RENEWAL

STATEOFALASKA

DEPARTMENTOFPUBLICSAFETY



RENEWAL

ofa

CONCEALEDHANDGUNPERMIT

Thispacketcontains:

 Generalinformationandinstructions

 Photographspecificationsandinstructions

 ApplicationtorenewanAlaskaconcealedhandgunpermit

Directinquiriesto:

DepartmentofPublicSafety

PermitsandLicensingUnit

5700EastTudorRoad,Anchorage,AK99507

Phone(907)269‐0392

FAX(907)269‐5609

www.dps.state.ak.us/Statewide/PermitsLicensing/concealedhandguns.aspx

12‐299‐84(Rev.08/25/2010) ConcealedHandgunPermitRenewal

GENERALINFORMATION

Retainforyourfiles



1. ALASKACONCEALEDHANDGUNPERMITRENEWAL

You may apply to renew your concealed handgun permit within 90 days before the expiration of  the permit.Renewal

applicationssubmittedearlierthan90daysbeforetheexpirationdateofthepermitwillnotbeaccepted.

You are not required to return or surrender your concealed handgun permit upon its expiration.However, you may not

representordisplayanexpiredpermitasifitwerevalidunlessyouhavesubmittedacomplete,timelyrenewalapplicationand

therenewalprocesshasbeendelayedduetocircumstancesbeyondyourcontrol.

Bysubmittinganapplicationtorenewyourconcealedhandgunpermityouacknowledgethatyouhavereadandunderstandthe

state laws and regulations relating to concealed handgun permits (AS 18.65.700 – 18.65.790 and 13 AAC 30.010 – 13 AAC

30.900).

2. ADDRESS,RESIDENCE,ANDTELEPHONEINFORMATION

You must be a resident of Alaska at the time you renew your concealed handgun permit.Alaska residency is defined under

AlaskaStatute01.10.055.

Youarerequiredtolistaresidenceaddressontherenewalapplication.Yourresidenceaddressisthephysicallocationofyour

homeorotherplacewhereyouhabituallyliveandincludesyourhouse/apartmentnumber,streetname,city,andzipcode.In

outlying areas, provide a brief description of your physical address, e.g., “Village Road, fourth house on the left next to  boat

ramp.”

You are not required to provide your telephone number.However, renewal processing time may be reduced if there is a

correctableproblemonyourapplicationandyou’veprovidedyourdaytimetelephonenumber.

3. RENEWALAPPLICATIONPROCESS

Renewal applications may be submitted by mail to the department’s Permits and Licensing Unit in Anchorage.You are not

requiredtoapplyinpersontorenewyourconcealedhandgunpermit.

Review your renewal application and all required documentation before you submit them.Failure to submit a properly

completedrenewalapplicationandallrequiredsupportingdocumentationlistedin#5belowmaydelaytheprocessingofyour

concealedhandgunpermitrenewal.

Completerenewalapplicationswillbeprocessedwithin30daysofreceipt.“Complete”meansallapplicablequestionsonthe

renewalapplicationformareanswered in full, the renewal application form is signed and dated, and the required fee and all

requiredsupportingdocumentationlistedin#5belowhasbeensubmitted.

4. LATERENEWALAPPLICATIONS

Arenewalapplicationsubmittedonoraftertheexpirationdateof thepermitissubjecttoa$25latefee.Thisisinadditionto

the$25renewalfee.

Renewalapplicationssubmittedmorethan60daysaftertheexpirationdateofthepermitWILLNOTBEACCEPTEDandwillbe

returned to the permit holder.If your permit has been expired for more than 60 days, you must complete the application

processforanewpermit.

5. THEFOLLOWINGITEMSMUSTBESUBMITTEDWITHYOURAPPLICATION:

 a. A non‐refundable renewal application fee of $25 (or $50 if submitting the renewal application on or after the

expiration date of the permit) payable by personal check, cashier’s check, or money order made out to State of

Alaska.

 b. Onequalityfrontalviewcolorphotograph takenwithinthe30daysprecedingyourapplication.SeethePhotograph

InstructionsandSpecificationspageinthispacketforsizerestrictionsandspecificinformation.

6. TERMOFPERMIT

Alaska concealed handgun permits expire on the person’s birthday in the fifth year following issuance of the permit.The

departmentmayadjustthelengthofaninitialpermitsothatapermitisnotissuedforaperiodofmorethanfiveyears.



CONCEALEDHANDGUNPERMITPHOTOGRAPHINSTRUCTIONSANDSPECIFICATIONS



INSTRUCTIONS:

1. Photographmustbetakenwithinthe30daysprecedingthedateofapplication.

2. Printapplicant’sname,datephotographwastaken,andtheAlaskadriver’slicensenumberorAlaska

identificationcardnumberonthebackofthephotograph.



12‐299‐84(Rev.08/25/2010) ConcealedHandgunPermitRenewal



SPECIFICATIONS

1. Uncut(nottrimmed),rectangular,colorphotographincludingthetopofthesubject’sheadtothe

shoulders(computerdiscfromadigitalcameraisacceptable–formatmustbe.BMP,.DIB,.TGA,.TIF,

.PCX,.GIF,.WPG,.JPG,.CMP,and.PCD).

2. Outerdimensionofthephotographisnotlessthan2incheswideby2incheshigh(passport

photographsareacceptable).

3. Photographofapplicantisfullfrontalviewincludingheadandshouldersonly.

4. Backgroundisverylightorwhitewithnofancybackdroporletteringbehindsubject.

5. Imageissharpandcorrectlyexposed,notretouched.

6. Photographliesflat,isnotstained,cracked,ormutilated;isnotpastedonacardormountedinany

way.

7. Grouppicturesandfull‐lengthportraitsarenotacceptable.

8. Photographofapplicantinahatorsunglassesisnotacceptable.



IMPORTANTNOTE:Failuretosubmitaphotographasspecifiedwilldelayapplicationprocessing.



Topofheadto

shoulders



Heightnot

lessthan2”

Widthnotlessthan2”

12‐299‐84(Rev.08/25/2010) ConcealedHandgunPermitRenewal

ALASKA

DEPARTMENTOFPUBLICSAFETY

DivisionofStatewid eServices

CONCEALEDHANDG UNPERMIT

RENEWALAPPLICATION

Pleasetypeorprintusingblack ink

Donotwriteinthisspace



Thisrenewalwillnotbeprocessedunlessallapplicablequestionsareansweredandthe

requiredphotographandrenewalfeeaccompanytheapplication.THERENEWALFEEIS

NON‐REFUNDABLE.

SectionI.

ALASKADRIVERSLICENSEOR

IDENTIFICATIONNUMBER

DepartmentUseOnly

APSINNUMBER

DATEOFBIRTH PERMITEXPIRATIONDATE

 

FIRSTNAME MIDDLENAME

(NMNIfnomiddlenameorMIOifinitialonly)

LASTNAME SUFFIX

(Jr,Sr,II,III)



HEIGHT WEIGHT HAIRCOLOR EYECOLOR RACE GENDER DAYTIMETELEPHONENUMBER

FT. IN. LBS.





Home Work Cell

RESIDENCEADDRESS CITY STATE ZIPCODE





MAILINGADDRESS(IFDIFFERENTTHANABOVE) CITY STATE ZIPCODE





SectionII.

Hastherebeenanychangeintheinformationsubmittedonorwithyouroriginalconcealedhandgunpermit

applicationthatisnotreportedonthisrenewalapplication?

YES NO

If you answered “YES,” provide an explanation below or attach a signed statement with an explanation.Include copies of

judgments,chargingdocumentsoranyotherpaperworkthatwillallowthedepartmenttodeterminewhetheryoucontinuetomeet

therequirementsofAS18.65.705.



SectionIII.

WARNING:AN APPLICANT WHO SUPPLIES A FALSE STATEMENT, ANSWER OR DOCUMENT IN CONNECTION WITH AN

APPLICATIONFORACONCEALEDHANDGUNPERMITTHATTHEAPPLICANTDOESNOTBELIEVETOBETRUEMAYBEPROSECUTED

FORUNSWORNFALSIFICATIONINTHESECONDDEGREEAND,IFFOUNDGUILTY,MAYBEPUNISHEDFORVIOLATIONOFACLASSA

MISDEMEANOR, AND IN SUCH CASES, THE PERMIT SHALL BE REVOKED AND THE APPLICANT MAY BE BARRED FROM ANY

FURTHERAPPLICATIONFORAPERMIT.

IHEREBYSTATEUNDERPENALTYOFLAWTHAT:

1. IhavereadAS18.65.705andIremainqualifiedtoreceiveandholdapermittocarryaconcealedhandgun;

2. Iwantapermittocarryaconcealedhandgunforlawfulpurposes,whichmayincludeself‐defense;

3. Allstatements,answers,andattachmentstothisapplicationaretrueandcomplete;and

4. I understand that a permit eligibility investigation will be conducted as part of the application process which may involve

computerizedrecordssearchesandIauthorizetheinvestigation.

 

FullNameofApplicant(clearlyprintedortyped)

  

SignatureofApplicantDate



DEPARTMENTUSEONLY

Thereceivingagencyacknowledgesthaton thesumof$ wasreceivedintheformof:

CASH CHECKNo.  MONEYORDERNo. 

   

Signatureofemployeeacceptingapplication

Printedortypednameofemployeeacceptingapplication

12-299-89 (02/11/2013) NICS-Exempt Concealed Handgun Permit Supplement

ALASKA

DEPARTMENT OF PUBLIC SAFETY

Division of Statewide Services

NICS-EXEMPT CONCEALED

HANDGUN PERMIT SUPPLEMENT

Please type or print using black ink

Do not write in this space

The information provided on this form is VOLUNTARY and needed only if you are

requesting a “NICS-Exempt” designation on your concealed handgun permit. This

completed form must be submitted as a supplement to a new

concealed handgun

permit application, a renewal application, or an application for a replacement permit.

Section I.

FIRST NAME

MIDDLE NAME

(NMN If no middle name or MIO if initial only)

LAST NAME

SUFFIX

(Jr, Sr, II, III)

COUNTRY OF CITIZENSHIP (List/check more than one, if applicable)

United States of America

Other (specify):

If you are not a citizen of the United States, what is your U.S.-issued alien number or admission number?

Section II.

Answer questions 1 – 11 by checking “yes” or “no” in the boxes to the right of the questions.

1. Are you under indictment or information in any court for a felony, or any other crime, for which the judge

could imprison you for more than one year?

YES NO

2. Have you ever been convicted in any court of a felony, or any other crime, for which the judge could have

imprisoned you for more than one year, even if you received a shorter sentence including probation?

YES NO

3. Are you a fugitive from justice? YES NO

4. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any

other controlled substance?

YES NO

5. Have you ever been adjudicated mentally defective (which includes a determination by a court, board,

com

mission, or other lawful authority that you are a danger to yourself or to others or are incompetent to

manage your own affairs) OR have you ever been committed to a mental institution?

YES NO

6. Have you been discharged from the Armed Forces under dishonorable conditions? YES NO

Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an

intimate partner or child of such partner?

YES NO

8. Have you ever been convicted in any court of a misdemeanor crime of domestic violence? YES NO

9. Have you ever renounced your United States citizenship? YES NO

10. Are you an alien illegally in the United States? YES NO

11. Are you an alien admitted to the United States under a nonimmigrant visa? YES NO

Section IV.

WARNING:

AN APPLICANT WHO SUPPLIES A FALSE STATEMENT, ANSWER OR DOCUMENT IN CONNECTION WITH AN

APPLICATION FOR A CONCEALED HANDGUN PERMIT THAT THE APPLICANT DOES NOT BELIEVE TO BE TRUE MAY BE PROSECUTED

FOR UNSWORN FALSIFICATION IN THE SECOND DEGREE AND, IF FOUND GUILTY, MAY BE PUNISHED FOR VIOLATION OF A CLASS A

MISDEMEANOR, AND IN SUCH CASES, THE PERMIT SHALL BE REVOKED AND THE APPLICANT MAY BE BARRED FROM ANY

FURTHER APPLICATION FOR A PERMIT.

I HEREBY STATE UNDER PENALTY OF LAW THAT:

1. All statements, answers, and attachments to this form are true and complete; and

2. I understand that a permit eligibility investigation will be conducted as part of the NICS-Exempt designation process which may

involve computerized records searches and I authorize the investigation.

Full Name of Applicant (clearly printed or typed)

Signature of Applicant Date