New York State Firearms Training Academy

Phone: (516) 331-1181 – Fax (516) 214-8078

Phone: (516) 331-1181
Fax (516) 214-8078

Application for New York State HR-218 Training Class

  • Have a photographic identification card issued by their agency.
  • Meets standards, if any, established by the agency which require the employee to regularly
    qualify in the use of a firearm.
  • Have full authorization from their agency to carry and use a firearm.
  • Have a total of 10 or more years of law enforcement service.
  • Not under any disciplinary action.

    Date:

    First Name:

    Last Name:

    Address:

    City:

    State:

    Zip:

    Cell Phone:

    Email:

    Agency Name:

    Circle one:

    Do you carry a firearm for your agency?

    Do you have arrest powers?

    Are you subject of any disciplinary action by the agency which could result in suspension or loss of police powers?

    How many years have you been a Peace/Police Officer?

    If Retired - Pistol License #:

    County:

    Sign:

    Date:

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