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Get Foid Card Address Change Form

ADDRESS CHANGE New Mailing Address Illinois Residency Required City/Town Apt. State Zip Code County NOTE You must be an Illinois resident to obtain a FOID card. NAME AND/OR ADDRESS CHANGE REQUEST FOR FIREARM OWNER S IDENTIFICATION CARD ILLINOIS STATE POLICE You will receive a new FOID card with the same expiration date as your current card. In such cases however the ISP requires the companies acting on our behalf abide by all state and federal laws and our privacy policies and institute safeguards to protect the con dentiality of your information. Signature Certi cation My signature authorizes the Illinois State Police to verify answers given with any government or private entity authorized to hold records relevant to my citizenship criminal history and mental health treatment or history to use the digital photo demographic information and signature from my Illinois Driver s License or State Identi cation to create my FOID card and to share my information as described in the Warning contained herein. Under penalties of perjury I certify I have examined all the information provided for my address change and to the best of my knowledge it is true correct and complete. Remit exactly 5. 00 in check or money order payable to FOID. THIS FEE IS NONREFUNDABLE* FOID Last Name on Current FOID Card First Name on Current FOID Card Date of Birth MM/DD/YYYY Middle Initial Social Security Number Illinois Driver s License Number OR Illinois State Identi cation Number NAME CHANGE New Last Name Suf x New First Name NOTE Your new name must match your driver s license or identi cation card at the time of application or you must submit legal documents regarding your name change. Area Code Daytime Phone Number Email Address Warning This form is governed by the Firearm s Owner s Identi cation FOID Card Act and must be completed by the FOID Card holder or his/her parent or legal guardian in its entirety or it cannot be processed* Entering false information on an application for a FOID Card is punishable as a Class 2 felony in accordance with Section 14 d-5 of the FOID Card Act. The form and the information contained herein may be provided to third parties with whom the Illinois State Police ISP has contracted in order to complete the processing of my FOID card. SIGNATURE REQUIRED Date Internet Address http //www. isp*state. il*us Customer Service Telephone 217 782-7980 For Hearing Impaired only TDD 1 800 255-3323 Mailing Address Illinois State Police - FOID P. Area Code Daytime Phone Number Email Address Warning This form is governed by the Firearm s Owner s Identi cation FOID Card Act and must be completed by the FOID Card holder or his/her parent or legal guardian in its entirety or it cannot be processed* Entering false information on an application for a FOID Card is punishable as a Class 2 felony in accordance with Section 14 d-5 of the FOID Card Act. The form and the information contained herein may be provided to third parties with whom the Illinois State Police ISP has contracted in order to complete the processing of my FOID card.

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