Hampden County. 3 documents captured.
Firearms Identification Card & License to Carry
Applicants for a Firearms Identification Card (FID), a License to Carry Firearms (LTC), or a License to Possess a Machine Gun need to complete the application, must possess a valid Massachusetts Driver’s License and show proof of residency. Applicants must be residents or business owners in the City of Springfield. The application can be downloaded below.
New applicants need to present a certificate of completion of a live fire Massachusetts approved gun safety course at the time of application. Check online at www.goal.org or www.NRAinstructors.org to find a certified training program.
New LTC/FID Application
Renewal LTC/FID Application
For all application requirements, please refer to the SPD General Order on License to Carry Firearms Application Requirements .
If you are a new applicant, please call (413) 787-6310. Please be advised that we do not accept cash payments.
Applications for renewal may be submitted by USPS mail:
Springfield Police Department
Attention Clerk’s Office
130 Pearl Street
Springfield, MA 01105
Alternatively, the applicant can deliver the completed application in person to the Clerk’s Office in the lobby of 130 Pearl Street during regular business hours; or the applicant can deposit the application, at any time, into the drop box (secured lockbox) located in front of the Clerk’s Office window in the lobby of 130 Pearl Street.
Applicants should allow time for the processing of fingerprints and photographs. Applicants should be prepared to pay the $100 non-refundable application fee when the application is submitted. Acceptable types of payment include personal checks or money orders made payable to the City of Springfield . Do not send cash as payment for renewal applications.
Information required to renew your firearms license:
Completed application and affidavit.
Copy of valid Massachusetts driver’s license or state ID (front and back).
Copy of your current LTC.
Copy of a utility bill, rental agreement, or mortgage statement as proof of residency. We require that the bill be in your name.
Copy of birth certificate (US citizen by birth) or a copy of your Passport/Naturalization papers or permanent residency card, whichever is applicable.
Check or money order for $100 made payable to the City of Springfield . We do not accept cash in the lockbox or via USPS mail (or in person).
If the required information is not attached to your application, we will return your application and payment to you via USPS mail.
The application is reviewed by the licensing authority of the Springfield Police Department. The License will be delivered to the applicant by USPS mail.
If you have any questions, please contact the Clerk’s Office at (413) 787-6310. The Fax number is (413) 787-6519. Please be advised that in all cases, cash is not accepted as payment for the application fee.
DEPARTMENTAL AND INTER-DEPARTMENTAL
CORRESPONDENCE
City of Springfield
GO: 19-006B DATE: 07/12/22
TO: ALL COMMANDING OFFICERS
CC: DEPUTY CHIEF WILLIAM COCHRANE
DEPUTY CHIEF STEVEN KENT
DEPUTY CHIEF RUPERT DANIEL
SENIOR CAPTAIN TRENT DUDA
SUBJECT: LICENSE TO CARRY FIREARMS APPLICATION REQUIREMENTS
I. POLICY
A. It shall be the policy of the Springfield Police Department to issue Licenses to Carry
Firearms (LTC) in such a manner that the safety of the public and the licensees are
protected.
B. The criteria in this policy are intended to provide LTC applicants with an informed
expectation of the likelihood of obtaining an LTC.
II. GENERAL GUIDELINES
A. In order to ensure such safety, the department shall issue said permits in strict accordance
with Massachusetts General Laws, (MGL) c. 140, § 131. Per Mass. Gen. Laws c. 140 §
131, the Police Superintendent is the licensing authority for the City of Springfield and is
granted discretionary authority in the issuance of said licenses upon the determination of
being "suitable" and not a “prohibited” person. Furthermore, the Superintendent of the
Springfield Police Department reserves the right to exercise their discretion to deny an
application for a LTC regarding unsuitability or as a prohibited person.
B. An applicant who is neither a “prohibited person” or “unsuitable” must be issued an
unrestricted license to carry.
III. APPLICATION REQUIREMENTS
A. All applicants must be at least 21 years of age,
B. Per Massachusetts General Laws c. 140, § 131 (d), the following are eligible to obtain a
LTC from the Springfield Police Department: any person residing or having a place of
business within the City of Springfield or any Police Officer currently employed by the
City of Springfield.
C. All applicants for an LTC must successfully complete, with certification, a Massachusetts
State Police-approved Firearms Safety Course that includes a live fire component. Check
online at www.goal.org or www.nrainstructors.org to find a certified training program.
D. There is a $100 application fee for a Firearm ID (FID) or a LTC and all fees are non-
refundable. All payments are due at the time of application.
E. Applicants must submit the following items:
1. A completed application form (obtainable from the Springfield Police Department);
2. A copy of your Birth Certificate (if you are a citizen by birth), a U.S. passport,
Naturalization Papers, or Permanent Resident Card, whichever is applicable;
3. Proof of Springfield residence, MA driver’s license or ID with a valid Springfield
address, a utility bill (Electric, Gas, Land Phone Line, or Lease Agreement).
4. Copies of the certificates you have received from applicable training course(s)
F. The Springfield Police Department reviews the application and conducts a thorough
criminal background investigation.
G. Applicants will be notified by mail if an application is rejected.
IV. PROHIBITED PERSONS; If the applicant falls into one of these categories, they must
not be issued a license to carry
A. Under c. 140, § 131, in order to be eligible for an LTC the applicant may not have ever
been convicted in any court of the Commonwealth or any other state or federal
jurisdiction for:
1. A felony;
2. A misdemeanor punishable by more than 2 years;
3. A violent crime as defined in c. 140 § 121;
4. A violation of any law involving weapons or ammunition for which a term of
imprisonment may be imposed;
5. A violation of any law regulating controlled substances as defined in section 1 of
chapter 94C including, but not limited to, a violation of said chapter 94C;
6. A misdemeanor crime of domestic violence as defined in 18 U.S.C. 921(a)(33);
B. A conviction is a finding of guilty for an adult or an adjudication of delinquency in the
case of a juvenile. Also note, MGL. Chapter 140 Section 131 Defines a “Conviction” as a
finding or verdict of guilt, or a plea of guilty, whether or not final sentence is imposed;
C. Applicants are also ineligible if they are currently the subject of an outstanding arrest
warrant in any state or federal jurisdiction or a permanent temporary domestic restraining
order.
D. Applicants are disqualified under federal law to possess firearms or ammunition pursuant
to 18 U.S.C. § 922(g) (1). That section states “it is unlawful for any person who has been
convicted in any court of a crime punishable by imprisonment for a term exceeding one
(1) year to possess in commerce, any firearms or ammunition.” Further, 18 U.S.C. § 921
(a) (20) makes it clear that any Massachusetts offense classified as a misdemeanor
carrying a prison term of longer than two (2) years is a disqualifying conviction under
federal law. M.G.L. chapter 140 sections 129B and 131(g) provide that any persons
prohibited by either Massachusetts or Federal laws are prohibited from having an F.I.D.
or L.T.C.
V. SUITABILITY.
A. A "suitable person" has been defined as an individual who is sufficiently responsible to
be entrusted with a license to carry firearms. Under the suitability provision of
Massachusetts General Laws c. 140, § 131 (d), the licensing authority is permitted to and
may consider all information available from all sources, including but not limited to the
following: incident reports, the underlying facts of any incidents, dismissed criminal
charges, sealed records, pardoned offenses, evidence of volatile relationships,
suppression of evidence in any criminal prosecution, the lack of compliance with firearm
laws, any arrest for a misdemeanor punishable by imprisonment for more than two years,
any felony arrest and any arrest involving physical violence or threats to commit physical
violence, any domestic violence incident, any drug arrest and/or any alcohol or drug
related OUI or multiple minor alcohol related arrests or convictions.
B. The licensing authority may deny the application or renewal of a license to carry, or
suspend or revoke a license issued if, in a reasonable exercise of discretion, the licensing
authority determines that the applicant or licensee is unsuitable to be issued or to continue
to hold a license to carry. A determination of unsuitability shall be based on:
1. Reliable and credible information that the applicant or licensee has exhibited or
engaged in behavior that suggests that, if issued a license, the applicant or licensee
may create a risk to public safety; or
2. Existing factors that suggest that, if issued a license, the applicant or licensee may
create a risk to public safety.
3. Any denial of a license based on unsuitability or otherwise must be conveyed with a
written notice to the applicant or licensee that explains the specific reasons for the
denial. G.L. c. 140, § 131(d), (e).
Cheryl C. Clapprood
Police Superintendent
THE COMMONWEALTH OF MASSACHUSETTS PD USE ONLY
EXECUTIVE OFFICE OF PUBLIC SAFETY AND SECURITY FTN: _______________
Department of Criminal Justice Information Services
200 Arlington Street, Suite 2200, Chelsea, MA 02150 LIC #: _______________
TEL: 617-660-4600 | TTY: 617-660-4606 | mass.gov/cjis
Submit this form and direct any questions to
your local police department
MASSACHUSETTS RESIDENT LTC/FID/MACHINE GUN APPLICATION
FOR NEW/RENEWAL OF A FIREARMS IDENTIFICATION CARD OR LICENSE TO CARRY
FIREARMS OR LICENSE TO POSSES A MACHINE GUN (M.G.L c. 140, §§ 129B, 131)
CHECK ONE:
New Applicant*
Renewal - Most Recent License to Carry/FID Number:
*NOTE: If application is for a first firearms identification card or license to carry firearms, a copy of the Firearms Safety Certificate or
Hunter Safety Course Certificate must be attached, unless exempt by statute. If this is a renewal application, a lost/stolen firearms
affidavit must be submitted.
LICENSE APPLICATION TYPE (Check Only One):
Firearms Identification Card - Restricted (self-defense spray)
Firearms Identification Card
License to Carry
License to Possess a Machine Gun
Gun Club License (Only the Colonel of the State Police can issue a club license)
EXCEPT FOR SIGNATURE, PRINT OR TYPE ALL REQUESTED INFORMATION:
Last Name First Name Middle Name Suffix
Residential Address City State Zip Code Telephone Number
Mailing Address City State Zip Code Telephone Number
Date of Birth Place of Birth (City, State, Country)
Mother's First Name Mother's Maiden Name Father's First Name Father's Last Name
Height Weight Build Complexion Hair Color Eye Color
Occupation Social Security Number (Optional) Drivers License Number
Employed By Business Address
City/Town State Zip Telephone Number
LTC-FID Application – Revised May 2015 Page 1 of 4
ANSWER THE FOLLOWING QUESTIONS COMPLETELY AND ACCURATELY:
1. Are you a citizen of the United States? YES NO
If lawful permanent resident alien, give
green card number and resident date Green Card Number Resident Since (date)
If naturalized, give date, place
and naturalization number Date Place Naturalization No.
2. Have you ever renounced your U.S. citizenship? YES NO
3. What is your age? ________ (You must be 21 to apply for a LTC, 18 to apply for a FID card, or 14 to 17 with
submission of a certificate of parent or guardian granting permission to apply for a FID card or FID card – Restricted).
4. Have you ever been arrested or appeared in court as a defendant for any criminal offense? YES NO
5. Are you the subject of any pending criminal charges? YES NO
6. Have you ever been convicted of a felony? YES NO
7. Have you ever been convicted of the unlawful use, possession, or sale of controlled substances
as defined in M.G.L. c. 94C, § 1? YES NO
8. Have you ever been convicted of a violent crime or a crime of domestic violence? YES NO
9. Have you ever been convicted as an adult or adjudicated a youthful offender or delinquent child
in any state or federal jurisdiction? YES NO
10. Are you now, or have you ever been the subject of a restraining order issued pursuant to M.G.L. c. 209A,
or a similar order issued by another jurisdiction? YES NO
11. Are you currently the subject of any outstanding arrest warrant in any state or federal jurisdiction? YES NO
12. Have you ever been committed to any hospital or institution for mental illness, or alcohol or substance abuse? YES NO
13. Has any firearms license issued under the laws of any state or territory ever been suspended, revoked,
or denied? YES NO
14. Have you been discharged from the armed forces of the United States under dishonorable conditions? YES NO
15. Have you been the subject of an order of the probate court appointing a guardian or conservator? YES NO
If you answered "YES" to any of the questions 2-15, give details which must include dates,
circumstances and location; use a separate sheet of paper if necessary.
LTC-FID Application – Revised May 2015 Page - 2 of 4
Have you ever used or been known by another name? YES NO
If “YES”, provide name and explain:
Other than Massachusetts, in what state(s), territory(ies), or jurisdiction(s) have you lived? NONE
Have you ever held a firearms license in any other state, territory or jurisdiction? YES NO
If "YES", when, where, and license number?
List the name and addresses of two references (as required by your licensing authority)
Last Name First Name
Address City/Town State Zip
Last Name First Name
Address City/Town State Zip
Reason(s) for requesting the issuance of a card or license:
Unrestricted Target & Hunting Sporting Employment
Use lines below to indicate the reason(s) you are requesting the license; use a separate sheet of paper if necessary)
WARNING Any person who knowingly files an application containing false information shall be punished by a fine of not less than
$500 nor more than $1,000 or by imprisonment for not less than 6 months nor more than 2 years in a house of correction, or by both
such fine and imprisonment (M.G.L c.140, §§ 129B(8), 131(h)).
I declare the above facts are true and complete to the best of my knowledge and belief and I understand that any false answer(s)
will be just cause for denial or revocation of my license to carry firearms. I understand that filing an application that contains false
information is a criminal offense.
Signed under the penalties of perjury this day of
day month year
Signature of Applicant:
LTC-FID Application – Revised May 2015 Page - 3 of 4
Springfield Police Department
PRINT OR TYPE ALL INFORMATION
SOCIAL SECURITY NUMBER:
NAME:
LAST FIRST MIDDLE
ADDRESS: EMAIL ADDRESS:
CITY: STATE: DATE OF BIRTH:
PLACE OF BIRTH:
CITY/TOWN STATE/COUNTRY
PHONE#: HOME CELL
SEX: (circle one) FEMALE MALE NON-BINARY
RACE: (circle one)
• ASIAN INDIAN OR PACIFIC ISLANDER
• BLACK OR AFRICAN
• AMERICAN INDIAN OR ALASKAN NATIVE
• CAUCASIAN, HISPANIC-LATINO, MIDDLE EASTERN
HEIGHT: WEIGHT: EYE COLOR: HAIR COLOR:
RIGHT-HANDED: LEFT-HANDED: BOTH:
YOUR FATHER'S NAME:
YOUR MOTHER'S FULL NAME-MAIDEN:
YOUR PRESENT OCCUPATION:
YOUR EMPLOYER:
EMPLOYER’S ADDRESS:
YOUR STATUS: SINGLE: MARRIED: DIVORCED:
YOUR SPOUSE’S FULL NAME-MAIDEN:
***DO NOT FILL BELOW THIS LINE FOR POLICE USE ONLY***
ID USED: DRIVERS LIC:
NUMBER EXP. DATE
PASSPORT:
COUNTRY NUMBER EXP. DATE
OTHER:
TYPE NUMBER EXP. DATE
NEW: RENEW:
F/A#:
IF NEW APPLICANT ONLY
DEPARTMENTAL AND INTER-DEPARTMENTAL
CORRESPONDENCE
City of Springfield
GO: 19-006B DATE: 07/12/22
TO: ALL COMMANDING OFFICERS
CC: DEPUTY CHIEF WILLIAM COCHRANE
DEPUTY CHIEF STEVEN KENT
DEPUTY CHIEF RUPERT DANIEL
SENIOR CAPTAIN TRENT DUDA
SUBJECT: LICENSE TO CARRY FIREARMS APPLICATION REQUIREMENTS
I. POLICY
A. It shall be the policy of the Springfield Police Department to issue Licenses to Carry
Firearms (LTC) in such a manner that the safety of the public and the licensees are
protected.
B. The criteria in this policy are intended to provide LTC applicants with an informed
expectation of the likelihood of obtaining an LTC.
II. GENERAL GUIDELINES
A. In order to ensure such safety, the department shall issue said permits in strict accordance
with Massachusetts General Laws, (MGL) c. 140, § 131. Per Mass. Gen. Laws c. 140 §
131, the Police Superintendent is the licensing authority for the City of Springfield and is
granted discretionary authority in the issuance of said licenses upon the determination of
being "suitable" and not a “prohibited” person. Furthermore, the Superintendent of the
Springfield Police Department reserves the right to exercise their discretion to deny an
application for a LTC regarding unsuitability or as a prohibited person.
B. An applicant who is neither a “prohibited person” or “unsuitable” must be issued an
unrestricted license to carry.
III. APPLICATION REQUIREMENTS
A. All applicants must be at least 21 years of age,
B. Per Massachusetts General Laws c. 140, § 131 (d), the following are eligible to obtain a
LTC from the Springfield Police Department: any person residing or having a place of
business within the City of Springfield or any Police Officer currently employed by the
City of Springfield.
C. All applicants for an LTC must successfully complete, with certification, a Massachusetts
State Police-approved Firearms Safety Course that includes a live fire component. Check
online at www.goal.org or www.nrainstructors.org to find a certified training program.
D. There is a $100 application fee for a Firearm ID (FID) or a LTC and all fees are non-
refundable. All payments are due at the time of application.
E. Applicants must submit the following items:
1. A completed application form (obtainable from the Springfield Police Department);
2. A copy of your Birth Certificate (if you are a citizen by birth), a U.S. passport,
Naturalization Papers, or Permanent Resident Card, whichever is applicable;
3. Proof of Springfield residence, MA driver’s license or ID with a valid Springfield
address, a utility bill (Electric, Gas, Land Phone Line, or Lease Agreement).
4. Copies of the certificates you have received from applicable training course(s)
F. The Springfield Police Department reviews the application and conducts a thorough
criminal background investigation.
G. Applicants will be notified by mail if an application is rejected.
IV. PROHIBITED PERSONS; If the applicant falls into one of these categories, they must
not be issued a license to carry
A. Under c. 140, § 131, in order to be eligible for an LTC the applicant may not have ever
been convicted in any court of the Commonwealth or any other state or federal
jurisdiction for:
1. A felony;
2. A misdemeanor punishable by more than 2 years;
3. A violent crime as defined in c. 140 § 121;
4. A violation of any law involving weapons or ammunition for which a term of
imprisonment may be imposed;
5. A violation of any law regulating controlled substances as defined in section 1 of
chapter 94C including, but not limited to, a violation of said chapter 94C;
6. A misdemeanor crime of domestic violence as defined in 18 U.S.C. 921(a)(33);
B. A conviction is a finding of guilty for an adult or an adjudication of delinquency in the
case of a juvenile. Also note, MGL. Chapter 140 Section 131 Defines a “Conviction” as a
finding or verdict of guilt, or a plea of guilty, whether or not final sentence is imposed;
C. Applicants are also ineligible if they are currently the subject of an outstanding arrest
warrant in any state or federal jurisdiction or a permanent temporary domestic restraining
order.
D. Applicants are disqualified under federal law to possess firearms or ammunition pursuant
to 18 U.S.C. § 922(g) (1). That section states “it is unlawful for any person who has been
convicted in any court of a crime punishable by imprisonment for a term exceeding one
(1) year to possess in commerce, any firearms or ammunition.” Further, 18 U.S.C. § 921
(a) (20) makes it clear that any Massachusetts offense classified as a misdemeanor
carrying a prison term of longer than two (2) years is a disqualifying conviction under
federal law. M.G.L. chapter 140 sections 129B and 131(g) provide that any persons
prohibited by either Massachusetts or Federal laws are prohibited from having an F.I.D.
or L.T.C.
V. SUITABILITY.
A. A "suitable person" has been defined as an individual who is sufficiently responsible to
be entrusted with a license to carry firearms. Under the suitability provision of
Massachusetts General Laws c. 140, § 131 (d), the licensing authority is permitted to and
may consider all information available from all sources, including but not limited to the
following: incident reports, the underlying facts of any incidents, dismissed criminal
charges, sealed records, pardoned offenses, evidence of volatile relationships,
suppression of evidence in any criminal prosecution, the lack of compliance with firearm
laws, any arrest for a misdemeanor punishable by imprisonment for more than two years,
any felony arrest and any arrest involving physical violence or threats to commit physical
violence, any domestic violence incident, any drug arrest and/or any alcohol or drug
related OUI or multiple minor alcohol related arrests or convictions.
B. The licensing authority may deny the application or renewal of a license to carry, or
suspend or revoke a license issued if, in a reasonable exercise of discretion, the licensing
authority determines that the applicant or licensee is unsuitable to be issued or to continue
to hold a license to carry. A determination of unsuitability shall be based on:
1. Reliable and credible information that the applicant or licensee has exhibited or
engaged in behavior that suggests that, if issued a license, the applicant or licensee
may create a risk to public safety; or
2. Existing factors that suggest that, if issued a license, the applicant or licensee may
create a risk to public safety.
3. Any denial of a license based on unsuitability or otherwise must be conveyed with a
written notice to the applicant or licensee that explains the specific reasons for the
denial. G.L. c. 140, § 131(d), (e).
Cheryl C. Clapprood
Police Superintendent
THE COMMONWEALTH OF MASSACHUSETTS PD USE ONLY
EXECUTIVE OFFICE OF PUBLIC SAFETY AND SECURITY FTN: _______________
Department of Criminal Justice Information Services
200 Arlington Street, Suite 2200, Chelsea, MA 02150 LIC #: _______________
TEL: 617-660-4600 | TTY: 617-660-4606 | mass.gov/cjis
Submit this form and direct any questions to
your local police department
MASSACHUSETTS RESIDENT LTC/FID/MACHINE GUN APPLICATION
FOR NEW/RENEWAL OF A FIREARMS IDENTIFICATION CARD OR LICENSE TO CARRY
FIREARMS OR LICENSE TO POSSES A MACHINE GUN (M.G.L c. 140, §§ 129B, 131)
CHECK ONE:
New Applicant*
Renewal - Most Recent License to Carry/FID Number:
*NOTE: If application is for a first firearms identification card or license to carry firearms, a copy of the Firearms Safety Certificate or
Hunter Safety Course Certificate must be attached, unless exempt by statute. If this is a renewal application, a lost/stolen firearms
affidavit must be submitted.
LICENSE APPLICATION TYPE (Check Only One):
Firearms Identification Card - Restricted (self-defense spray)
Firearms Identification Card
License to Carry
License to Possess a Machine Gun
Gun Club License (Only the Colonel of the State Police can issue a club license)
EXCEPT FOR SIGNATURE, PRINT OR TYPE ALL REQUESTED INFORMATION:
Last Name First Name Middle Name Suffix
Residential Address City State Zip Code Telephone Number
Mailing Address City State Zip Code Telephone Number
Date of Birth Place of Birth (City, State, Country)
Mother's First Name Mother's Maiden Name Father's First Name Father's Last Name
Height Weight Build Complexion Hair Color Eye Color
Occupation Social Security Number (Optional) Drivers License Number
Employed By Business Address
City/Town State Zip Telephone Number
LTC-FID Application – Revised May 2015 Page 1 of 4
ANSWER THE FOLLOWING QUESTIONS COMPLETELY AND ACCURATELY:
1. Are you a citizen of the United States? YES NO
If lawful permanent resident alien, give
green card number and resident date Green Card Number Resident Since (date)
If naturalized, give date, place
and naturalization number Date Place Naturalization No.
2. Have you ever renounced your U.S. citizenship? YES NO
3. What is your age? ________ (You must be 21 to apply for a LTC, 18 to apply for a FID card, or 14 to 17 with
submission of a certificate of parent or guardian granting permission to apply for a FID card or FID card – Restricted).
4. Have you ever been arrested or appeared in court as a defendant for any criminal offense? YES NO
5. Are you the subject of any pending criminal charges? YES NO
6. Have you ever been convicted of a felony? YES NO
7. Have you ever been convicted of the unlawful use, possession, or sale of controlled substances
as defined in M.G.L. c. 94C, § 1? YES NO
8. Have you ever been convicted of a violent crime or a crime of domestic violence? YES NO
9. Have you ever been convicted as an adult or adjudicated a youthful offender or delinquent child
in any state or federal jurisdiction? YES NO
10. Are you now, or have you ever been the subject of a restraining order issued pursuant to M.G.L. c. 209A,
or a similar order issued by another jurisdiction? YES NO
11. Are you currently the subject of any outstanding arrest warrant in any state or federal jurisdiction? YES NO
12. Have you ever been committed to any hospital or institution for mental illness, or alcohol or substance abuse? YES NO
13. Has any firearms license issued under the laws of any state or territory ever been suspended, revoked,
or denied? YES NO
14. Have you been discharged from the armed forces of the United States under dishonorable conditions? YES NO
15. Have you been the subject of an order of the probate court appointing a guardian or conservator? YES NO
If you answered "YES" to any of the questions 2-15, give details which must include dates,
circumstances and location; use a separate sheet of paper if necessary.
LTC-FID Application – Revised May 2015 Page - 2 of 4
Have you ever used or been known by another name? YES NO
If “YES”, provide name and explain:
Other than Massachusetts, in what state(s), territory(ies), or jurisdiction(s) have you lived? NONE
Have you ever held a firearms license in any other state, territory or jurisdiction? YES NO
If "YES", when, where, and license number?
List the name and addresses of two references (as required by your licensing authority)
Last Name First Name
Address City/Town State Zip
Last Name First Name
Address City/Town State Zip
Reason(s) for requesting the issuance of a card or license:
Unrestricted Target & Hunting Sporting Employment
Use lines below to indicate the reason(s) you are requesting the license; use a separate sheet of paper if necessary)
WARNING Any person who knowingly files an application containing false information shall be punished by a fine of not less than
$500 nor more than $1,000 or by imprisonment for not less than 6 months nor more than 2 years in a house of correction, or by both
such fine and imprisonment (M.G.L c.140, §§ 129B(8), 131(h)).
I declare the above facts are true and complete to the best of my knowledge and belief and I understand that any false answer(s)
will be just cause for denial or revocation of my license to carry firearms. I understand that filing an application that contains false
information is a criminal offense.
Signed under the penalties of perjury this day of
day month year
Signature of Applicant:
LTC-FID Application – Revised May 2015 Page - 3 of 4
Massachusetts License to Carry (LTC)/Firearms Identification Card (FID) Affidavit
Complete this form only if you are renewing your firearms license.
License Holder Name: ________________________________________________
Current LTC or FID card Number: ________________________________________________
Please select one:
A. (No firearm(s) lost or stolen since previous issuance of LTC or FID card)
1. I am renewing a Massachusetts firearms identification (FID) card or license to carry
(LTC) firearms.
2. I have not lost one or more firearms or had any firearms stolen since the renewal or
issuance of my last FID card or LTC.
B. (Firearm(s) reported lost or stolen since previous issuance of LTC or FID card)
1. I am renewing a Massachusetts firearms identification (FID) card or license to carry
(LTC) firearms.
2. I have lost one or more firearms or have reported stolen one or more firearms since
the renewal or issuance of my last FID card or LTC.
List all lost or stolen firearms below; use additional sheets as necessary.
Lost or Date Reported Reported to Type Make Model Serial Number Case Number
Stolen Lost or Stolen (Police Dept.)
The above information is true and accurate to the best of my knowledge and belief.
SIGNED UNDER THE PENALTIES OF PERJURY:
Signature:____________________________________ Date:_________________________
LTC-FID Application – Revised May 2015 Page - 4 of 4
Springfield Police Department
PRINT OR TYPE ALL INFORMATION
SOCIAL SECURITY NUMBER:
NAME:
LAST FIRST MIDDLE
ADDRESS: EMAIL ADDRESS:
CITY: STATE: DATE OF BIRTH:
PLACE OF BIRTH:
CITY/TOWN STATE/COUNTRY
PHONE#: HOME CELL
SEX: (circle one) FEMALE MALE NON-BINARY
RACE: (circle one)
• ASIAN INDIAN OR PACIFIC ISLANDER
• BLACK OR AFRICAN
• AMERICAN INDIAN OR ALASKAN NATIVE
• CAUCASIAN, HISPANIC-LATINO, MIDDLE EASTERN
HEIGHT: WEIGHT: EYE COLOR: HAIR COLOR:
RIGHT-HANDED: LEFT-HANDED: BOTH:
YOUR FATHER'S NAME:
YOUR MOTHER'S FULL NAME-MAIDEN:
YOUR PRESENT OCCUPATION:
YOUR EMPLOYER:
EMPLOYER’S ADDRESS:
YOUR STATUS: SINGLE: MARRIED: DIVORCED:
YOUR SPOUSE’S FULL NAME-MAIDEN:
***DO NOT FILL BELOW THIS LINE FOR POLICE USE ONLY***
ID USED: DRIVERS LIC:
NUMBER EXP. DATE
PASSPORT:
COUNTRY NUMBER EXP. DATE
OTHER:
TYPE NUMBER EXP. DATE
NEW: RENEW:
F/A#:
IF NEW APPLICANT ONLY
RENEWAL LTC-FID
APPLICATIONS
Please mail your renewal or drop off your application to our secured
lockbox with the attached documentation and payment to:
Springfield Police Department
Attention: Clerk’s Office
130 Pearl Street
Springfield, MA 01105
Information required to renew your firearms license:
• Completed application and affidavit.
• Copy of valid Massachusetts driver's license or State ID (front and back).
• Copy of your current LTC.
• Copy of a utility bill, rental agreement, or mortgage statement as proof of
residency.
We require that the bill be in your name.
• Copy of your birth certificate (US citizen by birth) or a copy of your
Passport/Naturalization papers or permanent residency card, whichever is
applicable. .
• Check or money order for $100 made payable to the City of Springfield.
We do not accept cash in the lockbox or via USPS mail or in person.
If the required information is not attached to your application,
we will return your application and payment to you via USPS mail.
If you have any questions, please contact the Clerk’s Office at 413 787 6310.
Thank you.
The provisions a municipal licensing page most often touches: G.L. c. 140, § 131 (licenses to carry), G.L. c. 140, § 121F (applications, suitability, judicial review), G.L. c. 140, § 131P (the safety certificate).