Change Address Application


Change of Address Form
First Name Middle Initial Last Name Suffix Gun Permit # SSN
select
Residence Address:
Street Address
City State Zip Code Parish/County
select
select
Same as Mailing Address?
Mailing Address:
Street Address
City State Zip Code Parish/County
select
select
Home Contact # Work Contact # Name of Employer Effective Date of Change
mm/dd/yyyy


   

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Address: P.O. Box 66375, Baton Rouge, LA 70896-6375    Customer Service: (225) 925-4867 / Fax: (225) 922-0225