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NYS Firearms License-Public Records Exemption Form

To exempt your firearm ownership from public records disclosure requests, you may fill out the "NYS Firearms License Request for Public Records Exemption" form. By returning your completed form to the Sullivan County Clerk's Office, your firearm ownership will not be disclosed through NYS FOIL requests.


Step 1: Click the link to view the form in a new browser window.
Step 2: You may either fill in the form using your keyboard then print; OR print and fill in the form using blue or black ink.
Step 3: Sign your name and date the printed form at the bottom of the page. Please use blue or black ink.
Step 4: You may submit your completed form in person to the County Clerk's office; OR mail your completed form to the following address:

County Clerk's Office
Attn: Pistol Permits
100 North Street
Monticello, NY 12701