24. Hair Color: Enter your hair color.
• 25. Eye Color: Enter your eye color.
• 26. Occupation: Provide your current occupation or job title.
• 27. Social Security Number (Optional): Enter your social security number (optional).
• 28. Drivers License Number: Provide your driver's license number.
• 29. Employed By: Enter the name of your employer or business.
• 30. Business Address: Provide the address of your workplace.
• 31. City/Town: Enter the city or town of your workplace.
• 32. State: Enter the state of your workplace.
• 33. Zip Code: Enter the postal zip code of your workplace.
• 34. Telephone Number: Provide the telephone number of your workplace.
• 35. Citizen of the United States: Indicate whether you are a U.S. citizen.
• 36. Lawful Permanent Resident Alien: If you are an alien, provide your green card number and the date you became a resident.
• 37. Naturalization Details: If naturalized, provide the date, place, and naturalization number.
• 38. Age: Enter your age. Must be 21 to apply for LTC, 18 for FID, or 14-17 with guardian's permission for FID.
• 39. Arrest Record: Indicate if you have ever been arrested or appeared in court as a defendant for any criminal offense.
• 40. Pending Criminal Charges: Indicate if you are the subject of any pending criminal charges.
• 41. Felony Conviction: Indicate if you have ever been convicted of a felony.
• 42. Controlled Substances Conviction: Indicate if you have ever been convicted of unlawful use, possession, or sale of controlled substances.
• 43. Violent Crime/Domestic Violence Conviction: Indicate if you have ever been convicted of a violent crime or a crime of domestic violence.
• 44. Youthful Offender: Indicate if you have ever been adjudicated as a youthful offender or delinquent child.
• 45. Restraining Order: Indicate if you have ever been the subject of a restraining order.
• 46. Outstanding Arrest Warrant: Indicate if you are currently the subject of any outstanding arrest warrant.
• 47. Mental Illness/Substance Abuse Institution: Indicate if you have ever been committed to a hospital for mental illness or substance abuse.
• 48. Firearms License Revocation/Denial: Indicate if any firearms license issued to you has ever been suspended, revoked, or denied.
• 49. Dishonorable Discharge: Indicate if you have been discharged from the U.S. armed forces under dishonorable conditions.
• 50. Probate Court Order: Indicate if you have been the subject of a probate court order appointing a guardian or conservator.
• 51. Used Another Name: Indicate if you have ever used or been known by another name.
• 52. Other Residences: List other states, territories, or jurisdictions you have lived in.
• 53. Held Firearms License in Other State: Indicate if you have ever held a firearms license in another state.
• 54. References: List the names and addresses of two references as required by your licensing authority.
• 55. Reason for License Request: Indicate the reason for requesting the issuance of a card or license (e.g., unrestricted, target & hunting, sporting, employment).

Failure to submit this form can lead to the denial of your firearms license application or renewal. Ensuring timely and accurate submission is crucial.

• Denial of Application: Your application for a firearms license may be denied.
• Legal Consequences: Failure to comply with state regulations can lead to legal penalties or fines.
• Delay in Processing: Delays in processing your application may occur, impacting your ability to legally carry or possess firearms.

• 1. New Firearms Identification Card: Apply for a new firearms identification card.
• 2. Renewal of Firearms Identification Card: Renew an existing firearms identification card.
• 3. License to Carry: Apply for a license to carry firearms.
• 4. License to Possess a Machine Gun: Apply for a license to possess a machine gun.
• 5. Updating Information: Update your personal information or existing firearms license details.