By submitting this form, I acknowledge that I understand that I must comply with all local, State, and Federal laws at all times. I swear or affirm that all statements made on this application are true and correct. I am informed of and will comply with the requirements of Chapter 16 Title 17 Section 680 of the State of South Carolina Code of Laws, 1976. I further understand that a permit may be denied, suspended or revoked at any time if the local law enforcement agency discovers that the information on this application is inaccurate or I do not comply with the requirements of Chapter 16 Title 17 Section 680 and Chapter 16 Title 11 Section 523 of the State of South Carolina Code of Laws, 1976.
Signature of applicant as well as Valid Driver's License or state-issued ID (Address on the form must be the same as on driver's license) will be required when picking up permit.