NMAC Amendment 1-1-2022.pdf

FOLLOW THE CHECKLIST BELOW FOR YOUR APPROPRIATE CATEGORY BEFORE

SUBMITTING YOUR APPLICATION TO THE DEPARTMENT

INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED

Documents needed for Civilian

(New/ Initial Application)

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Copy of valid New Mexico Driver’s License or Identification Card

Copy of Birth Certificate or other required legal documents (not required if NMDL is a Real ID)

Training Certificate w/ DPS-Approved Instructor

Gemalto Fingerprint Receipt (ORI NM920200Z $44)

$56 fee made payable to NMDPS CCU

(Renewal Application)

2-Page Application

Copy of valid New Mexico Driver’s License or Identification Card

Training Certificate w/ DPS-Approved Instructor

$75 fee made payable to NMDPS CCU

Documents needed for Active Military

(New/ Initial Application)

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Photocopy of valid Driver’s License or Identification Card

One (1) passport photo if your Driver’s License is not issued in New Mexico

Copy of Birth Certificate or other required legal documents (not required if NMDL is a Real ID)

Copy of Military ID and PCS (Permanent Change of Station) Orders

Gemalto Fingerprint Receipt (ORI NM920272Z $8.30)

(Renewal Application)

2-Page Application

Photocopy of valid Driver’s License or Identification Card

Copy of Military ID or PCS (Permanent Change of Station) Orders

Documents needed for Retired Military/ Military Veteran

(New/ Initial Application)

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Copy of valid Driver’s License or Identification Card

Copy of Birth Certificate or other required legal documents (not required if NMDL is a Real ID)

DD-214 with character of discharge (must have Honorable Discharge)

Other acceptable forms: Letter from the VA stating honorable discharge or retirement card

Training Certificate w/ DPS-Approved Instructor *if outside of 20 years of separation

Gemalto Fingerprint Receipt (ORI NM920272Z $8.30)

(Renewal Application)

2-Page Application

Copy of valid Driver’s License or Identification Card

DD-214 with character of discharge (must have Honorable Discharge)

Training Certificate w/ DPS-Approved Instructor *if outside of 20 years of separation

Documents needed for Active Law Enforcement Officer

(New/ Initial Application)

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Photocopy of valid Driver’s License or Identification Card (not required if NMDL is a Real ID)

Photocopy of Birth Certificate or other required legal documents

Agency ID

Certification Number

Letter of Good Standing

Copy of last qualification

Gemalto Fingerprint Receipt (ORI NM920272Z $8.30)

(Renewal Application)

2-Page Application

Photocopy of valid Driver’s License or Identification Card

Agency ID

Certification Number

Letter of Good Standing

Copy of last qualification

Documents needed for Retired Law Enforcement Officer

(New/ Initial Application) (must have completed a minimum of 15 years as LEO or retired due to job related disability)

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Copy of valid Driver’s License or Identification Card (not required if NMDL is a Real ID)

Copy of Birth Certificate or other required legal documents

Letter of Good Standing with Agency ID and Certification Number

Copy of last qualification or Training Certificate w/ DPS-Approved Instructor *if outside of 10 years of retirement

Gemalto Fingerprint Receipt (ORI NM920272Z $8.30)

(Renewal Application) (must have completed a minimum of 15 years as LEO or retired due to job related disability)

2-Page Application

Copy of valid Driver’s License or Identification Card

Agency ID

Certification Number

Letter of Good Standing

Copy of last qualification or Training Certificate w/ DPS-Approved Instructor *if outside of 10 years of retirement

Documents needed for Instructor

2-Page Application

Authorization to Obtain Health Information complete with WITNESS SIGNATURE (anyone over the age of 18)

Authorization for Release of Information complete with NOTARY

Copy of valid New Mexico Driver’s License or Identification Card (not required if NMDL is a Real ID)

Copy of Birth Certificate or other required legal documents

Gemalto Fingerprint Receipt (ORI NM920200Z $44 civilian; NM920272Z $8.30 military/LEO)

Current Instructor Liability Insurance

Current Instructor Credentials (NRA, USCCA, DPS LEA, etc…)

Resume of firearms instructing experience

Curriculum and all course materials - Must include:

Fee Schedule NMAC 10.8.2.24(A)(6)

Ƒ Fees

Ƒ I

ncidental Costs

Ƒ Charges for Course

Ƒ Policies for passing and failing

Ƒ Refund policy

Ƒ Reschedule policy

Ƒ Attendance requirements

Terms and conditions of License NMAC

10.8.2.16

Reciprocity NMAC 10.8.2.29

Application Qualification and Process

Ƒ Cost

Ƒ Forms needed

Ƒ Fingerprinting

Ƒ Qualifications and Disqualifiers

Ƒ Appeals

Ƒ 2year refresher

Ƒ Renewal timelines

Explanations of hands on demonstrations, if

any.

[NMSA 1978 29-19-7 § (2003)]

Ƒ Safe handling of single- and double-action

revolvers and semi-automatic handguns

Ƒ Safe storage of handguns and child safety;

Ƒ Safe handgun shooting fundamentals;

Ƒ Identification of ways to develop and maintain

handgun shooting skills;

Ƒ Federal, state and local criminal and civil laws

pertaining to the purchase, ownership,

transportation, use and possession of handguns;

Ƒ Techniques for avoiding a criminal attack and

how to control a violent confrontation;

Ƒ Techniques for non-violent dispute resolution

Application Instructions

For a complete outline of eligibility requirements, refer to the New Mexico Concealed Handgun

Carry Act of 2003 (as amended in 2005, 2010, 2015, and 2016) Section 29-1-1 through 14, NMSA

1978 and NMAC 10.8.2 included in this packet. Personal check, cashier’s check, or money order

should be made payable to New Mexico Department of Public Safety (NMDPS CCU). Credit/Debit

cards are also accepted in person at our office in Albuquerque.

Applications may be mailed to:

NMDPS Concealed Carry Unit

6301 Indian School Rd NE Suite 310

Albuquerque, NM 87110

Incomplete applications will not be processed.

Be sure to sign and date all appropriate locations

and provide a witness and notary signature where required.

Your fee will be deposited, and you must meet the guidelines set forth in NMAC 10.8.2.11(C)

Fees are non-refundable NMSA 29-19-5(B)(2)

Fingerprinting Procedures for Concealed Carry License

Ƒ Register at www.aps.gemalto.com/nm/index_NM.htm

Ƒ Click on Register Online for Background Check

Ƒ Enter all information in highlighted areas

Ƒ ORI information is as follows:

NM920200Z for civilian $44.00

NM920272Z for military or law enforcement $8.30

Ƒ Pay either by credit card or money order

Ƒ Print out receipt (as you will need to turn this into the department)

Ƒ Take receipt with you when you get digitally fingerprinted

(locations available at www.aps.gemalto.com/nm/Maps/MapFrame.htm)

Ƒ Fingerprint location will provide a TCN Number after you are fingerprinted

If the fingerprints are not accepted by the FBI for comparison purposes, processing of your

applications may be significantly delayed, and you may be required to submit another set. You may

request to have original documents returned to you by submitting this request along with a

self-addressed, stamped envelope.

Additional information and updates pertaining to NM Concealed Carry are available on the NMDPS

website: http://www.dps.nm.gov.

Check this website periodically for new and updated forms and information on recognition and

reciprocity.

Page 1

New Mexico Department of Public Safety

CONCEALED HANDGUN LICENSE / CONCEALED CARRY HANDGUN INSTRUCTOR

APPROVAL APPLICATION

Read “APPLICATION INSTRUCTIONS” prior to completing this application.

TYPE or PRINT LEGIBLY IN INK.

Your application WILL NOT be processed unless/until all applicable questions have been answered on page 2 and all

required documents have been submitted.

Be sure to include: Gemalto fingerprint receipt, authorization to obtain health information form, authorization

for release of information form, a current certificate of firearms training, a photocopy of your New Mexico Driver’s

License or Identification Card, a photocopy of your birth certificate or naturalization certificate (not required if the

Driver’s License is a Real ID), and payment in the form of personal check, cashier’s check, money order, or credit

card for the appropriate amount.

FEES ARE NON-REFUNDABLE

New License Application

Renewal Application (Expiration Date )

Instructor:

New Renewal

Non-Civilian Licenses

Law Enforcement: Current Mounted Patrol Retired (Retirement Date )

Military: Active Veteran (Separation Date )

Last Name: First Name: Middle Name: County of Residency:

Social Security Number: Fingerprint TCN #: (New Applicants Only)

NM Driver’s License Number:

NMDL Issue Date:

Date of Birth: (mm-dd-yyyy) Sex:

M F

Height: Weight: Eye Color:

Hair Color: Race:

City of Birth: State of Birth:

Country of Birth other than USA:

Mailing Address:

City:

State: Zip Code:

Physical Address (if different than above):

City:

State: Zip Code:

How long have your lived at the above address?

Years Months

Home Phone Number:

Business Phone Number:

Email Address:

FOR OFFICE USE ONLY:

Form of Payment: Money Order Cashier’s Check Personal Check # Credit Card

The Department of Public Safety acknowledges that on the sum of $ was received by:

Signature of employee accepting application Printed name of employee accepting application

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Page 2

ALL APPLICANTS PLEASE READ QUESTIONS THROUGHLY AND ANSWER QUESTIONS BY CHECKING “YES” or “NO”.

YES

1. Are you a citizen of the United States?

2. Are you a resident of New Mexico OR a member of the armed forces whose permanent duty station is located in New

Mexico or a dependent of such a member?

3. Are you 21 years of age or older?

4. Have you satisfactorily completed a DPS-Approved Firearms Safety Training Program or Renewal Training Program?

5. Have you been convicted of a felony in New Mexico or any other state or pursuant to the laws of the United States or

any other state or pursuant to the laws of the United States or any other jurisdiction?

6. Are you currently under indictment for a felony criminal offense in New Mexico or any other state or pursuant to the

laws of the United States or any other jurisdiction?

7. Are you otherwise prohibited by federal law or the law of any other jurisdiction from purchasing or possessing a

firearm?

8. Have you been adjudicated incompetent or committed to a mental institution?

9. Are you an unlawful user of, or addicted to, any controlled substances and/or alcohol?

10. Have you received a conditional discharge, a diversion or a deferment, or been convicted of, pled guilty to, or entered

a plea of nolo contender to a misdemeanor offense involving a crime of violence within the last 10 years?

11. Have you, within five years immediately preceding this application, been convicted of a misdemeanor offense

involving driving while under the influence of intoxicating liquor or drugs?

12. Have you been convicted of a misdemeanor offense involving the possession or abuse of a controlled substance within

the last 10 years immediately preceding this application?

13. Have you been convicted of a misdemeanor offense involving assault, battery, or battery against a household member?

14. Since the age of 18, have you been arrested for any reason?

15. Are you a fugitive from justice?

16. Are you an alien who is residing in the United States illegally or a former citizen of the United States who has

renounced citizenship?

17. INSTRUCTOR APPLICANTS ONLY Do you meet ALL training instructor criteria required under NMAC

10.8.2.22? (If yes, include all proper documentation).

WARNING: Submission of a false answer to any question or submission of a materially false document will result in the denial

of the application and may result in criminal prosecution for perjury (NMSA 30-25-1). Tampering with public records may result

in criminal prosecution under NMSA 30-26-1.

I HEREBY STATE UNDER PENALTY OF LAW THAT:

1. I have read the New Mexico Concealed Handgun Carry Act of 2003 and qualify to apply for a concealed handgun license;

2. I have been furnished with a copy of the state laws relating to concealed handguns and have read and understand them;

3. I want a permit to carry a concealed handgun for lawful purposed, which may include self-defense;

4. The information in this application and any documents submitted in this application is true, correct, and complete to the best

of my knowledge and belief; and

5. I understand a license eligibility investigation will be conducted as a part of the application process; this may involve, but is

not limited to, computerized record searches/ criminal history searches and I authorize the investigation.

Signature of Applicant Printed Name Date

This authorization allows the New Mexico Department of Public Safety (DPS) to obtain confidential

health information about you. The authorization may be revoked by you. It will remain in effect

indefinitely solely for purposes of obtaining information regarding your Concealed Handgun Carry Act

application or permit. You are entitled to a copy of the completed authorization. There may be fees

charged for any copying associated with this request. If you are a person with a disability and you require

this authorization in an alternative format or require a special accommodation to complete this form, you

may request assistance from staff at any DPS location.

1. I authorize the Department of Public Safety to obtain health information as described below.

2. I understand that any information disclosed by any provider of any kind may include

information about behavioral or mental health services, and treatment for alcohol or

dmg/substance abuse and information obtained by the New Mexico Department of Public

Safety from any other provider specifically related to the statutory purposes set out in the

Concealed Handgun Carry Act at Section 29-19-1 to 29-19-13, NMSA 1978.

3. This authorization applies to any health information from any provider or any source relating

to the stated purposes.

4. The health information will specifically be related to (a) adjudication of mental incompetence

or any commitment to a mental institution; (b) any addiction to alcohol or controlled

substances.

5. This health information shall be utilized in order to assess compliance with the purposes of

the Concealed Handgun Carry Act.

Signature of Applicant Date

Signature of Witness Date

NEW MEXICO DEPARTMENT OF PUBLIC SAFETY

AUTHORIZATION TO OBTAIN HEALTH INFORMATION

Applicant Name Printed (First, Middle, Last)

STATEMENT OF UNDERSTANDING:

I understand that I have a right to revoke this authorization at any time. I understand that if I revoke this

authorization, I must do so in writing to the New Mexico Department of Public Safety. I understand that

the revocation will not apply to information that has already been obtained pursuant to this authorization.

I understand that unless I revoke this authorization as stated above, this authorization will continue in full

force and effect. I understand that authorizing the disclosure of this health information is voluntary. I

further understand that revoking this authorization may have consequences regarding my application for a

concealed handgun carry permit, or my ability to continue carrying a concealed handgun if I have already

been issued a concealed handgun carry permit.

AUTHORIZATION FOR RELEASE OF INFORMATION

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AS AN AUTHORIZED AGENT FOR ME FOR THE PURPOSE OF INSPECTING (AND /OR

OBTAINING COPIES OF) ANY NEW MEXICO ARREST FINGERPRINT CARD SUPPORTED

ARREST RECORD INFORMATION MAINTAINED BY THE DEPARTMENT OF PUBLIC SAFETY,

INCLUDING INFORMATION CONCERNING FELONY OR MISDEMEANOR ARRESTS AND

INFORMATION OBTAINED FROM RELEVANT FINGERPRINT DATABASES.

TO THE CUSTODIAN OF THE RECORDS IN QUESTION, I HEREBY DIRECT YOU TO RELEASE

SUCH INFORMATION TO THE AUTHORIZED AGENT AS DESCRIBED ABOVE.

I HEREBY RELEASE THE CUSTODIAN OR CUSTODIANS OF SUCH RECORDS AND THE

DEPARTMENT OF PUBLIC SAFETY, INCLUDING ANY OF THEIR AGENTS, EMPLOYEES, OR

REPRESENTATIVES IN ANY CAPACITY, FROM ANY AND ALL CLAIMS OF LIABILITY OR

DAMAGE OF WHATEVER KIND OR NATURE, WHICH AT ANY TIME COULD RESULT TO ME,

MY HEIRS, ASSIGNS, ASSOCIATES, PERSONAL REPRESENTATIVE OR REPRESENTATIVES

OF ANY NATURE BECAUSE OF COMPLIANCE BY SAID CUSTODIAN OR CUSTODIANS WITH

THIS "AUTHORIZATION FOR RELEASE OF INFORMATION" AND MY REQUEST CONTAINED

HEREIN FOR THIS RELEASE OR BECAUSE OF ANY USE OF THESE RECORDS. THIS

RELEASE IS BINDING, NOW AND IN THE FUTURE AND IS VALID FOR A PERIOD OF UP TO

120 DAYS FROM THE DATE SIGNED, ON MY HEIRS, ASSIGNS, ASSOCIATES, PERSONAL

REPRESENTATIVE OR REPRESENTATIVES OF ANY NATURE.

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