Authorized Instructor Registration Form

Self-Certification for Firearm Safety Instructors

  1. Pursuant to New York Sate Penal Law §400.00(19), all applicants for a New York Sate Concealed Carry Pistol Permit must complete a minimum of sixteen (16) hours of in-person live curriculum firearm safety training and two (2) hours of a live-fire range training course.  All Livingston County residents wishing to apply for a New York Sate Concealed Carry Pistol Permit will be required to submit a Certification of Completion of Training Form with their application.  

    ** The Livingston County Clerk's website does not certify any individual or entity as a Duly Authorized Instructor, as defined in New York State Penal Law §265.00(19), nor is it an endorsement of any particular course or provider.  

  2. I am a Duly Authorized Instructor,  as that term is defined in New York Sate Penal Law §265.00(19), approved by the New York State Division of Criminal Justice Services and New York Sate Police to instruct the concealed carry firearms safety training.  Please include the above individual or entity on the Livingston County Clerk's website and listed as providing the following training:

    (please check one or both)


  3. Please upload a sample of a Certificate of Completion from your establishment.  The Livingston County Clerk will maintain a copy on file to ensure those submitted are true.  Thank you, Andrea

  4. Leave This Blank:

  5. This field is not part of the form submission.