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Jackson County
Sheriff's Office
Scottsboro, Alabama

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Jackson County
Sheriff's Office
Scottsboro, Alabama

Emergency 911

Non-Emergency

256-574-2610

Pistol Permit Application

Jackson County Sheriff's Office Badge

Jackson County Sheriff's Office
Pistol Permit Application
State of Alabama

Read the following carefully and provide complete and accurate information. It is a crime to make a false statement or report to law enforcement. (Title 13A-10-109, Code of Alabama, 1975). A criminal history background check will be conducted on each applicant.

[{"type":"text","required":true,"label":"First Name","name":"first-name","maxlength":24,"className":"col-lg-4","subtype":"text"},{"type":"text","label":"Middle Name","name":"middle-name","maxlength":24,"className":"col-lg-4","subtype":"text"},{"type":"text","required":true,"label":"Last Name","name":"last-name","maxlength":24,"className":"col-lg-4","subtype":"text"},{"type":"textarea","label":"Other Names You Have Been Known By:","name":"Other-names-applicant-has-gone-by","subtype":"textarea","className":"d-block"},{"type":"text","required":true,"label":"County of Residence","name":"county-of-residence","className":"col-md-6","subtype":"text"},{"type":"select","required":true,"label":"Requesting Permit for _ years","name":"number-of-years-requested","className":"col-md-6","values":[{"label":"1 Year","value":"1-year","selected":true},{"label":"5 Years","value":"5-year"},{"label":"Lifetime","value":""},{"label":"Retired Military","value":""},{"label":"","value":""}]},{"type":"header","subtype":"h4","label":"Address Information","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"Please provide physical address and mailing address if different.","className":"d-block"},{"type":"text","required":true,"label":"Physical Street Address","name":"physical-street-address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","required":true,"label":"Physical City","name":"physical-city","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","required":true,"label":"Physical State","name":"Physical-State","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL"},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"number","required":true,"label":"Physical Zip Code","description":"5-digit Zip Code","name":"physical-zip-code","min":9999,"max":100000,"className":"col-md-6 col-lg-3"},{"type":"text","label":"Mailing Address","name":"mailing-address","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"text","label":"Mailing City","name":"mailing-city","className":"col-md-6 col-lg-3","subtype":"text"},{"type":"select","label":"Mailing State","name":"mailing-state","className":"col-md-6 col-lg-3","values":[{"label":"Alabama","value":"AL","selected":true},{"label":"Alaska","value":"AK"},{"label":"Arizona","value":"AZ"},{"label":"Arkansas","value":"AR"},{"label":"California","value":"CA"},{"label":"Colorado","value":"CO"},{"label":"Connecticut","value":"CT"},{"label":"Delaware","value":"DE"},{"label":"District of Columbia","value":"DC"},{"label":"Florida","value":"FL"},{"label":"Georgia","value":"GA"},{"label":"Hawaii","value":"HI"},{"label":"Idaho","value":"ID"},{"label":"Illinois","value":"IL"},{"label":"Indiana","value":"IN"},{"label":"Iowa","value":"IA"},{"label":"Kansas","value":"KS"},{"label":"Kentucky","value":"KY"},{"label":"Louisiana","value":"LA"},{"label":"Maine","value":"ME"},{"label":"Maryland","value":"MD"},{"label":"Massachusetts","value":"MA"},{"label":"Michigan","value":"MI"},{"label":"Minnesota","value":"MN"},{"label":"Mississippi","value":"MS"},{"label":"Missouri","value":"MO"},{"label":"Montana","value":"MT"},{"label":"Nebraska","value":"NE"},{"label":"Nevada","value":"NV"},{"label":"New Hampshire","value":"NH"},{"label":"New Jersey","value":"NJ"},{"label":"New Mexico","value":"NM"},{"label":"New York","value":"NY"},{"label":"North Carolina","value":"NC"},{"label":"North Dakota","value":"ND"},{"label":"Ohio","value":"OH"},{"label":"Oklahoma","value":"OK"},{"label":"Oregon","value":"OR"},{"label":"Pennsylvania","value":"PA"},{"label":"Rhode Island","value":"RI"},{"label":"South Carolina","value":"SC"},{"label":"South Dakota","value":"SD"},{"label":"Tennessee","value":"TN"},{"label":"Texas","value":"TX"},{"label":"Utah","value":"UT"},{"label":"Vermont","value":"VT"},{"label":"Virginia","value":"VA"},{"label":"Washington","value":"WA"},{"label":"West Virginia","value":"WV"},{"label":"Wisconsin","value":"WI"},{"label":"Wyoming","value":"WY"}]},{"type":"number","label":"Mailing Zip Code","description":"5-digit Zip Code","name":"mailing-zip-code","min":9999,"max":100000,"className":"col-md-6 col-lg-3"},{"type":"text","subtype":"email","required":true,"label":"Email","name":"email","className":"col-md-6"},{"type":"text","subtype":"email","required":true,"label":"Email Confirmation","name":"email-confirmed","className":"col-md-6"},{"type":"text","subtype":"tel","label":"Home Phone Number","name":"home-phone-number","className":"col-md-6"},{"type":"text","subtype":"tel","required":true,"label":"Cell Phone Number","name":"cell-phone-number","className":"col-md-6"},{"type":"text","required":true,"label":"Social Security Number","placeholder":"XXX-XX-XXXX","name":"SSN","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Date of Birth","name":"DOB","className":"col-md-6"},{"type":"number","label":"Age","name":"Age","min":0,"className":"d-block"},{"type":"select","required":true,"label":"Are you a U.S. Citizen?","name":"Are-you-a-US-Citizen","className":"d-block","values":[{"label":"Yes","value":"","selected":true},{"label":"No","value":"option-3"}]},{"type":"text","label":"Place of Birth","name":"text-1704986502516","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Race","name":"text-1704986937261","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Height","name":"Height","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Hair color","name":"text-1704987038920","className":"d-block","subtype":"text"},{"type":"text","required":true,"label":"Eye color","name":"text-1704987086228","className":"d-block","subtype":"text"},{"type":"select","required":true,"label":"Sex","name":"select-1704986769057","className":"d-block","values":[{"label":"Male","value":"option-1","selected":true},{"label":"Female","value":"option-2"}]},{"type":"number","required":true,"label":"Driver's License Number","name":"Drivers-License-Number","min":0,"className":"d-block"},{"type":"select","required":true,"label":"<div>Have you ever had a pistol permit? </div>","name":"select-1704987621801","className":"d-block","values":[{"label":"Yes","value":"option-1","selected":true},{"label":"No","value":"option-2"}]},{"type":"text","label":"If so, where and when?","name":"text-1704987786796","className":"d-block","subtype":"text"},{"type":"select","required":true,"label":"Have you ever had your pistol permit revoked or denied? ","name":"Have-you-ever-had-your-pistol-permit-revoked-or-denied-","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"text","label":"If so, where and when?","name":"text-1704988055727","className":"d-block","subtype":"text"},{"type":"select","required":true,"label":"Have you ever been convicted of a crime?","name":"Have-you-ever-been-convicted-of-a-crime","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Are you now or have you ever been under an indictment?","name":"select-1704987977461","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Are you now or have you ever been treated for a mental illness or substance abuse (drugs/alcohol)?","name":"select-1704988016080","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Are you now or have you ever been under a restraining order to prevent endangering yourself or others?","name":"select-1704988021594","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"select","required":true,"label":"Are you awaiting trial as a defendant in any criminal case?","name":"select-1704988026305","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"select","required":true,"label":"Have you ever been found guilty by reason of mentally illness in a criminal case?","name":"select-1704988028525","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Have you been found not guilty in a criminal case by reasons of insanity or mental disease or defect?","name":"select-1704988034556","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","label":"Have you been declared incompetent to stand trial in a criminal case?","name":"Have-you-been-declared-incompetent-to-stand-trial-in-a-criminal-case","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Have you asserted a defense in a criminal case of not guilty by reason of insanity or mental disease or defect?","name":"select-1704988036043","className":"d-block","values":[{"label":"No","value":"option-1","selected":true},{"label":"Yes","value":"option-2"}]},{"type":"select","required":true,"label":"Have you been found not guilty by reason of lack of mental responsibility under the Uniform Code of Military Justice?","name":"select-1704988032250","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"select","required":true,"label":"Have you required involuntary outpatient treatment in a psychiatric hospital or similar treatment facility based on a finding that you are an imminent danger to yourself or others?","name":"Have-you-required-involuntary-outpatient-treatment-in-a-psychiatric-hospital-or-similar-treatment-facility-based-on-a-finding-that-you-are-an-imminent-danger-to-yourself-or-others","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"select","required":true,"label":"Have you required involuntary commitment to a psychiatric hospital or similar treatment facility for any reasons, including drug use?","name":"select-1704987990227","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"select","required":true,"label":"Have you been the subject of a prosecution or of a commitment or incompetency proceeding that could lead to a prohibition on the receipt or possession of a firearm under the laws of Alabama or the United State?","name":"Have-you-been-the-subject-of-a-prosecution-or-of-a-commitment-or-incompetency-proceeding-that-could-lead-to-a-prohibition-on-the-receipt-or-possession-of-a-firearm-under-the-laws-of-Alabama-or-the-United-State","className":"d-block","values":[{"label":"Yes","value":"option-1"},{"label":"No","value":"option-2","selected":true}]},{"type":"text","label":"If you answered YES to any of the questions above, please use the space below to provide dates and places of arrests or treatment charges, agency involved and dispositions. ","name":"If-you-answered-YES-to-any-of-the-questions-above-please-use-the-space-below-to-provide-dates-and-places-of-arrests-or-treatment-charges-agency-involved-and-dispositions-","className":"d-block","subtype":"text"},{"type":"paragraph","subtype":"p","label":"I certify that my answers are true, complete and correct and I understand this application will be rejected if any information is found to be false or misleading.","className":"d-block"},{"type":"text","required":true,"label":"Applicant Signature","placeholder":"By typing your name you are signing this form","name":"applicant-signature","className":"col-md-6","subtype":"text"},{"type":"date","required":true,"label":"Signature Date","name":"signature-date","className":"col-md-6"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Do Not Answer These Fields, for Official Use Only","className":"d-block"},{"type":"text","subtype":"disabled","label":"Approved/Disapproved:","name":"approved","value":"For official use only","className":"col-lg-4"},{"type":"text","subtype":"disabled","label":"Fee for Permit:","name":"fee-for-permit","value":"$","className":"col-lg-4"},{"type":"text","subtype":"disabled","label":"Authorized Signature","name":"authorized-signature","value":"For official use only","className":"d-block"},{"type":"text","subtype":"disabled","label":"Transaction #","name":"NICS","className":"col-lg-4"}]