NICS Submission Form

REQUIRED NICS INFORMATION

Telephone Number - Preferably Mobile

As it appears on your driver's license

This is your New Jersey Legal Address

City of residence in New Jersey

This is optioinal

Enter without using spaces or dashes

The expiration date from your Drivers License





Is the purchaser and active Federal, State, County or Local law enforcement officer or other law enforcement agency, who's law enforcement identification you have physically verified, purchasing handguns for use in the actual performance of law enforcemen

If you are transferring a firearm please give us the details of the transfer. Where it is coming from and what the transfer is.

NON-US CITIZEN MUST COMPLETE THE NEXT THREE FIELDS

4473 Question #14

4473 Question #15 NOT REQUIRED if you are a US Citizen

COMPLETE IF YOU HAVE A VALID MULTIPLE HANDGUN PURCHASE EXEMPTION

List the serial numbers of all the handguns being purchased if you are applying for a multiple handgun purchase exemption.