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The New York State Police Amendment form, officially known as PPB-5 (Rev. 02/17), serves a crucial function for individuals holding a pistol or revolver license within the state. It facilitates the amendment of a license in various circumstances, including but not limited to changes in the licensee's personal information, such as a new name or address, and alterations regarding the firearms in possession. This comprehensive document can cover a range of transaction types like acquiring new firearms, disposing of them, reporting lost or stolen firearms, and updates following a change in the licensee's legal status or contact information. Importantly, it also inquires about the licensee's criminal history, mental health, and any protective orders against them since the issuance of the original license, ensuring that all amendments reflect current and accurate information. Whether the amendments pertain to a county license or a New York State Police pistol license, the form demands thorough completion and honesty, acting as a safeguard for both the licensee and the broader community by maintaining up-to-date records on firearm ownership and licensee eligibility.

Ny State Police Amendment Sample

PPB-5 (REV. 02/17)

STATE OF NEW YORK

PISTOL / REVOLVER LICENSE AMENDMENT

NYSID #

 

 

 

 

Date:

 

 

Amendment form for (check one):

 

 

 

 

 

 

 

______________________________________ County License

OR

New York State Police Pistol License

 

 

 

 

 

 

 

 

Name

 

Date of Birth

 

NY Driver’s License No. (or NY Non-Driver ID No.)

 

 

 

 

 

 

 

 

 

 

Physical Address (street, city, state, zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (if different)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pistol License Number

Duplicate License Number

Transfer License Number

Transferred From

Acquired Address Change

Date Issued

Date Issued

Date Issued

Transferred To

TRANSACTION TYPE(S) (Check all that apply):

Deceased Disposed Duplicate Lost / Stolen Firearm Name Change

Revoked Surrendered Suspended

Transfer Other

AMEND LICENSE FOR THE FOLLOWING

1.New Name

2.New Physical Address

3.New Mailing Address (If different)

4.Following Weapon(s) Acquired From: (Name, Address)

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

5. Following Weapon(s) Disposed to: (Name, Address)

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

6. Following Weapons(s) has been: Lost Law Enforcement Agency Reported To:

Stolen

Destroyed

Manufacturer

Pistol / Revolver /

Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

Have you been arrested, indicted, or convicted of any criminal offense, been the subject of an order of protection, or been

a patient at any mental institution since the above license was issued?

Yes

No If YES, give details on reverse.

Licensing Officer

Signature of Licensee

Use the boxes below if additional space is needed.

Acquired, Disposed,

Lost, Stolen or

Destroyed

Manufacturer

Pistol /

Revolver / Single Shot

Model

Frame

Only

Caliber(s)

Serial Number

File Overview

Fact Detail
Form Number PPB-5 (REV. 02/17)
State New York
Form Name State of New York Pistol/Revolver License Amendment
Governing Law(s) New York State Penal Law
Purpose Amendments to an existing pistol/revolver license, including changes in personal details, weapon details, or license status.
Amendment Types Name change, Address change, Weapon acquired, disposed, lost, stolen, or destroyed, among others.
Transaction Types Deceased, Disposed, Duplicate, Lost/Stolen Firearm, Name Change, Revoked, Surrendered, Suspended, Transfer, Other.
Required Information Name, Date of Birth, NY Driver’s License/Non-Driver ID No., Physical and Mailing Address, Pistol License Number, Details on firearm(s).
Additional Considerations Applicants must disclose any criminal offenses, orders of protection, or mental health institution stays since the last license issuance.

Ny State Police Amendment: Usage Guidelines

Submitting an amendment to a New York State Pistol / Revolver License requires careful attention to detail and accuracy. This process is crucial for maintaining up-to-date information on your license, ensuring compliance with state laws and regulations. Whether you've undergone a name change, moved to a new address, or need to update the firearms on your license, the steps below will guide you through the form-filling process.

  1. Locate the form titled "STATE OF NEW YORK PISTVOL / REVOLVER LICENSE AMENDMENT" identified by the code PPB-5 (REV. 02/17).
  2. In the section marked "Amendment form for (check one):," specify whether you are amending a County License or a New York State Police Pistol License by checking the appropriate box.
  3. Fill in the "NYSID #" and "Date" fields at the top of the form.
  4. Complete the section under your personal information including your name, date of birth, and NY Driver’s License Number (or NY Non-Driver ID Number).
  5. Provide your current physical address, including the street, city, state, and zip code. If your mailing address differs, fill that in as well.
  6. Enter your Pistol License Number. If applicable, also include your Duplicate License Number and Transfer License Number, along with the details of the transfer.
  7. In the "TRANSACTION TYPE(S)" section, check all boxes that apply to your amendment. Options include but are not limited to Deceased, Disposed, Duplicate, Lost/Stolen Firearm, Name Change, and Transfer.
  8. Amend your license accordingly in the "AMEND LICENSE FOR THE FOLLOWING" section. This may involve entering a new name, physical address, mailing address, details of weapons acquired, or details of weapons disposed of. For lost or stolen firearms, check the appropriate box and provide the law enforcement agency reported to, along with details of the firearm.
  9. If you have been arrested, indicted, or convicted of any criminal offense, been the subject of an order of protection, or been a patient at any mental institution since the license was last issued, mark "Yes" and provide details on the reverse side of the form.
  10. Sign the form in the space provided under "Signature of Licensee."
  11. If you need additional space for detailing acquired, disposed, lost, stolen, or destroyed firearms, use the boxes at the bottom of the form.

Once completed, the form must be submitted according to the instructions provided by the issuing authority, which may include mailing it to a specific address or delivering it in person. It is advisable to keep a copy of the completed form and any correspondence for your records. Timely submission of this form is essential for ensuring your pistol or revolver license reflects the current, accurate information. This not only helps in staying compliant with New York State laws but also aids in the responsible ownership and use of firearms.

FAQ

  1. What is the purpose of the New York State Police Amendment form (PPB-5)?

    The New York State Police Amendment form (PPB-5) is designed to facilitate updates to a pistol or revolver license in the state of New York. This includes reporting changes such as a new name, address, or the details of a transaction involving the license holder's firearm(s), such as acquiring, disposing, losing, or having a firearm stolen. Essentially, it ensures that all information related to a pistol license is current and accurate.

  2. Who needs to fill out the PPB-5 form?

    Any individual holding a pistol or revolver license under the New York State Police or a County License in New York, who wishes to amend any details of their license or report any specified changes related to their firearms, must fill out the PPB-5 form. This includes personal information changes, transaction details regarding firearms, or updates on the status of the license, such as suspension or revocation.

  3. What information is required on the PPB-5 form?

    The form requires detailed personal information, including the licensee's name, date of birth, NY Driver's License or Non-Driver ID number, physical and mailing addresses, and pistol license number. Additionally, it demands specifics about the firearm(s), including the type, manufacturer, model, caliber(s), and serial number. The form also asks for information on any criminal offenses, orders of protection, or mental institution admissions since the license was issued.

  4. What types of transactions can be reported on the PPB-5 form?

    Transactions pertaining to a firearm that can be reported using the PPB-5 form include the acquisition or disposal of firearms, changes due to loss or theft, and firearms that have been destroyed. The form also accommodates reporting for changes in the licensee's personal information, such as a name or address change, and updates on the status of the firearm license itself, through options like duplicate, revoked, surrendered, or suspended licenses.

  5. What should you do if your firearm is lost or stolen?

    If your firearm is lost or stolen, you must report it immediately to a law enforcement agency and then update your pistol or revolver license using the PPB-5 form. When reporting a lost or stolen firearm on the PPB-5, it is crucial to provide the manufacturer, model, frame, caliber(s), and serial number of the firearm, along with the law enforcement agency to which the loss or theft was reported. This ensures the incident is properly documented and helps in the recovery of the firearm.

  6. What happens if there are changes in your legal status after your license was issued?

    If there have been any arrests, indictments, or convictions for criminal offenses, orders of protection against you, or admissions to a mental institution since your license was issued, you must disclose these on the PPB-5 form. Failing to report such changes can have serious implications, potentially affecting the status of your pistol or revolver license. Detailed information regarding these changes must be included on the reverse side of the form.

  7. Can additional firearms be added using the PPB-5 form?

    Yes, additional firearms can be added to your license by using the PPB-5 form. This is done under the section labeled "Following Weapon(s) Acquired From," where you will list the name and address of the person or entity from which the firearm was acquired, along with the make, model, and serial number of the firearm. This ensures that all firearms in your possession are properly documented and included in your license records.

Common mistakes

When filling out the New York State Police Amendment form, which is crucial for those holding or modifying a pistol/revolver license, applicants often encounter errors. These mistakes can lead to delays or the rejection of the amendment request. Understanding and avoiding these common pitfalls is essential for a smooth processing experience.

One significant error includes incomplete information. The form requires detailed entries, such as the New York State Identification Number (NYSID), license numbers, and specifics about any firearm transactions. Failing to provide complete details can halt the amendment process.

  1. Not checking the appropriate transaction type(s) is another common mistake. The form allows for various amendments, including name changes, address updates, and details about acquired or disposed of firearms. Overlooking this section can result in incomplete amendments.
  2. Entering incorrect firearm details such as the manufacturer, model, or serial number incorrectly, can lead to issues in identifying the firearm associated with the license.
  3. Forgetting to indicate a new name or address. Changes in personal information are critical and must be accurately reflected in the amendment submission.
  4. Overlooking the requirement to report whether the license holder has been arrested, indicted, convicted of a criminal offense, been the subject of an order of protection, or been a patient in a mental institution since the license was issued. This disclosure is crucial for the legal continuance of the license.
  5. Mistakes in dating the form or signing in the wrong place can render the application invalid or cause unnecessary delays.
  6. Using an old or outdated form version. The document clearly states its revision date at the top (REV. 02/17), and using the correct version ensures compliance with current regulations.
  7. Failure to report lost or stolen firearms immediately or incorrectly filling out this section of the form can have legal consequences.
  8. Not providing a duplicate license number when applicable. This is especially important for those seeking to amend a duplicate license.
  9. Incorrectly listing or omitting firearms acquired or disposed of, including their serial numbers, can lead to discrepancies that may affect the legal status of the license.

In addition to these errors, it is also beneficial to be aware of common oversights:

  • Not using black ink as typically required for official documents.
  • Failing to review the entire form for accuracy and completeness before submission.
  • Omitting the signature of the licensing officer, which is essential for the form's legitimacy.

Accuracy, completeness, and attention to detail are paramount when amending a New York State Pistol/Revolver License. By avoiding these common errors and oversights, applicants can ensure a smoother amendment process, maintaining compliance with state regulations and contributing to public safety.

Documents used along the form

The New York State Pistol / Revolver License Amendment, known as the PPB-5 form, is a crucial document for individuals holding a pistol or revolver license in New York. It allows licensees to update their information or record significant changes regarding their firearms. Alongside this amendment form, various other documents are commonly used to ensure full compliance with New York State laws and regulations. These documents play a vital role in maintaining the integrity and accuracy of licensees' information, as well as ensuring public safety.

  • Firearm Bill of Sale: This document records the sale or transfer of a firearm from one individual to another, detailing the firearm's make, model, caliber, and serial number, along with the buyer's and seller's information.
  • Character Reference Letters: Often required as part of the initial pistol/revolver licensing process, these letters attest to the character and reputation of the applicant, usually from non-family members.
  • Proof of Ownership: Documentation that proves ownership of the firearm(s) listed on the license, such as original purchase receipts or a notarized bill of sale.
  • Safety Course Completion Certificate: Many counties require completion of a firearm safety course for a pistol/revolver license. This certificate proves that the licensee has completed the necessary training.
  • Proof of Residence: Documents verifying the applicant's address, such as utility bills, lease agreements, or mortgage statements, ensuring the license corresponds to the current residence.
  • Lost or Stolen Firearm Report: If a firearm is lost or stolen, a detailed report must be filed with local law enforcement, and a copy of this report is often required for amending the pistol/revolver license.
  • Change of Name Documentation: If a licensee has legally changed their name, official documentation of the name change, such as a marriage certificate or court order, must be submitted.
  • Mental Health Records Release: For certain amendments or initial applications, release forms for mental health records may be required to ensure the licensee does not have disqualifying conditions.

When individuals possess a New York State Pistol / Revolver License, it is essential they remain vigilant in keeping their license and associated documents up to date. This update often entails more than just filling out the PPB-5 amendment form. By understanding and properly managing the additional forms and documents as described, licensees can ensure they stay compliant with state regulations, thus contributing to both their safety and that of the public.

Similar forms

The New York State Police Amendment Form for pistol and revolver licenses closely mirrors the structure and intent of a Driver's License Change of Address Form. Just as individuals must update their address information on their driver's license to ensure it reflects their current residence, the amendment form allows for similar updates for firearm licenses. This ensures that all official records are accurate and up to date, facilitating communication and compliance with legal requirements.

Similar to a Marriage Certificate Name Change Document, the amendment form supports the update of one's name on their license due to changes in marital status or other reasons. This process acknowledges the importance of having all legal documents reflect one's current legal name, thereby preventing issues related to identity verification and legal compliance, similar to how marriage certificates validate a name change on other personal identification documents.

The amendment form is akin to a Vehicle Title Transfer Document, especially in the way it manages the transfer of ownership of firearms. Like a title transfer that legally documents the change of vehicle ownership, the form records the transfer of firearms to another individual, ensuring that all pertinent records are updated to reflect the new ownership accurately.

Another document that shares similarities with the amendment form is a Lost or Stolen Credit Card Notification Form. When a firearm is lost or stolen, the amendment form serves to alert the authorities, much like how one would report a missing credit card to prevent unauthorized use. This feature of the amendment form is vital for public safety and personal accountability.

The amendment form can also be compared to a Voter Registration Address Update Form. Updating one's address for voter registration ensures that a person can vote in the correct district and receive accurate polling information, paralleling how updating address information for a firearm license ensures compliance with local laws and regulations governing firearm ownership and use.

Similarly, the form has parallels with a Passport Amendment Document used for updating personal information or adding endorsements. Just as passport amendments ensure international travel records are accurate and compliant with global entry requirements, the firearm amendment form maintains the accuracy of licensure for legal firearm possession and use.

Also, akin to a Social Security Information Update Form, which is used to correct or update personal information held by the Social Security Administration, this amendment form allows individuals to ensure their firearm license reflects their current situation. Changes in personal information, similar to updates made for social security purposes, are crucial for maintaining accurate government records.

Like an Employment Record Update Form used within organizations to keep employee information current, the firearm license amendment form serves a similar purpose for individuals and the licensing authority. Updating employment records facilitates proper administration and benefits, while updating firearm records ensures legal and regulatory compliance.

Lastly, this form resembles a Health Insurance Beneficiary Change Form in its function to record changes in personal circumstances that affect a legal document. Just as one would update their health insurance documents to reflect current beneficiaries, updating a firearm license through the amendment form reflects changes in firearm ownership or licensee information, maintaining the integrity and relevance of the license.

Dos and Don'ts

Filling out the New York State Police Amendment form for your pistol/revolver license requires attention to detail and understanding of the process. To ensure accuracy and compliance, here is a comprehensive list of dos and don'ts:

Do:
  • Review the entire form before beginning, to understand what information is required.
  • Ensure all information is accurate, especially your personal details such as name, address, and license number.
  • Be specific when listing firearms, including the manufacturer, model, caliber, and serial number.
  • Check all applicable boxes that relate to your amendment, such as address change, name change, or firearm disposition.
  • Sign and date the form once completed to certify that all information provided is true and correct.
Don't:
  • Guess on details. If you’re unsure about any information, verify it before submitting the form.
  • Omit any relevant transactions or changes since your license was issued. Full disclosure is necessary.
  • Use nicknames or abbreviations for names. Always use your legal name and other official identifications.
  • Forget to report lost or stolen firearms immediately to law enforcement, in addition to noting it on this amendment form.
  • Delay in submitting the form after a change occurs. Prompt submission ensures your license remains up-to-date and valid.

Remember, accuracy on the amendment form not only complies with legal requirements but also helps in maintaining the security and responsibility of firearm ownership. Should questions arise while filling out the form, don't hesitate to reach out to the New York State Police or a legal professional specialized in firearm licensing for guidance. Accuracy, completeness, and timeliness are your best allies in this process.

Misconceptions

When it comes to the New York State Pistol / Revolver License Amendment form, there are several misconceptions that can confuse individuals looking to update their license information. Let's clear up some of these misunderstandings:

  • Only for Address Changes: A common misconception is that the amendment form is solely for updating address changes. In reality, the form is versatile and used for various changes including but not limited to name changes, acquiring or disposing of firearms, and reporting lost or stolen firearms.
  • New Licenses Issued: Some may mistakenly believe that submitting an amendment form will result in the issuance of a new license. The form is actually for amending an existing license’s information, not for issuing a new one. If a duplicate license is needed because the original was lost or stolen, that specific option must be selected on the form.
  • Firearm Transfers Are Automatic: Another misunderstanding is that merely filling out the amendment form for a firearm transfer completes the transfer legally. However, this form must be used alongside properly following all legal procedures for the transfer, which may involve additional steps such as background checks for the recipient.
  • Reporting to Law Enforcement Is Optional: If a firearm is lost or stolen, some might think reporting this information on the amendment form is sufficient on its own. It's mandatory to report the loss or theft to law enforcement first, then use the form to update the license with this occurrence.
  • No Need to Disclose Criminal Offenses or Mental Health Issues: Lastly, it's falsely assumed by some that there’s no need to disclose any new criminal offenses, orders of protection, or mental health institution stays since the last license issuance. The form explicitly asks for this information, and failing to disclose it can lead to serious legal consequences.

Understanding these key points about the New York State Pistol / Revolver License Amendment form can help ensure licensees remain compliant with state laws and regulations regarding firearm ownership and licensing.

Key takeaways

Filling out the New York State Pistol / Revolver License Amendment form (PPB-5) correctly is critical for license holders who need to update their information or report changes about their firearm(s). Here are ten key takeinsicghts regarding the process:

  • The amendment form is utilized to update personal details such as a new name, physical address, or mailing address on an existing pistol or revolver license.
  • It is necessary to check the correct transaction type(s), such as acquired or disposed firearms, changes in personal information like a name or address, or reporting a lost or stolen firearm.
  • For transactions involving firearms, including acquisition or disposal, specific details of the weapon(s) must be accurately filled in, including the manufacturer, model, caliber, and serial number.
  • When reporting a lost or stolen firearm, the licensee must indicate whether the firearm was lost or stolen and provide details to the appropriate law enforcement agency.
  • If there have been any changes in the licensee’s legal status, such as arrests, indictments, convictions, orders of protection, or mental health institutionalizations, since the last license was issued, these must be disclosed in the amendment form.
  • Complete details about firearms acquired from or disposed of to another party need to be accurately entered, including the name and address of the other party.
  • For those with a New York State Police Pistol License, the amendment form also serves to transfer licenses, request duplicates, or update about licenses that have been revoked, surrendered, or suspended.
  • The form requires the license number and, if applicable, the duplicate or transfer license numbers, ensuring that records are accurately updated and maintained.
  • It's important to provide both physical and mailing addresses if they are different to ensure all correspondence and legal documents reach the licensee.
  • The signature of the licensee is mandatory for the form to be processed, underscoring the importance of the licensee’s acknowledgment of the accuracy of the information provided and the changes being reported.

Correctly completing and submitting the NYS Pistol / Revolver License Amendment form is paramount in maintaining the legality of one’s license and ensuring compliance with New York State laws regarding firearm ownership and modification. This process helps in ensuring that all pertinent information is up-to-date and accurately reflects any changes in the licensee's status or firearm inventory.

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