This form must be completed and submitted to the Minnehaha County Sheriff's Office prior to the release of a firearm. You will be contacted within 15 days of the date this form was received.
If the firearm(s) was seized from, or is owned by another person, you must provide written proof of ownership, or owner permission, to receive the firearm.
South Dakota Law 22-11-23 - Falsification of public records-Misdemeanor
Any person who knowingly makes a false entry in any public record, or falsely alters any public record is guilty of a Class 2 misdemeanor. However, if the false entry or alteration is committed by a public officer or employee having custody of the record, the offense is a Class 1 misdemeanor.
Enter information on this form exactly as it is shown on your government issued ID
IMPORTANT: You must be able to show a valid government issued photo ID at the time the firearm is to be released.
Is your mailing address different from your physical address? *
Gender *

Residency and Citizenship

Criminal History

Are you the actual person taking ownership of all of the firearm(s) in this matter?
Warning: You are not the actual owner if you are acquiring any of the firearm(s) on behalf of another person. If you are not the actual owner, the Sheriff's Office cannot transfer any of the firearm(s) to you. *
Do you intend to sell or otherwise dispose of any firearm(s) from this matter in furtherance of any felony or other offense punishable by imprisonment for a term of more than one year, a Federal crime of terrorism, or a drug trafficking offense? *
Are you under indictment or information in any court for a felony, or any other crime for which the judge could imprison you for more than one year, or are you a current member of the military who has been charged with violation(s) of the Uniform Code of Military Justice and whose charge(s) have been referred to a general court-martial? *
Have you ever been convicted in any court, including a military court, of a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation? *
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? 
WARNING: the use or possession of marijuana remains unlawful under Federal law, regardless of whether is has been legalized or decriminalized for medicinal or recreational purposes in the state you reside. *
Are you a fugitive from justice? *
Have you ever been adjudicated mentally defective OR have you ever been committed to a mental institution? *
Have you ever been discharged from the Armed Forces under dishonorable conditions? *
Are you subject to a court order, including a Military Protection Order issued by a military judge or magistrate, restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? *
Have you ever been convicted in any court of a misdemeanor crime of domestic violence, or are you or have you ever been a member of the military and been convicted of a crime that included, as an element, the use of force against a person as identified in the instructions? *
Have you ever renounced your United States citizenship? *
Are you an alien illegally or unlawfully in the United States? *
Are you an alien who has been admitted to the United States under a nonimmigrant visa? *
If you answered “Yes” to question above, you will be contacted to provide additional information before this request can be approved.
Do you intend to sell or dispose of any firearm(s) listed in this matter to any person who does not fall within a nonimmigrant alien exception? *

Certify and Sign

I hereby certify that the above information provided by me to the Minnehaha County Sheriff's Office is true, accurate and complete. I understand that the Minnehaha County Sheriff's Office relies on this information to make a determination as to my legal rights to possess a firearm. I further understand that providing false information could be found to be a violation of State Law. *
Applicant Signature: * 🛈
Secured by Formsite