§ 6109. Licenses.
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(c) Form of application and content.--The application for a
license to carry a firearm shall be uniform throughout this
Commonwealth and shall be on a form prescribed by the
Pennsylvania State Police. The form may contain provisions, not
exceeding one page, to assure compliance with this section.
Issuing authorities shall use only the application form
prescribed by the Pennsylvania State Police. One of the
following reasons for obtaining a firearm license shall be set
forth in the application: self-defense, employment, hunting and
fishing, target shooting, gun collecting or another proper
reason. The application form shall be dated and signed by the
applicant and shall contain the following statement:
I have never been convicted of a crime that prohibits me
from possessing or acquiring a firearm under Federal or
State law. I am of sound mind and have never been
committed to a mental institution or been ordered to
undergo involuntary mental health treatment on an
outpatient basis. I hereby certify that the statements
contained herein are true and correct to the best of my
knowledge and belief. I understand that, if I knowingly
make any false statements herein, I am subject to
penalties prescribed by law. I authorize the sheriff, or
his designee, or, in the case of first class cities, the
chief or head of the police department, or his designee,
to inspect only those records or documents relevant to
information required for this application. If I am issued
a license and knowingly become ineligible to legally
possess or acquire firearms, I will promptly notify the
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