Forms

Where available, you can submit a form by entering information in the appropriate text fields and clicking the Submit button, or you can download forms and fill them out when it's convenient for you. Many of the forms still require your signature; please either mail or deliver these to our offices.

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Please note, most Dutchess County forms are available as PDF documents. This format requires that you have Adobe Acrobat Reader installed on your PC. Click on the Adobe Acrobat Reader icon to download a free copy of this software.

Kirk Imperati

Contact

All Forms

Extreme Risk Protection Order Application (Red Flag Gun Law)

An Extreme Risk Protection Order (ERPO) is a court order issued when a person may be dangerous to themselves or others. An ERPO prohibits a person from purchasing or possessing guns and requires the person to surrender any guns they already own or possess. Download the application from the New York State Unified Court System website.

Law Enforcement Officers Safety Act (HR-218)

The Law Enforcement Officers Safety Act (HR-218) allows the qualified law enforcement officer and the qualified retired law enforcement officer to carry a concealed firearm in any jurisdiction in the United States, regardless of any state or local law to the contrary, with certain exceptions. Use the Law Enforcement Officers Safety Act (HR-218) Qualification Registration Form to register for the next qualification session. Complete the Affidavit Form (.pdf). View the Sample HR-218 Qualification Card (.pdf).

Sign up, using DutchessDelivery, to be notified when the next Qualification date has been announced.

NYS Firearms License Request for Public Records Exemption (.pdf)

The NYS Firearms License Request for Public Records Exemption Form (.pdf) is used to exercise the "opt out" provision (FOIL exemption) for pistol licensees.

Required:

Mail or return (in person) the completed form to:
Bradford Kendall
Dutchess County Clerk
22 Market Street
Poughkeepsie, NY 12601

Pistol Permit Application (.pdf)

Required:

  1. Print the Pistol Permit Application (.pdf). COMPLETE PAGES 2, 3, 4, 5 and 6.
  2. A postal money order in the amount of $25.00 (payable to DCSO) must be mailed in with your application packet. ALL FEES
    ARE NON-REFUNDABLE.
  3. Any handwritten applications MUST be in BLACK INK.
  4. Follow the directions on the County Application.
  5. Abbreviations may only be used if there is not enough space for a complete word.
  6. Do not sign or notarize the bottom of the 3 State Application Forms. This will be done the day of your appointment.

Request for Pistol Permit Transfer from Dutchess County (.pdf)

The Request for Pistol Permit Transfer from Dutchess County Form (.pdf) is to be used to transfer a pistol permit from Dutchess County to another county.

Required: